PDF-ANNEXURE D Participants Name Address DP Id preprinted

Pre Printed Date IWe request you to dematerialise the enclosed certificates into myour account as per the details given below Client Id SoleFirst Holder Name Second Holder Name Third Holder Name Company Name Type of Security EquityOthers please spe. The address must be within Maryland THIRD The resident agent of the corporation who shall serve for one year after dissolution and until the affairs of the corporation are wound up is whose address is FOURTH The name and address of each of the direc REPAIR FORM Company Name If Applicable First Name Last Name Address street address preferred City City State Zip Code Country Telephone Email Address Items being repaired Item Item Descripti GENERAL DOCUMENTS APPLICABLE TO ALL 1 Application form duly filled by the borrower Co borrowers if applicable and submitted along with photographs each 2 W577405772557725576405734757725576405734757693576265763057718577545769357754577995734758238W576 51 KASTURBA ROAD KASTURBA ROAD BANGALOR KARNATAKA 560001 75 Old Airport Road Bangalore AIRPORT RDBANGALORE GOLDEN TOWER AIRPORT ROAD KODIHALI BANGALOR KARNATAKA 560017 367 Seshadripuram Bangalore MEERA SADANNO 60 1ST MAIN ROAD SESHADRIPURAM BANGALOR Do you own rent your house rent an apartment Applicants Home Environment Information Do you presently have a dog or have you owned a dog before Name Breed MF Age Are there cats in your home no yes how many Are all of your pets spayedneutered If not Printed Name of Enrollment Officer Signature of Enrollment Officer brPage 2br No Name Designation 1 Sh PK Chaudhery Special Secretary in the Chair 2 Sh Siddharth Joint Secretary DoC 3 Sh Ram Lakhan Under Secretary DoC 4 Sh KSSSwamy MD VITC Karnatka 5 Sh YD Pande Consultant IDCO Orissa 6 Sh AK Dham Liaison Officer IDCO Oriss See instructions for completion on the back of this form Annual Return Date of Incorporation Continuance Amalgamation or Registration For Year Ending REG3062 200609 YEAR MONTH DAY 1 Name of Corporation 2 Address 3 Has there been any change of direct I am informing you in writing about these disrepairs as part of my duty under the Tenant Landlord Act and as part of my tenancy agreement signed between us The disrepairs are as follows XXXXXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXXXXX I ANNEXURE - I ANNEXURE - II In exercise of the powers conferred by sub-section (1) of section 642 of the Companies Act, 1956 (1 of 1956), the Central Government hereby makes the following rules namely Living with Care and Dignity. Ideal Eco-Friendly Location. Comfort, Security & Ambience. Medical/Health Services. Membership & Accommodation. Schedules I-III. Annexure ‘A’, ‘B’ & ‘C’. & CHANGES TO LICENSING LAWS. JOHN PUNCH. SHORT PUNCH & GREATORIX. PROPERTY OCCUPATIONS ACT 2014. Limited changes – with effect from 1. st. December 2014. Eligibility for licences – Automatic licensing for existing licenses. CitizenVIP ESL Your Address Your Address What is your home address? Has your address changed since you sent in your application? What is your address right now? What is your current address? Where do you live? as per MIDC’s Revised Development Control Regulations 2009 sanctioned under Maharashtra Regional and Town Planning Act, 1966 1 Name of Approval / NoC/ License / Registration Building Completio