JSW CEMENT LIMITED
NON TRADE CUSTOMER
                                                          CODE CREATION CHECK LIST
   #    Type of Customer
                                                Builder / Contractor / CHS. / Institutional / Govt / GGBS / Corporate
        (Pls Tick as applicable)
        NAME OF THE FIRM                        PCC INFRASTRUCTURE PVT.LTD.
        (As per Trade Name in GST
        Certificate)
        ADDRESS LINE 1                          410-411,SHRIKANT CHAMBERS,
   1
        ADDRESS LINE 2                          V.N.PURAV MARG
        ADDRESS LINE 3                          CHEMBUR,MUMBAI
        TALUKA                                  MUMBAI                   DISTRICT
        STATE                                   MAHARASHTRA              PIN CODE                 400 071
        Constitution ( Tick as
                                                                  Proprietary / Partnership / HUF / Pvt. Ltd / Ltd./ Others.
   2    applicable)
        Purchase order / Enquiry letter on customer’s original letter Attached                    NO
   3    head with seal and signature
                                                                      Name                        Gaurav Ramesh Wadhawan
   4    Contact Details                                               Email                       pccinfra09@yahoo.in
                                                                      Mobile No.                  9082112985/9821899102
   5    Photocopy of GST Certificate (Self Attached)                     Attached                 YES
   6    Photocopy of PAN Certificate (Self Attached)                     Attached                 YES
   7    CIN NO./LLP NO.                                                  Attached
   8    Name of Associate Firms working with JSW                         NO
   9    Annual Turnover ( Rs in Lacs)                                    10 CR.
  10    Reference -1                                                     Name : Gaurav Wadhawan
  11    Reference -2                                                     Name :Milind Gangakhedkar
        Optional Documents[3]                                            Pls Attached             YES / NO
        1.       Minimum commitment of 100 MT
  12    2.       Project Blue Print and Project Plan
        3.       Project clearance certificate from the
            municipality
  13    Income bracket of the Customer                                   Tick as applicable       1. 1 to 5 Lacs
                                                                         MMC Agent Code           2. 6 to 10 Lacs
  14    MMC Agent Details                                                                         3. 11 to 15 Lacs
                                                                         MMC Agent Name
                                                                                                  4. 16 Lacs & Above
                                                                         Employee Code
  15    Concern Employee Details                                         Employee Name
                                                                         Territory Area
Comments if any…………………………………………………………………………………………………………………………………………………
Area Officer                        Area Incharge                         SMH                     Zonal Head