APPLICATION FOR SETTING UP EOU/SEZs or UNITS IN SPECIAL ECONOMIC ZONE

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....sp;             OR                          BOARD OF APPROVAL The application should be submitted to the Development Commissioner of the concerned Special Economic Zone (for setting up EOUs in 3 copies alongwith a crossed Demand Draft of Rs. 5,000/- drawn in favour of the Pay & Accounts Officer, Ministry of Commerce & Industry, Department of Commerce, payable at the Central Bank of India, Udyog Bhavan, New Delhi. (NO FEE SHALL BE CHARGED FOR RENEWAL/ EXTENSION OF LOP/ BROAD BANDING ETC.) ----------------------------------------------------------------------------------------------------- For Official Use only Application No. ______________________________ Date : ______________________________ Date__________Month____________Year __________ -------------------------------------------------------------------------------------------------------------- Details of Bank Draft Amount Rs. ___________________ Draft No. ___________________ Draft date ___________________ Drawn on ___________________ ....

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....s in a Centrally Notified Backward Area [Please tick (√) the appropriate entry]. No. ______________Yes_________________ if yes, indicate category (b) Indicate whether it is within 25 Kms from the periphery of the standard urban area limit of city having population above one million according to 1991 census. Yes_____________ No. __________________ (c) Is it located in an Industrial Area/Estate designated/set up prior to issuance of Notification No. 477(E) dated 25th July,1991. Yes_____________No. _____________ (d) If not, does it come under the category of non-polluting industries as notified by the Govt. Yes ___________ No. _______________ V ITEM (S) OF MANUFACTURE/SERVICE: (Including By-product/Co-products) (if necessary, additional sheets may be attached) Item(s) Description                             Capacity(Unit =  )                         tem Code(ITC   HS Code No.)   Not required for service....

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....sp;                                                                                                                     (RS. IN LAKHS) (a) Land ________________________ (b) Building ________________________ (c) Plant and Machinery ________________________ (i) Indigenous ________________________ (US $ Thousand) (ii) Import CIF value ________________________ (iii) Total (i) + ii) ________________________ (d) Details of source(s) of finance, (both Indian as well as foreign) for the above investments X. WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED (Please tick ( √ ) the appropriate entry ) Yes _....

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....p;         (I) Import of machinery               (ii) Import of raw materials and components               (iii Import of spares and consumables               (iv) Repatriation of dividends and profits to foreign collaborators               (v) Royalty               (vi) Lump sum know-how fee               (vii) Design and drawing fee               (viiii) Payment of foreign technicians               (ix) Payment on training of Indian technicians abroad               (x) Commission on Export etc.               (xi) Foreign Travel               (xii) Amount of interest to be paid on external commercial borrowing/deferred payment credit (specify details)       &nbs....

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....bsp;                  _______________ `Women_____________                       _______________ b)            Non-supervisory              Men_______________                              _______________ Women_____________             _______________ XVI. NET FOREIGN EXCHANGE EARNING Average NFE on FOB value of exports in _________ Block period, as per para 6.5 of FTP. _________ XVII. MARKETING a) Whether marketing tie-up/Buy-back _______ ________ envisaged/finalized(Attach documents,_______ ________ if any) Yes No G. C. A. R. P. A. b) Destination of exports (in percentage)_______ ________ _______ ________ XVIII OTHER INFORMATION i) Any special features of the pr....

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.... 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. Place :_________                                                                           Signature of the Applicant ________________ Date :________                                                                     &nb....