FORM FOR SUBMISSON OF HALF-YEARLY INFORMATION FOR REGISTERED STP/CCP UNITS 1) Type of Unit: STP / CCP 2) No. & Date of Registration of Co./Firm with STPAG: 3) Name of Company/ Firm/Individual: If information submitted at the time of registration has changed please fill up items at serial number 1 to 5. 1. Registered Office : (Enclose supporting document/s) a) Address : b) Tel. : Fax : c) E-mail : d) Official Website : http://www. 2. Office of the Unit : a) Address : b) Tel. : Fax : c) E- mail : 3. Contact Person : a) Name : b) Designation : c) Tel. (O) : ( R ) : d) E -mail : Fax : 4. Head of the Organisation : a) Name : b) Designation : c) Tel. (O) : ( R ) : d) E -mail : Fax : The information furnished by Me/Us in this form is true to the best of my knowledge and belief. Date: Signature of Authorized Signatory Place: Name: Designation: Stamp of Co. / Firm: