RAHAT CONTINENTAL PVT LTD

205, 2nd Floor, Enkay Town Plaza, I-Block,

Palam Vihar, Gurgaon-122017
Tel: +0124 3308562 (Direct No.)
Fax: +0124 3308572

KYC FORM

Blueprint Design Ltd

Name of Customer: _______________________________________________________________
7/F., PARK FOOK INDUSTRIAL BLDG, 615 - 617 TAI NAN WEST STREET, HONG KONG
Address:______________________________________________________________________________________________

_______________________________________________________________________________________________________

Tel.: _____________________ Fax: ______________________ Website:________________________________________

Type of Registration (Tick Appropriate Box Below)

X _____________________________

PAN No.:__________________________________________ (PHOTOCOPY OF PAN CARD SHOULD ATTACH)

TAN NO.________________________________________IEC CODE :__________________________________________

Head of Organization: DIRECTOR/PROPERITOR

LUV SIBBU
Name: ________________________________________________________ Director
Designation: __________________________

MARGRET STREET, 4TH FLOOR EAST, London, W1W 8SQ

Address: _____________________________________________________________________________________________

luv@blueprint-design.co
Email ID: ______________________________________________________________________________________________

Mobile:____________________________________________ Fax No. __________________________________________

Contact Person:Responsible for settlement of bills:

Ankit Verma
Name: ________________________________________________________ Office Manager
Designation: __________________________
823, 8th Floor, Tower-B, Advant Navis Business Park, Sector -142, Noida
Address: _____________________________________________________________________________________________

av@blueprint-design.co
Email ID: ______________________________________________________________________________________________
+91 9650155215
Mobile:____________________________________________ Fax No. __________________________________________

Sharath Moha
Name: ______________________________________________________Designation: _______________________________________

17/05/2019
Date: ______________________

Signature

(COMPANY STAMP)