eTracking Applicnt ID: DIOR16175676-2173549

Office Name: DIC-SUNDARGARH-OR Agency: DIC

1. Aadhaar Number : 859109635043 2. Legal Type : Individual

3. Applicant Name SHRI PRATAP DEO

4. Gender : MALE 5. Date of Birth : 17-Sep-1985 Age 31 Yrs.

6. Social Category : General 7. Special Category : Not Applicable

8. Qualification : 10TH Pass 9. PAN No. : ATWPD3808N

AT FAKRA PADA, PO KUTUNIA

Address for Communication:
RAJGANGPUR

10. District: SUNDARGARH Pin Code: 770017

State: Odisha E-mail ID: [email protected]

Mobile No.1: 9938771918 Mobile No.2:

AT FAKRA PADA, PO KUTUNIA

Address of Proposed Unit:
RAJGANGPUR
11.
District: SUNDARGARH Pin Code: 770017

State: Odisha Unit Location : Rural

12. Type of Activity : Service SERVICE AND TEXTILE

Tailoring and preparation of Readymade Garments

13. Name of Activity :
READYMADE GARMENTS

14. Whether EDP Training Undergone : No 15. Institution Name

16. Preferred Agency: DIC

Capital Expenditure: 475000

17. Loan Required Total: 500000
working Capital: 25000

STATE BANK OF INDIA

1st Financing Bank Name and RAJGANGAPUR

18.
Address DIST SUNDARGARH ORISSA 770017

SURENDRANAGAR IFS Code: SBIN0003503

19. Alternative Bank IFS Code:

I, PRATAP DEO 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:11/11/16 12:38 PM Signature of Applicant

Report Print Date: 2016.November.11 AD 12:44 PM Page 1 of 1