Application For Chit Ticket

Required fields are marked *

Chit Group *

Monthly Installment

Chit Amount

Date of Commencement *

Applicant’s Name *

Date of Birth *

Father’s name *

Pincode *

District / Taluk /Village / Desam *

Occupation *

Address *

Status *

Individual

Proprietory

Partnership

Company

If the applicant is a company/firm,
name and address of the Managing Director or Managing Partner

Name *

Pincode *

Address *

Nomination Details

Name *

Relationship *

Address *

Contact Details

Mobile *

Office *

Res

Fax

Remittance *

Daily

Weekly

Monthly

I / We have read and understood the rules of the chit and request you to allot me / us a ticket. Part / Full payment towards first installment will be sent soon.*

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Sree Ganesh Kuries ( Kerala ) Pvt.Ltd
Edakkad, Calicut, Kerala 673005

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+91-94 00 55 88 11

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Application For Chit Ticket

If the applicant is a company/firm, name and address of the Managing Director or Managing Partner

Nomination Details

Contact Details

Quick Links

Address

Customer Care

If the applicant is a company/firm,
name and address of the Managing Director or Managing Partner