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Consolidated Application Form

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....er approval as may be required from the State Government. The application should be submitted to the Development Commissioner of the concerned Special Economic Zone in 5 copies along with a crossed Demand Draft of rupees five thousand drawn in favour of The Pay & Accounts Officer of the concerned Special Economic Zone together with a project report giving details of activities proposed. For Official Use only Application No. ............................. Date: ............................. Details of Bank Draft ............................. Amount Rs............................  Draft No. ............................. Draft date ............................. Drawn on ............................. (Name of the Bank) ...............

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....e (iii) Small scale IV. Name and complete address of each ______________ of the Directors/Partners/Proprietor, as the case may be with Telephone numbers V. ITEM (S) OF MANUFACTURE/SERVICE ACTIVITY:- (Including By-product/Co-products) (If necessary, additional sheets may be attached)   Item(s) Description Capacity (Unit =) (Not required for service unit) ................................ ................................ ................................ ................................ ................................ ................................ VI. Investment (Rs in lakhs): (a) Plant and Machinery ...................................   (i) Indigenous (ii) import CIF value (iii) Total (i) + (i....

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....sp;.............. X. WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED (Tick ( 3 ) the appropriate entry) Yes ........................ No ........................ i. Name and Full Address of foreign collaborator ii. Nature of Collaboration 1. Equity Participation including Foreign Investment (i)   ($ in thousand) (Rs. in lakhs)   (a) Authorized ................. ................. (b) Subscribed ................. ................. (c)  Paid up Capital ................. .................   Note: If it is an existing company, give the break up of existing and proposed capital structure. (ii)  Pattern of share holding in the paid-up capital   (Amount in Rupees) (Rs. in l....

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....raining of Indian technicians abroad, commission on export, interest on external commercial borrowings, interest on deferred payment credit and any other payments. XII. OTHER INFORMATION (i) Whether the applicant has been issued any Industrial license or LOI/LOA under EOU/SEZ STP/EHTP scheme. If so, give full particulars, namely reference number, date of issue, items of manufacture and progress of implementation of each project. .......................... ..........................  .......................... (ii) Whether the applicant or any of the partner/Director who are also partners Directors of another company or firms its associate concerns are being proceeded against or have been debarred from getting any Lice....