| I. |
Name and
Address of the Undertaking in Full (Block Letters) |
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Name of the Applicant
Firm |
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Full Address
(Regd. Office in case of limited
companies & Head Office for
others) |
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Pin Code |
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Telephone No. |
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Fax No. |
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E-mail Address |
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Income Tax Pan No. |
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| II. |
Nature of the
Applicant Firm
[Please tick (a)
the appropriate entry] |
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| III. |
Indicate
Whether this Proposal is for
[Please tick (a)
the appropriate entry] |
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| IV. |
(1) Location
of the Proposed Undertaking |
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Full Address |
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Pin Code |
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(2) Only for
Projects Under EOU Scheme |
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(a) |
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(b) |
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(c) |
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(d) |
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| V. |
Item(s) of
Manufacture/Service : (Including
By-product/Co-products)
(If necessary, additional sheets may be attached) |
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| VI. |
Production (In
case of more than one item, supplementary sheets may be used) |
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| VII. |
Indigenous
Requirement |
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(Value in Rupees)
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(a) Capital
Goods |
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(b) Raw
material, components, consumables, packing material, fuel etc. during
the period of 5 years |
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Total |
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| VIII. |
FOB Value of
Exports |
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| IX. |
Investment |
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| X. |
Whether
Foreign Technology Agreement is Envisaged
[Please tick (a)
the appropriate entry] |
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| XI. |
Equity
Including Foreign Investment |
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XIV. |
Rejects (only for EOU/EPZ
manufacturing units). |
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Generation of
Rejects/Sub-standard goods of the finished |
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(percentage of 5 yrs
production) Qty. (unit)
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Goods (in
case rejects are more than 5% estimated percentage with justification
may be given) |
Value (Rs. Lacs)
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| XV. |
Employment |
(All figures in number)
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| XVI. |
Net Foreign
Exchange Earning as a Percentage of Exports/NFE |
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Average NFE/NFEP
on FOB value of exports in 5 years |
(In percentage)
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| XVII. |
Marketing |
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| XVIII. |
Other
Information |
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| (i) |
Any
special features of the project proposal which you want to
highlight (please attach the project report, for new units) |
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(ii) |
(a) Whether the applicant has been issued any Industrial license or LOI/LOP under EOU/SEZ/STP/EHTP scheme if so, please give full particulars especially reference number, date of issue, items of manufacture and progress of implementation of each project. |
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(b) Whether the applicant has submitted any other application for LOI/LOP which is pending with the Board of Approvals. If so, please give particulars like reference number, name under which application made, items of manufacture etc. |
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| (iii) |
Whether the applicant or any of the partners/Directors who are also partners /Directors of another company or its associate concerns are being proceeded against or have been debarred from getting any License/Letter of Intent/Letter of Permission under the Export and Import (Control) Act. 1947/Foreign Trade (Development and Regulation) Act. 1992/FEMA/Custom/Central Excise Act. |
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Place : |
Signature of the
Applicant
(Digital Signature) |
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Name in Block Letters |
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Date : |
Designation |
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Telephone No. |
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Official Seal/Stamp : |
E-mail No. |
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Full Residential
Address |
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UNDERTAKING
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I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and belief. I/We will abide by any other condition, which may be stipulated by the concerned Development Commissioner. I/We fully understand that any Permission Letter granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that may be taken having regard to the circumstances of the case if it is found that any of the statements or facts therein are incorrect or false. An affidavit duly sworn in support of the above information is enclosed. |
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Place : |
Signature of the
Applicant
(Digital Signature) |
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Name in Block Letters |
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Date : |
Designation |
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Full Official Address |
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Official Seal/Stamp : |
Telephone No. |
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E-mail No. |
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Full Residential
Address |
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SOME IMPORTANT GUIDELINES
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- Additional Information may be furnished by existing domestic units seeking conversion into the EOU/SEZ Scheme as per annexure.
- Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as granite/marble/sandstone products where availability of raw materials is contingent upon Government leases etc.
- Normally lumpsum amount up to US $ 2 Million and 8% royalty (net of taxes) as amended from time to time over a period of five years from the commencement of production is allowed as per the current EOU Scheme on account of foreign technology agreement as per the norms of Department of Industrial Policy and Promotion. In addition selling agency commission is permitted as per RBI norms.
- Cases involving high outgo of foreign exchange for capital goods and raw materials, the Government prefers raising of funds through external commercial borrowings.
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ANNEXURE |
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PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU/SEZ SCHEME |
(a) |
Whether conversion of DTA Unit into the EOU/SEZ has been sought for the full existing capacity of the unit or the proposal is for partial
conversion. (Please give details of the existing capacity etc.) |
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| (b) |
Whether any expansion of the DTA unit proposed to be converted into EOU/SEZ has bee envisaged, if so the extent
there of. (Please give details of the existing capacity and the
enhanced capacity etc). |
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| (c) |
What is the level of existing exports of the unit proposed to be converted into EOU/SEZ. (Please give details of export performance item-wise for a
minimum of three previous years) |
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| (d) |
Whether the DTA unit is already under obligation to export,
under:
i) Advance Licensing Scheme;
ii) Import of machinery under EPCG scheme;
iii) Any other Scheme.
(Give all relevant details including total E.O. imposed, the E.O. discharged till date etc.) |
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| (e) |
Whether your unit is registered with the Customs or Excise
authorities. (Please give details viz. Reg. No., date etc.) |
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| (f) |
Are you agreeable to have your whole unit customs bonded as required under the EOU/SEZ scheme? |
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| (g) |
Whether you are a merchant exporter or a manufacturer
exporter. (Please give details) |
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| (h) |
What is the
age (year of manufacture) and residual life of items/ machinery already installed in your unit, whether they are imported or
indigenous. (Please attach separate sheets giving item-wise details with value of the new CG as well as existing value of machinery presently installed). |
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Place : |
Signature
(Digital Signature) |
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Name |
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Date : |
Address of the
Applicant |
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