Mobile No. Email ID: ..............................................................................................................
Mobile No. Home: ..........................................
Mobile No. Fax No.......................................................................... E-mail ..........................................................................
Mobile No of person authorized to manage the account: ……………………………………...…………….......................... : باسحلا ةرادإب لوخملا صخشلا .........................................................…………………………. : باسحلا ةرادإب لوخملل كرحتملا فتاهلا ……………..……………………………............................... Country/State.........................................District:............................. .....................................:ةقطنملا ةلودلا
Mobile No. Website..................
Mobile No. Office Address………… ....... ................................................................................... …............................. State............................ Country………………………………………………. Pin............................... Tele No. …………………………………Fax. No........................ Income Tax Permanent Account No(PAN)............................................................... Xxxx/Circle/Special Range ........................................................................ (Place where assessed to Income Tax) ...........................................................
Mobile No. (In terms of powers conferred upon him by
Mobile No. I do not wish to receive information via email or text message
Mobile No. X................................................... (Sole / First Applicant) X................................................... 3 (Second Applicant)
Mobile No. The Tender fee amounting to Rs. 100/- (Rupees One Hundred Only) has been deposited vide cash receipt no. Dated .
