Fer, oy site Herel Jaa Aarsa MinistRY oF MICRO, SMALL & MEDIUM ENTERPRISES © © © Choose Hoos Applicant 3.15000 Name we Toolkit Lanke Sri Voucher Anusha sta Training Application ae Submitted our [FD sssiecion Date 12/02/2024 ns7n PM Vishwakarma Registration To track all your new and ongoing activities > STEP STEP 2 STEPS Aadhaar ekYC is PM Vishwokarma Registration Approved (Certificate completed Registration Generated) Download Your Application Pdf Application Status Review Pending by GramPanchayat Application Number ap/or7/200490/12612181ee & O PM Vishwakarma (Reaisraton Form) Personal Details FutName Father’Spouse Name Date OrBieh Lake Se Anu Wo Rambabu onan Marital Status Gender Category Maries Female 8c Divyangyan Business in same state? No ves Business in same aistict? Miron? Yes te Contact Details Mobile No, ‘Aadhaar No PAN Card s4ssoe002 yooo0000%8593 NA Family Details Ration Card No. 212530405, pes Rolatonehyp ‘Aadhaar No. HUSBAND >eooeoo0d873 LANKE RAMBABU ANKE VENKATA HARSHAVARDHAN CONE ooo 2246 LANKE AKSHAYA SAUGHTER nd08 UGHTE! ‘eoono008014 LANKE SIRINANDANA‘Aadhaar Address haar Address st: Guntur Country: Inca Aadhaar Adel sre ers Anca Prod pe SED HO /ATNAM Steet HARIS| Cio. Wo Rambus Hou: 2.4 Loe: Adon: MZAN a State District . some2 01s PRADESH oumur De youCome under Gram Panchayat? vee Beck eam Panchayat zaearnat ponniocen Current Address Cumert Address 20 Wo Rabb Hows: 1224 Loc: Adawuadeew ve: MZAMPATNAM Steet HARI PET State: dra Pradesh: 52252: Gurr County: nea state District Pincode wove pracesi our Do you Come under Gram Panchayat? ves Block Gram Panchayat NA NA Profession/ Trade Details, Proession/ Trade Name Sub Category Talor ar) Business Address (Wo Rambabu Hou: 220A Loe: anode es MZAMPATNAM Sect WARS PET Ste: Andiva Pradeh pc: 52262 at Gut Couey nda Business State Business District ANDHRA PRADESH ‘ontBank Details Bank FSC Code nya Godavan Grameena Bank vanoce7e18 ourt No Confirm Account No ooo 900000003879 ‘ovet0on1020979 Credit Support Do youwart Credit Support?” Loan Amount Required (1st Tranche) Yes ‘00000 Prefemed Branch to Take Loan Loan Purpose Adsnladeent Yes Working Capital Operating Expanses Business Expansion Yes Yes Existing Loan Monty Ml Amount fn Rs.) NA NA Digital Incentive Details ‘Are you Digitaly Active? vPID No NA, ‘Skill Training ‘You are eligible for sil aining for below raining programes, ‘= Basic (5 Days) Skil Training ‘* Advance (15 Days) Skit Training Tool Kit (Once you are registered and skil training certified you wil be given a grant of €15,000 Marketing Support Marketing Support question that apples to your business expansion ‘onboard your produa! service on E-Commerce platform ality Cortiication Required participate in Exhibitions and Trade Fairs Name of Brane Adawiaceow Prefered Bank to Take Loan (haltaya Godavert Grameera Bonk Purchase of Equpments Yes ‘Outstanding Amour (nS) NA Total Monthy Family ncome (in RS.) NA LUPIID Linked Mobile Number NADeclaration Details Declaration and Authorization 1, thereby declare that lam engagedin the trade as indicated inte application fr yrof my fam 1 Rteey declare tat apart rom mse no ther member of my family has reg'stered or PM \Vishwakarma and that no member of my farnly sin (govrment service. +3, {aurso objecton to auhertcate my Aadhaar number, share the same wit otter Miisties/ Departments under the Goverment of hcia or the State {hase 2 econ a eae cer ary otter Scams cary ok eX an SOMES TY Hetey & credit ore from cov reaulby the keer ond their auhoraod agerts Te Consert and pupose of calectng Aad has ‘been explained to me in local language See Meration Tas rfomed ie Pern Aedes’ saitadherowth sho tbe sed ©! any POSS than mentioned above, or eM etna born meg tas cvaot ong my Aadaa Al be ered ag wINMY oreo Sas Wi IMOMSME or their duhorised agert as per the extartlaw. «hansen sptatonmay so be posse arg Uta Assi cenicaion which wil enable me for Prony Sector Lending 5: hui decor ttrematon gh bors oh blot yr ol ae of the fact seno Hable for acbon as per the law. Also, al bereits shallbe summary withdraen- that, ifthe information given by me is. Date: 1202/2024 ‘Signature of Applicant(s) Place : GUNTUR, ae