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Application for Setting up of Special Economic Zone

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.... c. Proprietorship d. Partnership e. Others (please specify) Note:- Copy of certificate of incorporation alongwith Article of Association and Memorandum in case of companies and partnership deed in case of partnership firms may please be attached. III.(i) Location of the proposed Special Economic Zone:  Whether the proposal is for - a. Special Economic Zone for Multi Product.  b. Special Economic Zone for Specific Sector.  c. Free Trade and Warehousing Zone.  (Tick [ ] as applicable) IV. (a) Distance from the nearest Sea Port or Airport or Rail or Road head to the proposed Special Economic Zone.  (b) Indicate the area of the proposed Special Economic Zone (in hectares). (c) Whether the applicant is....

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....n Rupees).     (Rs. in lakhs) (US $ Thousand) (a) Foreign holding ..................... ..................... (b) Non Resident Indian company/individual holding (i) Repatriable ..................... ..................... (ii) Non-repatriable ..................... ..................... (c) Resident holding ..................... ..................... (d) Total ..................... ..................... VIII. Development of identified area as Special Economic Zone: Give the following details:- Area in hectares: i. Total area proposed for development as Special Economic Zone. ii. Area proposed to be developed as processing area. iii. Development activities proposed in the processing area, namely:- ....

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..../Central Excise Act, 1944. Place: ............................. Date: ............................. Signature of the Applicant ............................. Name in Block Letters ............................. Designation ............................. Official Seal/Stamp ............................. Tel. No. ............................. E-mail ............................. Web-Site, if any ............................. Full Residential Address ............................. 2[*****] UNDERTAKING I/We hereby undertake to abide by the provisions of the Special Economic Zones Act, 2005 and rules and orders made thereunder. I/We hereby declare that the above statements are true and correct to the best of my....

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....9. Whether Form-A has been filed? 10. Whether undertaking and affidavit has been submitted? 11. Whether project report has been submitted? 12. Whether land is owned/leased and is in possession of the Developer? 13. Does the proposal meet the area requirements of the Rules? 14. Whether the land has existing structures or is vacant? 15. Whether the land is contiguous? 16. Projected investment in the project. 17. Projected exports from the project. 18. Projected employment from the project. 19. Share Capital and Reserves of the Developer Company. 20. Source of funds for the project. 21. Net worth of the Applicant (including Group companies) duly supported by Audited Accounts of the Developer for last 3 Years (for all th....