Particulars of every subscriber to be filed with the Registrar at the time of

incorporation.
(Pursuant to rule 16 of Companies (Incorporation) Rules, 2014)
1. (a) Name (including
MOHAPATRA
or family name)

surname: CHITTARANJAN

(b) Fathers/Mothers/ name:

GOURANGA CHARAN ROUT

(c) Nationality:

INDIAN

(d) Date of Birth:

24/06/1974

(e) Place of Birth

(District and State):

XXXXXX
ODISHA

(f) Educational qualification:

GRADUATE

(g) Occupation:

BUSINESS

(h) Income-tax permanent

account number:

AHPPM1836L

(i)Permanent residential
Address and also Present
Address

AT- QR NO.-LCR-558, PHASE-I

CHHEND COLONY
ROURKELA
ODISHA, PIN-769015

(j) Email id of Subscriber :

chitta1011@gmail.com

(k) Phone No. of Subscriber:

9437115795

(l) Fax no. of Subscriber

(optional)

:NIL

(m) Proof of Identity :

PAN CARD and VOTER CARD

(n) Residential proof :

BANK STATEMENT

(o) Proof of nationality

:
in case the subscriber
is a foreign national.
(p) If the subscriber is already:
a director or promoter of a
company(s), the particulars
relating to-

N.A
No

(i) Name of the company;

N.A
(ii) Corporate Identity Number;
N.A
(iii) Whether interested as a director N.A
or promoter

Particulars of every subscriber to be filed with the Registrar at the time of

incorporation.
(Pursuant to rule 16 of Companies (Incorporation) Rules, 2014)
2. (a) Name (including
or family name)

surname: JAYANTI MOHAPATRA

(b) Fathers/Mothers/ name:

RABINARAYAN MOHAPATRA

(c) Nationality:

INDIAN

(d) Date of Birth:

06/06/1979

(e) Place of Birth

(District and State):

XXXXXXX
ODISHA

(f) Educational qualification:

GRADUATE

(g) Occupation:

BUSINESS

(h) Income-tax permanent

account number:

AQCPM7347J

(i)Permanent residential
Address and also Present
Address

AT- QR NO.-LCR-558, PHASE-I

CHHEND COLONY
ROURKELA
ODISHA, PIN-769015

(j) Email id of Subscriber :

jayantichitta1011@gmail.com

(k) Phone No. of Subscriber:

9437653664

(l) Fax no. of Subscriber

(optional)

:NIL

(m) Proof of Identity :

PAN CARD and VOTER CARD

(n) Residential proof :

BANK STATEMENT

(o) Proof of nationality

:
in case the subscriber
is a foreign national.
(p) If the subscriber is already:
a director or promoter of a
company(s), the particulars
relating to-

N.A
No

(i) Name of the company;

N.A
(ii) Corporate Identity Number;
N.A
(iii) Whether interested as a director N.A
or promoter

Particulars of every subscriber to be filed with the Registrar at the time of

incorporation.
(Pursuant to rule 16 of Companies (Incorporation) Rules, 2014)
3. (a) Name (including
or family name)

surname: GOUTAM RANA

(b) Fathers/Mothers/ name:

SUKHADEV RANA

(c) Nationality:

INDIAN

(d) Date of Birth:

03/06/1979

(e) Place of Birth

(District and State):

XXXXXXX
ODISHA

(f) Educational qualification:

GRADUATE

(g) Occupation:

BUSINESS

(h) Income-tax permanent

account number:

AQCPM7347J

(i)Permanent residential
Address and also Present
Address

AT- HARIBHAGATPUR
PO-LALIT GIRI
CUTTACK
ODISHA, PIN-753003

(j) Email id of Subscriber :

@gmail.com

(k) Phone No. of Subscriber:

9040080081

(l) Fax no. of Subscriber

(optional)

:NIL

(m) Proof of Identity :

PAN CARD and VOTER CARD

(n) Residential proof :

BANK STATEMENT

(o) Proof of nationality

:
in case the subscriber
is a foreign national.
(p) If the subscriber is already:
a director or promoter of a
company(s), the particulars
relating to-

N.A
No

(i) Name of the company;

N.A
(ii) Corporate Identity Number;
N.A
(iii) Whether interested as a director N.A
or promoter