Application Date: _______________
Company Name: __________________________________________________
Contact Number: __________________________________________________
License Number: __________________________________________________
SRTIP ADDRESS: __________________________________________________
License Exp. Date: __________________________________________________
Package: Normal/Innovators Package
Visa Quota: _______________
List of Activities (Maximum 5) in one Segment: __________________________________________________
I / We being the Owner/Shareholder/Manager of the above mentioned Company hereby request to renew the Company's lease & license for the period from _______________ to _______________ subject to the approval of SRTIP.
Following documents are being submitted in lieu of renewal: