Ria TRANSFER

Finol
Application Form
Payments Bank

e
To,

FINO PAYMENT BANK LTD.

NOIDA, UTTAR PARDESH

We
Sir, understand that you are a Principal Agent of CES, DBA-Ria, to provide money transfer services in India
under the Money Transfer Service Scheme. IWe would like to become a sub representative for the product
RIA through you.

Plaase fill the application fom (Alfields are mandetory)

Entity Legal Name: GARVIT ENTERPRISES

DBATrade Name: GARVIT ENTERPRISES

Type of Business: Entrepreneurial Publicly Traded Company Govemment Owned

Partnership Bank NBFC Others,Pls specify.

Type ofEntity: RBI Regulated Non RBI Regulated

Number of Locations:01

Date of Business Establishment (DD/MMYYYY); 14/02/2013

Class of Trade: REMITTANCE TOUR &TRAVELS
PAN/TAN Details: EVGPS2243G

CINRegistration Number:PSA/REG/RTK/LI-RTK-1/027865
Business Address& Contact
ddrece Lire Office No-2, Narayan Mention, 1098/34, Vijay Nagar,
Citu ROHTAK HARYANA
Disfrict ROHTAK State
PM Code 124001
Landmark Main Jhajjar Road (NH-352) ,

Contact Person: SANGEETA

Designation: PROPRIETOR
Mobile: 9991951313
Telephone: N/A

LFax: N/A Email: [email protected]

Location Operating Time: Weekdays Weekends

08:30 AM 09:00 PM 08:30 AM 09:00 PM
 Ria MONEY
TRANSFER
FinO Rm Payments Bank

APPLICANT DETAILSS

SANGEETA
Name:

FEMALE
Gender: Date of Birth: 12-12-1988

ROHTAK EVGPS2243G
City of Birth: PAN Detai

PROPRIETOR 100
Designation: Business Ownership%
Residential Address &Contact
Address Ling PLOT NO-1098/34, VIJAY NAGAR, MAIN JHAJJAR ROAD (NH-352),
City/Towr ROHTAK Distric: ROHTAK S t s t HAR YANA

Pit Cod 124001 Lendmar NEAR SBI ATM & MRF SHOWROOM,

Contact Person:_ SANGEETA

Designation: PROPRIETOR

Telephone N/A Mobile: 8801031111

Fax N/A Email: [email protected]

Additional Information (Please mention details in case it is applicable):

Is any member of owmer's family or relatives working for a Govemment entity or is a member of a political party? Give full details such
as name and details of the Govemment entity or the political party and his/her role in the organization.(lf additional details available,
please provide in a separate sheet

N/A

Ownership information(10% or more):(where applicable)_

All countries
City& resided with
Home Country dates for past 7 Ownership
Full Name Position DOB Address PAN Detail of Birth years Percent
SANGEETA Proprietor 12/12/198sHagar,Main JhajjarEVGP82243G| ROHTAK,
Plot-1098/14, Vijay
INDIA 100
INDIA
MRP Showroom
|Rohtak-124001, R
 Bank
Ra m MONEY
TRANSFER
Finol
Director's Information: (where applicable) All countries
City& resided with
Home PAN Country of dates for past 7

Full Name Position DOB Address Detail Birth years

N/A

DECLARATION:
the applicant hereby declare that I have not been convicted in ay criminal case nor
, SANGEETA
haveany criminalcases registeredand pending against me. I confirm the details provided above are true and comect to the best of my
knowledge and belief as on the date of this application.

Ifurther hereby declare that I have been established in my current business for more than a year and the said companybusiness or
any other company/business in which 1 have a stake has not at any time been ejected or suspendedterminated by any fnancial
institution including RIA or any other Money Transfer/Exchange company, on any regulator including but not limited only to RBl, SEB,
IRDAI.

l also understand that I will receive the settlement for RIA transactions through Bank Transfer only. I have understood / am fully aware
of the various requirements as per the guidelines of the Reserve Bank of India necessary for carrying out the Money Transfer Business.
Ialso agree to ensure that the relevant staffs) in my establishmernt are trained on the regulatory /operational requirements for processing
money transfer transactions.

Ifully understand and agree that all RIA money transfer transactions will only be conducted at the address given above and using the
account code allotted for the purpose and I will not process transactions from any other location or under any othercode belonging to
me, my family or any other party. I also agree to intimate the Principal Agent and RIA in case there is a change in address.

I understand fuly that RIA or the Principal Agent could suspend/terminate any/ all my locations whether such agreement is signed
with the above Principal Agent or atherwise in case t comes to light, at a later date, that any information provided in this documentor
any document submitted as part of this application is false or incorrect or otherwise provided with false intentions. l understand that
am aware that I can have only one agreement per entity owned by me and/or from a given location/address and agree thatI will not
apply for additional outlets agreements with the same or any other Principal Agents, for the same or different entity, operating from the
same location/address.I further agree that, in case of any misuse of the service, knowingly or unknowingly, or non-adherence to
regulatory /operational guidelines, RIA or the Principal Agent(s) could terminate my agreement without notice and share any infomation
related to my ownership/iocation(s), to law enforcement officiels, regulators or to other finencial organizations providing a similar service
or other financial services.

We confim that all set of documents heve been furnished to Principal Agent/RIA that comes under the purview of MTSS regulatory
guidelines issued by RBl, and further understands that lWe shall produce all necessary documents as and when required by Principal
Agent/RIA and as specified in circulars released by RB/ or any regulated entity from time to time.

We confim that the above information is true and correct. Individual declarations have been provided under the "Applicants Section
fa representative code is allotted, Iwe agree to abide by the eppliceble laws and regulations in India and elsewhere, rules and

regulations olyourprmpermRMang gguidelines

related to the RIA Money Transfer.

AuthorizedS h. Signatory Authorized Signatory Authorlzed Signatory

Name SANGEETA
DesignationProprietor
For CR ENTERPRISES
Seal of the Company
(Garvit Enterprises)
PetbrlAuth. Signatoy
 RraMONEY
TRANSFER Fino Payments Bank

For Offlce Use Only Verified &Collected by PA Authorized Person

a. Certified copies of Documents
applicable to entities:
Entrepreneurial/Partnership/Banks/NBFC/Retail Chains
KYCs&PAN Card/s of Director/s/Individual
Bank Account details and sealed confidential
reports from banks.
A certificate from Chartered Accountant Certifying Net
Owned Funds
Balance Sheet and P&L VC statement for the last
three years.
Business plan for the next three years.

Declaration regarding past criminal cases, cases initiated/

V
agencies. pending against the company or its Directors by any law
enforcing
Photographs of the Directors and key persons. V
Shop and establishment certificate/other municipal
certificate/Registration Certificate.
Location Photographs -

Inside & outside view V

b. Additional Certified copies of Documents only applicable to entity:
Partnership
Partnership Deed

C. Additional Certified copies of Documents

NIA
only applicable to entity: Banks/NBFCs/Retail Chains
Certificate of Incorporation

Memorandum (up-to-date) and Articdes of Association N/A

Board resolution for N/A
conducting money transfer actvities, submlsslon of appllcatlon and its contents Including authorizatlon of an
official to make the application.

Details of associates, group companies, etc, NIA

Information about the management. NIA
N/A
, MANJEET KUMAR
HOODA_ Full Name of the Agent Executive designated as hereby declare that the
information provided is true to the best of our I
my information and belief.

Manager
Authorized Signatory Designation
MANJEET KUMAR HOODA (106813)
Signature with Company Seal
 Garvit Enterprises(
CORE PARAMETER RELIABILITTY

Annexure 3
Date: 18/11/2022

Information on Business Plaan

Sub-Agent: Sangeeta
PAN EVGPS2243G
DOB: 12/12/1988

Will enable the customers of the locality

to accept payments from Overseas as
applicablethrough Moneytranster
service scheme through ino paymentss
Bank as the Indian Agent."
CORE PARAMETER RELIA BILITY
Regards,
. E3

2opridor!Auth. Signatory

Agent Stamp/Signature

Office No-2, Narayan Mention, 1098/34, VIJay Nagar, Malin Jhaljar Road (NH-352), Rohtak-124001 (Haryana)
E-mail: [email protected] +91-8801031111, +91-9034477799
 Garvit Enterprises
CORE PARAMETER RELIABILITY

Annexure 4
Date: 18/11/2022

Declaration regarding past crininal cases/ cases initiated/

pending against the company or its Directors/ Promotere/
Partners/ Proprietors by any law enforcing agencies,
To,
FinoPayments Bank Ltd
Mindspace Juinagar
Plot No Gen2//E, Tóuer 1, 8th Floor,
TTC Industrial Area.
MIDC Shirwane, Juinagar, Navi Mumbai- 400706

Dear sir/Madam,

I Sangeeta the aPplicant, hereby declare that there

are no past. criminal cases, economic, offence cases
initiated/ pending against the companyor aits
Directors/Promoters/Partners/ . Proprietors b y ny
any
law enforcing agencies, and we do hereby declare
that what i stated above is true!to the best of our/
my information and belief.

Regards,
or GARMT ENTERPRISES

ProptorAuth. Signatony
Agent Stamp/Signature

Office No-2, Narayan Mention, 1098/34, Vjay Nagar, Main Jhajar Road (NH-352), Rohtak-124001 (Haryana)
E-mail: [email protected] +91-8801031111, +91-9034477799
 Garvit Enterprises
CORE PARAMETER RELIABILITY

Date: 18/11/2022

Declaration for Submission of less than 3_years

Balance Sheet and P&L Accounts

I, Sangeeta Proprietor of M/s Garvit

do undertake to conduct
Enterprises
International Inward
Money Transfer services as per the terms and
conditions set in the agreement of
sub-agency
signed with Fino Payments Bank Limited and
undertake to follow all the
applicable
guidelines, rules and regulations while
conducting the money transfer business.
I hereby declare"thatI am running my business
since 1-02-2013.I
have not maintained Balance
Sheet/ P&L accounts hence not
submitted.
CORE PARAMETER
LUror RELIABILITY
GARVIT ENTERPRISES
signature: . PypriotoriAuth. Signatory
Name: SANGEETA
Name of Firm: M/S GARVIT
ENTERPRISES
Position: PROPRIETOR
Date: 18/11/2022

Office No-2, Narayan Mention, 1098/34, Vijay Nagar, Main Jhajjar Road (NH-352), Rohtak-124001 (Haryana)
E-mail: [email protected]
+91-8801031111, +91-9034477799
 Garvit Enterprises
CORE PARAMETER RELIABILITYY
-

Date: 18/11/2022
Merchant Name SANGEETA
Company Name/ Registered as GARVIT ENTERPRISES
Doing Business As GARVIT ENTERPRISES
Email ID
[email protected]
Country of Origin INDIA
Working Address (Same as mentioned in shop
Office No-2, Narayan Mention, 1098/34, Vijay
and establishment proof) |Nagar, Main Jhajar Road (NH-352), Rohtak
124001 (Haryana)

Company Registration Number (same as

mentioned on proof of shop and
PSA/REG/RTK/LI-Rtk-1/0278655
establishment)

Registered with (name of entity issuing proof Shops& Commercial Establishments License
of shop and establishment) under Labour Department, Haryana

Resident Type (Owned /Rented) OWNED

Whether Prosecuted/ convicted for criminal

offence (Yes/No) NO
If Yes, please specify
FINO EMD A/C Number 20284882183

Name of CA who has provided CA certification Suman & Co.

Membership
Membership No. 547228

RIA Merchant On-Boarding Details

MTSS Merchant Registration charges
N/A
V Charges (if applicable) N/A
(These dhar EARVToebited trTom Fino EMD AC
These charsweyibe once the on-boarding application is submitted to RIA)
ENTERPRISES
mpoprietorlAusth. Slignatory
Signature of Merchant

Office No-2, Narayan Mention, 1098/34, -

Vijay Nagar, Main Jhajar Road (NH-352), Rohtak-124001 (Haryana)

E-mail: [email protected]
+91-880103111, +91-9034477799
 Training Report
Location
GARVIT ENTERPRISES Primary Agent FINO PAYMENT BANK LTD.
Name

Location Code Date 18/11/2022

Location
Office No-2, Narayan Mention, 1098/34, Vijay Nagar, Tour&Travels, Online Computer Works, Money
Address Class of Trade Remittance, Insurance, Railway Agency, Banking
Main Jhajar Road (NH-352), Rohtak-124001 (Haryana)
Services, Rccharge, CSP Point, Etc
Operating Days 08:30 TO 1:00
City ROHTAK Pincode 124001 Operating Hours MONDAY TO SATURDAY
District ROHTAK Phone 1| 9991154544
Contect Name SANGEETA
State Phone 2 8801031111
HARYANA Email ID [email protected]
s.No. Paramet Yes No Comments
Checklist to beFilled by location contact on completion of all trainings listed below
International Inbound Cash to Cash Money Transfer Process

Mandatory Reserve Bank of India guidelinesfor conducting

Money Transfer Service Schemebusiness
Acceptable Know Your Customer Documents with address
proof &proper Customer Due Diligence

Payout Procedure & Payout Policy

Filing of To Receive Money form for each transaction

Data Capture/Integrity Guidelines & Record retention

Compliance guidelines relating to Money Laundering

Spotting, Monitoring & Reporting of Suspicious Activity

Enhanced/Additional Due Diligence requirements

10. Importance of operating only from the Location approved

Comments:

Location Contact
lam bonafide and responsible officer representing this
a
location, and certify that this location has been provided with training on topics as
mentioned above to be able to offer remittance services
effectively
sin&5eal GARVIT ENTERPRISES Name: SANGEETA Date: J2022
Designation: PROPRIETOR
RopresIAuth. Signato
Sign &Seal: Name: MANJEET KUMAR HOODA
(106813) Date: / 2 0 2 2
Designaton: MANAGER

Ria
OSBI
Ref.1Noeze
To be filled by the Banker

BANK REPORT
STATE BANK OF INDIA
Kath Mandi, Rohtak
Branch Code 50712

Name of the Firm: GARVIT ENTERPRISES

Constitution of thefirm:, Sole Proprietorship
Name of the Proprielor/ Authorized Signalory/ Karla of the firm:. SANGEETA
Bank Account Name/ Title:. GARVIT ENTERPRISES
Address and Pin codeofthe party as per our Plot-1098, Ward No-34
Naravan Mention, Vijay Nagar. Rohtak-124001 (Haryana)
Bank Account Type: CURRENTACCOUNT (CA-REGULAR-PUB-OTH-ALL-INR)
Bank Account Number: 40386813145
Bank Account opening date:. 24/08/2022
Signature of the Proprietor/Authorized signatory/Karta is attested below

For T ENTERPRSES

Prbprietor/Auth. Signatory
Remarks on conduct and dealing with bank atisfactory ood OUnsatisfactory
Signature (with official seal/stamp)

Name:K.oahlut S
S.K. Gahlawat

Designation: ABN SS-No.G-7049

Branch Code: 50712

Signature No./Employee No: (Mandatory) - 7 0 4 q

Date 7 /_/2022
Place: Rohtak_
INCOMB TAX DEPARTMENT GOVT. OF INDIA
SANGEETA
HARIKESH sINOH

2/12/1980
Permanent Account Number

EVGPS2243G

Signature

For GARVIT ENTERPRISES

FropretoriAuth. Signetoy
Senata
 Government of India

Sangeeta
4 AT/DOB: 12/12/1988
TBT FEMALE

3538 7313 7626

VID: 9111 5531 0474 9774
***

AT 3HTETR, AN TETT

For GARVIT ENTERPRISES

Sanuta
Proprietor/Auth. Signatory

Unique ldentification Authorityof India AADHAAR

aRT TRa, 1098/34, faY TR, ETT, TETa,

ERYIUT - 124001

Address:
C/0: Gourav, 1098/34, vijay nagar,
Rohtak, Rohtak,
Haryana- 124001

3538 7313 76265

VID 9111 5531 0474 9774
1947
helpuldal.gov.in I 9www.uldal.gow.in

Sangutaa For GARVIT ENTERPRISES

Propriator/Auth. Signatory
 FORMF
Under Rule 13 of the Punjab Shops and Commercial Establishments Act, 1958]

Kegistration Certiticate
PSA/REG RTK/LLRIK-I0278655
Regn. No.:
Dated: 8-August-2022 BIP ID 399033
CHAB

The establishment twhose particulars are given

below is herebr registered under ection 13 of the
Punjabhops and Commereial Establishments At,
1958:
Name and Parentage of Employer:
SANGEETA
SDWIO HARIKESH SINGH

Full Postal Address of the Employer:

HOUSE N0-1098, WARD34, VIJAY NAGAR, MAIN JHAJJAR
ROAD, NEAR HUDA PARK, ROHTAK-124001, HARYANNA,
Vil: Rohtak, Teh:Rohtak, Distt:Rohtak,
PRODUCTIVTY WITH SoCTAL JUSTICE
RIMS EPINERManager:
SANGEETA
LAROUR DEPATTNARYANA

T oe
, HARMONY KTT
Name
of the Establishment:
PEACE, AND SAFETY GARVIT ENTERPRISESs

Full Postal Address of the Establishment:

otice No-2, Narayan Mention, 1098/34, Wjay
Nagar, Man Jhajjar Road, ( NH-352 ),

ROHTAK-124001, HARYANA, ViI:Rohtak, Teh:Rohtak,

RiHERoh&vUsIhYena
Tour &Travels, Online Computer Works, Money
Remittance, Insurance, Raiway Agency, Banking
Servic es, Recharge, Csp Point, Etc
Number of Employees(if any):
Young Persons: Nil

Other Persons: 1
No. &Date of Previous Registration Certificate Surrendered:

LABOUR DEPARTMENTT Amount of Registration/Renewal Fee Deposited:

300
30 Bays Building, 1st Floor,
Sector 17-B, Chandigarh 160 017
THIS CERTIFICATE IS EXEMPTED FROM RENEWAL
Tel.: 0172-2701373
Telefax: 0172-2701266
Web: http://hrylabour.gov.in BARVIT ENTERPRISESs

e-mail: [email protected]
Inspector,
een Establishments
A . Sgnetoy ShopsaAAEqgeiAl Circle
shoplcence verify no acaß b096 c20c fa?2
certficate and does not require
any signature of the
DISCLAMER The Certiticate is based on the informa-NOTE: Thle ls a computer generated
is required to intom any change in respect of information
audhority. The Occupler/Employer
tion provded by the Occupier /Employer and valid for contained in above statement in form 'G' prescribed under Rule 13 of the Punjab Shops&
Registration
the purpose ofonly
Estabihment under the the Shop/
ofPunjab Commercial
Shops & Com- Commerciel Establehments Rules, 1958 to the concemed authority / Labour Inspector.
mercial Establishments Act. 1958
FORM-F

No. of Employees

Regular | Adult( > 18)

Male

Female

Contract | Adult( > 18)

Male

Female

Casual | Adult(18)
Male

Female

Regular | Young( 14 18)

Male 0
Female 0

Contract| Young( 14 18)

Male

Female
Casual | Young( 14 18)

Male

Female

Nature of Business
All
Shops/Commercial Establishments having less than 10
employees or Self-managed, Tour & travels, online computer
works, money remittance, insurance, railway agency, banking
services, recharge, csp point, etc

ForGARVIT ENTERPRISES

T P r o p r l e t o r l A u h .S i g n e t o n y
FORM-B

Close day, if any NA

Date 2022

Opening hours of the Establishment 09:00

closing hour of the Establishment | 21:00

Name of the Employer SANGEETA

Father's name of the Employer HARIKESH SINGH

Name of the Manager SANGEETA

|Name of the establishment GARVIT ENTERPRISES5

Nature of the Business All shops/commercial establishments having less than 10
employees or self-managed, Tour & travels, online computer
works, money remittance, insurance, railway agency, banking
services, recharge, csp point, etc
Full address Office No-2, Narayan Mention, 1098/34, Vijay Nagar, Main
Jhajjar Road. ( NH-352 ), ROHTAK-124001, HARYANA

Village/Town: Rohtak, Tehsil: Rohtak, Distrlct: Rohtak

Full address office No-2, Narayan Mention, 1098/34, Vijay Nagar, Main
Jhajjar Road, ( NH-352 ), ROHTAK-124001, HARYANA

Name of the employee and Working Hours Interval for rest Weekly Off Days
father's name(or husband's name)
From To From To

Young Persons(14 to 18 years)

Name Father/Husband
Name

ROBIN MOTI LAL 09:00 07:00 12:00 13:00 Sunday

Date of declaration |04-08-2022

ForGARYIT EANTRPRISES

Eroprietor/Auli. Signatory
8/9/22, 9.08 PM
Haryana Labour:: Application Detail
Welcome
[email protected] (BIP 1D 399033)
Qo back

Appliestion Detail License Appications Applileatlon Datail

Applications for Shops & Commercial Establishments License submitted previoushy
Balance Fees: Rs 0
Submtted on 04-08-2022 ( 2022-2026 Presh ) PDF Form-F| View Form- | POF Fom-8 | Wevs Fom-8 Mew
Otjocton )
Download Licence

Applicant No 885061 Shop Name GARMT ENTERPRISES Proof of Shope/Commercal Estafehment

Applcamt Dete 04-08-2022 Shop Addreess Olice No-2,Narayan Mention, 1098/34, Vijay Nagar Clirk harn o Lom>ad
Jhojar Rod, ( NH-352), ROHTAK-124001, HARYANA Main Phofo of Front inchding surroundings
ek.hre Ta Demnad
Full Name of Employer SANOEETA Full Address of
HOUSE NO-1098, WARD-34, MJAY NAGAR, MAIN Phofo of Exerlos
Employer JHAJAR ROAD, NE AR HUDA PARK, ROHTAK-124001,
HARYANA Photo
ofo 1of Intedey
1 of Interf CHsk here ToDetbed
Manager of the Ashops/commerclal estabishments having less than 10 Pholo 2 of Interlor Cekhore To Dmentoad
Estabishment SANGEETA Nature of the Bustness. empoyee5 or semanaged, ToUr& fraves, online
Compurerwors, money remitance, nsurance, railway CkbeteToDovnthad
agenoy, banking services, recharge, csp point, etc
Fees 300 Other Fee
Total Fees 300 Pending Fee
Pald By Preious Amount 0D Total Fee Payed 300
Pay

S.No Paid via Trensection/Challen No Amount Paid date Uploaded dete Action
Online (Egras) 93204359 300 04-08-2022 08:37 PM 04-08-2022 0837 PM

Remarks

Commented By :Sunita (U-Rtk)

Commented On:04-08-2022 11 21PM
Establichment proof not uplod. Roply in two days.

Commented By :Sunita (L-Rtk-)

Commented On: 04-08-2022 1121P
Establishment proof nat uplod. Reply in two days.

Commented By :Sunito (LHRtk-)

Commented On:06-08-2022 1o44P
Aocepted

Observation Publiehed on Reply

Publlshed By View Observatlon Letter
Mew Submilted On

04-08-2022 1121 PM Sunta(LR-) View No. of Reply() 1 Vlew 06-0-2022 09:11 P

Document Submited During Commenting

Document Uploeded Submitted on Dated

View Attached Doce. 2022-08-04 20:48:03

The application has been accepted

Loence Published By; Suna
Lioence Publiehed Date ForGARVTENTERPRISES 08-08-2022

P r o p r i e t o r / A u t h .S l o n e t o r y

https/hrylabour.gov.in/shopshepcidetals/appDetal/'885061 1/1
SUMAN & CO. 29/8,SHIVAJI COLONY,ROHTAK HARYANA
Chartered Accountant 124001
CA Ph. 7988969816
e-mail [email protected]

TOWHOMSsOEVER ITMAY CONCERN

Net Owned Fund (NOF) Certificate

UDIN: 22547228BDKDQES264

This is to certify that net owned fund of Mrs. SANGEETA holding Pan
Number EVGPS2243G proprietor of GARVIT ENTERPRISES having
officePrincipal Place of business at Plot 1098, WardNo -34,
Narayan Mention, Vijay Nagar, Rohtak-124001 (Haryana) is Rs
5,50,000 - Five Lacs Fifty Thousand Only) as on 10/11/2022.
We hereby state that the computation of net owned fund is based on
information & explanation given and all relevant documents, records and
material produced before us.

We hereby also certify that above mentioned party is solvent date.

I, CA Suman do hereby state that whatever stated above is true to the

best of my knowledge and belief.

AN

M yrz28

RTERED ACCOU

Signature(with official seal/stamp and Membership Number)

Firm Registration No: 039551N
Date: 10.11.2022
Place: ROHTAK
 Annex-I
Format for Sub Agents of Indian Agents of MTSS
(Fill up the form completely and correctly)

Name of the Sub Agent GARVIT ENTERPRISES

Sub Agent Category (AD Cat-I bank/ AD Cat-/

Other Scheduled Commercial Bank/ Full
OTHERS
Fledged Money Changer/ Department of Posts/|
Registered NBFC/ Others)
Address: PLOT- 1098, WARD NO- 34, NARAYAN MENTION,
VIJAY NAGAR, ROHTAK-124001 (HARYANA)
Address of the registered/corporate/
administrative office with telephone number/s, Tel & Fax No (with STD Code): NA
Fax number/s and e-mail ids.
Mob No: 8801031111
Email ID: [email protected]
Registered with LABOUR DEPARTMENT HARYANA
Registration Number
PSAVREG/RTK/L-RTK-/0278655
Detaitls ofRegistration (papers to be attached as 08-08-2022
at Annex-la)
PAN Number (copy as at Annex-la) EVGPS2243G

Name/s of Banker/s and Bank Account

Bank Name: STATE BANK OF INDIA
Number/s (enclosures as at Annex-la)
Account No: 40386813145
Details (Name, Nationality, Residential address,
Controlling interest in any other company, PAN
NO
Number) of each promoter with more than 10%
equity holding
10 Paid up capital in Rs. and Number of shares
NA

Accounts certified by which Chartered

C.A. Firm Name: Suman & Co.
Accountant? Details (Enclosures as at Annex-1A
Membership No: 547228

Whether prosecuted convicted for criminal

12 economic offence? If yes, particulars thereof NO
(Enclosures as at Annex-IA)

13 Whether the Sub Agent is solvent as on date YES

Details (Name, Designation, Nationality,

Residential address, PAN No., Name/s of other
company/lies in which the person has held any
14 post, Details of equity shareholding in the NA
company, if any) of Chairman/Managing
Director/Director/Chief Executive Officer
(Details as at Annex-IA)

Note: with reference to point 9, ownership ofthe Sub Agent should be detalled up to the last layer of equity holding ending in mentioning
the name of the individual entity that owns beneficial interest in the company.
UM4

Far GARVIT ENTERPRISES

meeh M.No s47228
Signature of Prophétor
ProprietoriAuth. Signatory Signatureterteredintant
(withofficial seal/stamp)_ (With official seal/staiVLO membership no.)
Date: 10/11/2022

Place: ROHTAK