| Name of the Enterprises : |
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| Contact Details : |
| Address : |
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| Contact Person : |
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| Tel : |
Fax : |
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| Mobile No : |
Email : |
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| Website : |
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| Status of Enterprises : |
| [ ] Micro |
[ ] Small |
[ ] Medium |
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| Constitution : |
| [ ] Proprietary |
[ ] Partnership |
[ ] L.L.P |
[ ] Pvt. Ltd. |
[ ] Public Ltd. |
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| Establishment Year : |
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| Industrial Sector : |
| [ ] Manufacturing |
[ ] Service |
[ ] Other |
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| Products : |
(Enclose catalogues, write-ups etc.) |
| Existing Technology Process : |
(Use Additional Sheet) |
Working Result as per last
audited balance sheet : |
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Future plans for expansion/
diversification : |
(Specify area of interest/products etc.) |
| Staff Strength : |
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| Banker : |
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Signature with date:
Name & Designation: |
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