KINDI CHOR'S GOONDA SERVICES LTD
AUTHORISED QUOTATION KILLERS,FRAUDSTERS,SMUGGLERS,COUNTERFEITERS,HUMAN TRAFFICKERS,DRUG PEDDLERS ETC
( RECOGNISED BY THATTUPPU NADU GOVERNMENT )
REG.NO. GUND/TN/0001/ 2014
APPLICATION FOR QUOTATION KILLING
SECTION A : APPLICANT'S DETAILS
1. Name in full ........................
2. ID or passport Number ..............
3. Date of birth .......................
4. place of birth ......................
5. Citizenship .........................
6. Residential address...................
( attach proof of residence )
7. Postal address........................
8. email address ...........................
9 Home Phone Number........................
10 Mobile Number..............................
11 Fax Number................................
12 Language Preference.......................
13 Religion...................................
14 Marital status...........................
15 Criminal record,if any ..................
16 Father's Name ...........................
17 Occupation ...............................
18 Political affiliation,if any ..............
19 Annual income ............................
20 PAN Number ( Not Pan Masala )...........
21 Bank Account Number.....................
22 Account Name ............................
23 Bank and branch ...........................
24 Next of kin............................... .
25 Contact person in case of an emergency.......
SECTION B VICTIM'S DETAILS
1. Name ..............................
2 Male/female.........................
3 colour of hair .....................
4 Any visible identification marks .....
( to avoid mistaken identity. eg " alu mari
vettuka'')
5 Reason for killing .........................
( eg political, family feud,, personal hatred,
none of the above )
6 Proposed date of attack ....................
7 Place of proposed attack ..................
8 Time of attack ..............................
9 Preferred method of attack ..............
( eg gun, vadival,dagger, stone )
10 If vadival is used, number of cuts required
A. 12 B 51 C 45 D 60 ( choose )
11 Amount payable ............................
( attach proof of full payment )
DECLARATION
I hereby authorise Kindi Chor's Goonda Services
Ltd to finish off ............ on .........
I am solely responsible for this deed, and will face all consequences thereof.
Signed at Thattippupuram on this ---th day of
----- 2014.
Name and signature of applicant
Witness 1.---------
Witness 2.----------
SECTION C ( For office use only )
Application approved / rejected
Signed by Dr Kindi Chor
Founder and Director
Kindi Chor's Goonda Services Ltd.
AUTHORISED QUOTATION KILLERS,FRAUDSTERS,SMUGGLERS,COUNTERFEITERS,HUMAN TRAFFICKERS,DRUG PEDDLERS ETC
( RECOGNISED BY THATTUPPU NADU GOVERNMENT )
REG.NO. GUND/TN/0001/ 2014
APPLICATION FOR QUOTATION KILLING
SECTION A : APPLICANT'S DETAILS
1. Name in full ........................
2. ID or passport Number ..............
3. Date of birth .......................
4. place of birth ......................
5. Citizenship .........................
6. Residential address...................
( attach proof of residence )
7. Postal address........................
8. email address ...........................
9 Home Phone Number........................
10 Mobile Number..............................
11 Fax Number................................
12 Language Preference.......................
13 Religion...................................
14 Marital status...........................
15 Criminal record,if any ..................
16 Father's Name ...........................
17 Occupation ...............................
18 Political affiliation,if any ..............
19 Annual income ............................
20 PAN Number ( Not Pan Masala )...........
21 Bank Account Number.....................
22 Account Name ............................
23 Bank and branch ...........................
24 Next of kin............................... .
25 Contact person in case of an emergency.......
SECTION B VICTIM'S DETAILS
1. Name ..............................
2 Male/female.........................
3 colour of hair .....................
4 Any visible identification marks .....
( to avoid mistaken identity. eg " alu mari
vettuka'')
5 Reason for killing .........................
( eg political, family feud,, personal hatred,
none of the above )
6 Proposed date of attack ....................
7 Place of proposed attack ..................
8 Time of attack ..............................
9 Preferred method of attack ..............
( eg gun, vadival,dagger, stone )
10 If vadival is used, number of cuts required
A. 12 B 51 C 45 D 60 ( choose )
11 Amount payable ............................
( attach proof of full payment )
DECLARATION
I hereby authorise Kindi Chor's Goonda Services
Ltd to finish off ............ on .........
I am solely responsible for this deed, and will face all consequences thereof.
Signed at Thattippupuram on this ---th day of
----- 2014.
Name and signature of applicant
Witness 1.---------
Witness 2.----------
SECTION C ( For office use only )
Application approved / rejected
Signed by Dr Kindi Chor
Founder and Director
Kindi Chor's Goonda Services Ltd.
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