Partner/Director Details

Information Type *

Individual / Proprietorship Firm / Company / Associates Etc

Designation *

First Name *

Middle Name

Last Name *

PAN Number *

Aadhar Number *

Is Authorized Signatory

Reason for Modification*

Supporting Documents and detailed application(If any)
Supporting Document

Address Details

State *

District *

Tehsil *

Village/ Town/ City

Plot / Khasra No *

Ward No

Street/ Locality*

Post Office

Pin Code *

Reason for Modification*

Supporting Documents and detailed application(If any)
Supporting Document

Other Details

Any criminal or police case/ cases against you? *

Yes No

Fir No	Police Station	Under Sanction	Case Date	Status

Reason for Modification*

Supporting Documents and detailed application(If any)
Supporting Document

Do you have any registration in other state than Rajasthan? *

Yes No

Registration No	State

Reason for Modification*

Supporting Documents and detailed application(If any)

Have you ever been convicted in any criminal case? *

Yes No

Court Name	Case No	Under Sanction	Date of Order/Judgement	Order/Judgement

Reason for Modification*

Supporting Documents and detailed application(If any)