REGISTRATION CLOSED FOR SELF HELP GROUP
स्वयं सहाय्यता संघ

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* Rent of stall 40,000/- for 4 days
* Please send DD/Cheque in the name of "Agricultural development trust Baramati" Attach to your form and courier to
Mr. Gaikwad
Accounts Department
Main Building
Shardanagar Malegoan
tal-Baramati Dist-pune


Or

* RTGS /NEFT to
Agriculture Development Trust Baramati
A/C-52042151000891
Oriental Bank Of Commerce
IFSC Code- ORBC0105204
Branch Address- Shardanagar
Agricultural Development Trust Baramati Shardanagar

WE WILL SEND YOU ACKNOWLEDGEMENT OF PAYMENT ON YOUR ADDRESS AS WRITTEN ON THE FORM

BHIMTHADI SELECT / BRAND
ONLY BY INVITATION OF PALLAVI DATTA


NGO/Brand (स्वयंसेवी संस्था/ब्रँड) * Name of the NGO/Brand (स्वयंसेवी संस्था/ब्रँड नाव) * Name of the Proprietor(only for Brand) (मालकाचे नाव) Address (पत्ता) * City (शहर) * GST NUMBER * Pincode (पिन कोड) * Contact No. (संपर्क नंबर) *
Product Type (उत्पादन प्रकार) * What sets your products apart? (काय तुमच्या उत्पादनाला वेगळे करते ?) *
Number of people participating (Maximum 4 people are allowed) (सहभागी लोकांची संख्या ( कमाल ४ लोकांना अनुमती आहे) ) * Name of the Participant 1 (सहभागी नाव १) * Age of the Participant (वय) * Blood group of the Participant (रक्त गट) * Type of ID proof attached (ओळखीचा पुरावा) *
Name of the Participant 2 (सहभागी नाव २) Age of the Participant (वय) Blood group of the Participant (रक्त गट) Type of ID proof attached (ओळखीचा पुरावा)
Name of the Participant 3 (सहभागी नाव ३) Age of the Participant (वय) Blood group of the Participant (रक्त गट) Type of ID proof attached (ओळखीचा पुरावा)
Name of the Participant 4 (सहभागी नाव ४) Age of the Participant (वय) Blood group of the Participant (रक्त गट) Type of ID proof attached (ओळखीचा पुरावा)
Payment method (पेमेंट पद्धत) *