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GramaOne

FRANCHISEE REGISTRATION APPLICATION FORM

Acknowledgement Number FG06272220023010679846


Application Date 27-06-2022

Name of the Applicant MOHAMMADILIYAS ABDULRASHID MULLA

Applicant Photo

Date Of Birth 01-10-1992 Age 29

Phone Number 9980238530 PAN Card No. CQVPM8427L

E-Mail labbaikcsccenter@gmail.com

Qualification

Technical Course Basic Computers,

Stream Type

Permanent Address 657/2 MULLA LANE NEAR BUS STOP HUNNARAGI NIPANI BELGUAM

Franchisee Location Details:


District Belagavi Taluka NIPPANI

Hobli GALATAGA Village GALATAGA

Franchisee Location Area GALATAGA


Address and Landmark NEAR BUS STOP

Premises Type Rental

Space Available(in Sq.ft.) 100


Document Details: Attached
Aadhaar PAN
Other Technical Certificate Degree Certificate
Payment Details

Payment Receipt Number 7984600000062722200230106L2TX Payment Type


5I48YAHFRO1
Paid Amount 100

User Charges 0

Payment Charges 10

Total Amount 110

I have read and agreed to the terms and conditions for Franchisee Registration

Contact us :+91 63624 51543 , +91 80 4565 8811


Email: onehelpdesk@karnataka.gov.in

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