Organization Form

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ORGANIZATION DSC Co rico) «Please slect neo the veificaton methods saa © oomine os vertestion Cras “inn aratcane ty cass 2© 20] | rear 1© 2020] [te oO cere O ore eet O Pleas lhe applicant details ‘Applicant Name pen PAN Mumba poster tes rer pnt ‘Applicant Proot O Pancard © Passport © orwvingticence OQ others" + Please fil organization details ost. ‘organization PAN Department (Organization Address Pin Code TowniCiyDiewiet, ‘StateUnionTeaitery ‘Authorization Letter NOTE: The authorised shnatries or aplyng stl signature cetieate shouldbe duly authorized by the resohiton of bourd of decors partners, 10, “is isto erty tat Me. Me (eertieateappicant) Mobil has provides corectnformation nthe applzation form fr isuance of gl crit to he best of my knowledge, woking with (rgenzaton name) He Shee hereby authorized to obtain 3 Aigalcerieat sued by Capcom kentty Services PL Details of authorising person Name Identity Cara No. Employee Id Designation Place Date ‘Applicant Declaration ‘pooner! Tw looinn ouseinhaaeaiontom sree oan Pace oo ate: spotcanthas sgn across the photograph extends Sartre spptcan sin rat wanes © appicabon frm ‘eganacn oe cn + leave select one of the verification methods Capricorn @) ay eso Lhe nine sri verication Organization Type : Pronetorie (5 Fling roa pot ohn 3 mois) ere oO ° oO oO Oo Chang ese tons eed (eps ctmng bene nnapel ‘ioe spn ota ‘Gon Ln aso Pre Sed LP ‘Sut (raat apt conan ores ‘Satya sane (Copy Lat trace eine sue H NCA rebate Eeipone of Arayshabe wissen ‘Sa ee ay sito Soc 7KGOT ‘Seat ausrane me sana Lmetnoa2taatona venation Organization Type : ae Ar ran re are et Solio 5 ‘oredr 0 Pra PAN Vea, op Baan grain crete woe OST, ‘Sik Stop Enataenes Cap Opt PANG ra * v ¥ ” min ar Storr rt i a ‘ihorsedaona Popes Se ‘eet ratape pdape conan ase ‘Saeyurre ate ‘ore apm at rao Do erton Siren es itn Sa THGDT ¥ ~. 7 7 Instructions: 1, Pes tug etom 9 Ey 2 amp auto inate opened 1S aman se sb moro, ‘overstate ae ‘praetor pring se bt 6: Feiss 28 etm yea ee glenn fic 1-H een yh pts mada 1. 06c Doon sent ep aa 1 Spe ces mtb oven naeyppaghe ce 1. Coma sunporersente otal 1 Dannie They tan at aba coy heaton ny wl be ci tpteed me Aoi 14. Mle gn aor he phtpgh eect apteaon om. 1 foptantcan sea saat pl ae Pa a Pot ofce [Caden acca Pina Comm’ sms Core ‘rhage Feune ta, Papry Fa Copter ox tes Ector ese Urine Ses yr ‘ite stendes natin Stoney foresees be omen he pera “adhorae synapsin arn paae “itaahtee ray nla Ser, td aston OR Por of Ayal ecb “Noveqresathonr wo ome une sree een se Pepa ara _AYpeqat hat at plat Pn anata arash peed Sd agra Pe ep { htoateiceanstnert sagredeter tame ton arr te ecu tunes odio canbe oie GEA! | cenniicare = eesedGriping tony TOE errtesnwn contents Og

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