eTracking Applicnt ID:

DIAP16172091-2184003

Office Name:

DIC-PRAKASAM-AP

Agency:

1.

Aadhaar Number :

933868630509

3.

Applicant Name

SMT. DASARI VENKAYAMMA

4.

Gender :

FEMALE

5.

Date of Birth :

01-Jan-1971

6.

Social Category :

Scheduled Caste

7.

Special Category :

Not Applicable

Under 8th

9.

PAN No. :

8. Qualification :

2.

Legal Type :

DIC

Individual

Age

46 Yrs.

PRAKASAM COLONY,
Address for Communication:
ONGOLE MANDAL,
10.

District: PRAKASAM

Pin Code: 523001

State: Andhra Pradesh

Mobile No.1: 9948388274

E-mail ID:
Mobile No.2:

PRAKASAM COLONY,
Address of Proposed Unit:
ONGOLE MANDAL,
11.
District: PRAKASAM

Pin Code: 523001

State: Andhra Pradesh

12. Type of Activity :

Service

Unit Location : Urban

SERVICE AND TEXTILE

Kirana-Shop/General /Stationary Shop

13. Name of Activity :
VENKAYAMMA KIRANA SHOP
14. Whether EDP Training Undergone :
16. Preferred Agency:

No

15.

Institution Name

DIC
Capital Expenditure: 500000

17. Loan Required

Total: 500000
working Capital:
CANARA BANK

18.

1st Financing Bank Name and

Address

ONGOLE
Door NO.37-1-167, A R N COMPLEX, KURNOOL ROAD, ONGOLE 523001
PRAKASAM

19. Alternative Bank IFS Code:

IFS Code: CNRB0002536

ANDB0000400

I, DASARI VENKAYAMMA Certify and declare that all the information provided above is true and correct. Any information
that may be required to be verify, shall be provided to the concerned authority.
Online Submission Date:11/15/16 5:09 PM

Report Print Date:

2017.January.28 AD 05:44 PM

Signature of Applicant

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