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  • Annexure A Revised

    Transféré par

    Shannon Smith
    257 vues1 page
    Vinay Kumar Pandey is applying for authorization to be used as a CLIA. He provides his name, mailing address in Kanpur with pin code, mobile number, email address, branch as CAB-2 (2004), division as Kanpur, agency code number 00339-2004, club membership as ZM Club, and CLIA code number M00162004. He has three supervised agents with one having an agency code of 008722004 and owns a laptop, laser printer, and has internet connectivity.

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    Annexure a Revised

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    Vinay Kumar Pandey is applying for authorization to be used as a CLIA. He provides his name, mailing address in Kanpur with pin code, mobile number, email address, branch as CAB-2 (2004), division as Kanpur, agency code number 00339-2004, club membership as ZM Club, and CLIA code number M00162004. He has three supervised agents with one having an agency code of 008722004 and owns a laptop, laser printer, and has internet connectivity.

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    Attribution Non-Commercial (BY-NC)
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    257 vues1 page

    Annexure A Revised

    Transféré par

    Shannon Smith
    Vinay Kumar Pandey is applying for authorization to be used as a CLIA. He provides his name, mailing address in Kanpur with pin code, mobile number, email address, branch as CAB-2 (2004), division as Kanpur, agency code number 00339-2004, club membership as ZM Club, and CLIA code number M00162004. He has three supervised agents with one having an agency code of 008722004 and owns a laptop, laser printer, and has internet connectivity.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    ANNEXURE A (Revised) (to be completed and e-mailed to co_cliapp@licindia.

    com) APPLICATION FOR AUTHORISATION TO BE USED BY CLIAs (1) Name- VINAY KUMAR PANDEY (2) Mailing Address (With Pin Code) -616,MANGLA VIHAR-Ist, NEW PAC LINE, KANPUR

    (3) Mobile No- 9335635106 (4) E-mail ID-mr.vinaykp@rediffmail.com (5) Branch-CAB-2 (2004) (6) Division-KANPUR (7) Agency Code Number 00339-2004 (8) Club membership (Corporate/CM/ZM/DM)-ZM CLUB (9) CLIA Code No-M00162004 (10) a. No. of supervised agent-THREE b. Agency code of at any one supervised agent-008722004 (11)Do you have a computer? Desktop/Laptop/both-LAPTOP (12)Do you have a laser printer?-YES (LASER PRINTER) (13)Do you have Internet connectivity-YES (In the absence of computer, printer and internet, he authorization will not be given)

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