Application form for Approval of Developer/Co-Developer for Dual Use of infrastructure in Non-processing Area of SEZ regarding. - No. C.1/2/2014-SEZ - Special Economic Zone

No. C.1/2/2014-SEZ Government of India Ministry of Commerce Industry Department of Commerce (SEZ Division) Udyog Bhavan, New Delhi Dated: 11 th June, 2015 To All Zonal Development Commissioners Special Economic Zone Subject: Application form for Approval of Developer/Co-Developer for Dual Use of infrastructure in Non-processing Area of SEZ regarding. Sir/Madam, I am directed to refer to the amendment to Rule 11(10) of SEZ Rules, 2006 issued vide Notification GSR 5(E) dated 02.01.2015 regarding dual utilization of facilities in Non-Processing Area of SEZs. As per the notification, the Developer/Co-developer shall submit an application in the prescribed format for approval of dual use of infrastructure in Non-Processing Area of SEZs. Accordingly, the application form for the same is enclosed. 2. You are requested. to bring this to the notice of all concerned stakeholders. Any difficulty or suggestion in this regard may be brought to the notice of the SEZ Division, Department of Commerce, Udyog Bhawan, New Delhi. Encl. As above. Yours faithfully, (Kabiraj Sabar) Under Secretary to the Govt. India. Tel. 011-23 06 2496 Email: [email protected] . APPLICATION FORM FOR. APPROVAL OF DEVELOPER/CO-DEVELOPER FOR DUAL USE OF INFRASTRUCTURE IN NON-PROCESSING AREA OF SEZ [Refer SEZ Rule 11A] (A) Details of Developer: 1. Name and address: 2. Letter of Approval No. and Date. 3. Type of Special. Economic Zone: a. Multi-Product/Sector Specific b. Central Government/State Government/Private 4. Date of notification. of the SEZ: 5. Date of Commercial. Production/Operationalization: 6. Total area of the SEZ (in hectare): (B) Details of Co-Developer 1. Name and address: 2.. Letter of Approval No. and. Date: (C) Infrastructure proposed to be developed by Developer/Co-Developer 1. Details of the infrastructure facilities/ authorized operations which will be undertaken (Approval letter No. Date) A. Services provided to : a) For SEZ use b) For dual use B. Nature of establishment: i. Commercial ii. Housing iii. Social Infrastructure (school! college/ laboratory/ hospital etc.) iv. Others (to be specified) 2. Requirement of : a) Land area: b) Built up area 3. a) Percentage of total non- processing area : b) Percentage of total SEZ area : 4. a) Proposed investment other than land cost : Male Female b) Employment potential 5.. Time frame of completion of project : 6. Financial details of Developer/Co- developer a) Constitution b) Net worth: c) Turnover of existing business: (Copy to be enclosed) 7. Nature of existing business/Project: 8. Detailed Project Report (DPR) submitted: Yes/No (copy to be enclosed) Declaration 1. I/We hereby declare that the above statements are true and correct to the best of any/our knowledge and belief. 2. I:/We will abide by any other conditions, which may be stipulated by the Government of India, 3. I/We fully understand that any Letter of Approval granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that any of the statements or facts there in are incorrect of false. 4. I/We have not availed of any Central Government Revenue exemptions so far and I/We do not intend to avail the same on infrastructure creation or on O M activities. 5. I/We have availed of duty concession and refunded the same (documentary evidence enclosed). 6. I/We have not availed of any State (Government/ Local bodies Revenue Exemption so far and Me do not intend to avail the same on infrastructure: creation. or on O M activities. 7. I/We have obtained NOC from state Government for dual purpose (Copy enclosed). 8. I/We shall abide by the FAR norms laid down by the State Government. 9. 1/We shall abide with the SEZ Act and. Rules and/or any other conditions imposed by the competent authority. Developer Co- Developer Signature of the Applicant Name of the Authorized Signatory: Designation: Tel. No. : E-mail: Web-site, if any:. Full Residential address: Recommendation of Development Commissioner The proposal has been examined and my recommendation is as follows 1. Has the Non processing area been demarcated clearly : Yes/ No 2. Percentage of non processing area vis-a-vis total SEZ area. : 3. Area requirement of Developer/Co-developers within laid down parameters. 4. Project evaluated and found to be in conformity with laid down guidelines. : Yes/ No 5. Clear recommendation of Development Commissioner a) I recommend sanction of the project by the BOA. b) I recommend sanction of the project by the BoA subject to following conditions: c) I do not recommend sanction of the project by the BOA. Place : Date Signature of Development Commissioner Name: Name of Zone: Name of Zonal Office: