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APPLICATION FORM FOR SETTING UP OF NEW EOU/EHTP/STP/BTP UNIT OR CONVERSION OF EXISTING DTA/EHTP/STP/BTP UNIT

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..... _____ Date: ______________________________ Date__________Month____________Year __________ Details of Bank Draft Amount Rs. ___________________ Draft No. ___________________ Draft date ___________________ Drawn on ___________________ (Name of the Bank) Payable at ____________________ ---------------------------------------------------------------------------------------------------------------------------------------------------- Indicate ( ) Whether the Application Is For: AUTOMATIC APPROVAL Or BOARD OF APPROVAL Application for: (i) Setting up of new Unit (ii) Conversion of existing DTA unit into EOU (iii) Conversion of Existing STP/EHTP to EOU .....

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..... _______ 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) Items(s) Description Capacity (Unit =) Item Code (ITC HS code No) (Not required for service unit) --------------------------- -------------------------- -------------------------------------- --------------------------- -------------------------- -------------------------------------- --------------------------- ---------- .....

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..... ) (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 ____________ No_____________ (I) Name and Address of foreign collaborator ____________________ (ii) Terms of collaboration (Rupees lakhs) (Gross of Taxes) (a) Lumpsum payment _____________________ (b) Design Drawing fee _____________________ (c) Payment to foreign technician _____________________ (d) Royalty (on exports) ____________________% (e) Royalty (on DTA sales if envisaged) ____________________ (f) Duration of agreement ________________(No .of years) XI. EQUITY INCLUDING FOREIGN INVESTMENT (i) ($ Thousand) (Rs.lakhs) (a) Authorized _______ .....

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..... 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 .....

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..... Proposed -------------- -------------- a) Supervisory Men _______________ _______________ Women_____________ _______________ b) Non-supervisory Men Men _______________ _______________ Women_____________ _______________ XVI. NET FOREIGN EXCHANGE EARNING Average NFE on FOB value of exports in Block period, as per para 6.04 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 sp .....

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..... T / UTGST/IGST Acts of 2017 B. none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is/are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which is on the Denied Entity List (DEL) of DGFT; C. neither the Registered Office / Head Office of the firm / company nor any of its Branch Office(s)/ Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy; D. we have not obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office or any of our Branch(s) / Units(s) / Division(s) to any other Licensing Authority 2. I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC (HS) Classification of Export Import Items. 3. 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 a .....

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..... count 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. ANNEXURE PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU SCHEME a) Whether conversion of DTA Unit into the EOU 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.) b) Whether any expansion of the DTA unit proposed to be converted into EOU has been envisaged, if so the extent thereof.(Please give details of the existing capacity and the enhanced capacity etc). c) What is the level of existing exports of the unit proposed to be converted into EOU. (Please give details of export performance item-wise for a minimum of three previous years) d) Whether the DTA unit is already under obligation to export, under: i) Advance Licensing Scheme; ii) Import of machinery und .....

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..... he 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 ___________________ (Name of the Bank) Payable at ____________________ -------------------------------------------------------------------------------------------------------------------------------------- Indicate ( ) Whether the Application Is For: AUTOMATIC APPROVAL Or BOARD OF APPROVAL Application for: (i) Setting up of new Unit (ii) Conversion of existing DTA unit into EOU .....

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..... Establishment of a New Undertaking - Manufacturing [ ] - Services [ ] Effecting Substantial Expansion Manufacturing of New product IV. (1) Location of the proposed undertaking Full Address __________________________ Pin code __________________________ (2) ONLY FOR PROJECTS UNDER EOU SCHEME (In case the unit is proposed to be located on leased premises, then lease should be obtained from Government or any undertaking / authority of Government. However in case lease is obtained from private parties, it shall have a validity period of five years from the date of LUT and the Development Commissioner shall satisfy himself of genuine nature of the lease.) (a) Please indicate if the proposed location is in a Centrally Notified Backward Area [Please tick ( ) the appropriate entry]. No. ______________Yes_________________ if yes, indicate category (b) I .....

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..... ________________ __________________ 4th year ___________________ __________________ 5th year ___________________ __________________ VII. Indigenous Requirement: (Value in Rupees) a) Capital Goods b) Raw material, components, consumables, packing material, fuel etc. during the period of 5 years TOTAL: ------------------------ ------------------------ VIII. FOB VALUE OF EXPORTS (1 $ = Rs. ) Rupees (lakhs) US $ (Thousand) 1st year 2nd year 3rd year 4th year 5th year Total: IX. INVESTMENT: (RS. IN LAKHS) (a) Land __________________ .....

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..... apital structure (ii) Pattern of share holding in the paid-up capital (Amount in 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 (a+b (i+ii)+c) equity _____________ ___________________ (e) (iii) External commercial Borrowing ______________ ___________________ Foreign Exchange Balance sheet: 1st 2nd 3rd 4th 5th (5 yrs) Total in Rs. Lakh (5 Yrs) Total in US $ Th. XII. .....

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..... (Qty.(Unit = ) Goods (In case rejects are more than 5% estimated percentage with justification may be given __________________ ________________ Value (Rs. Lacs) XV. EMPLOYMENT (All figures in number) Existing Proposed -------------- -------------- a) Supervisory Men _______________ _______________ Women_____________ _______________ b) Non-supervisory Men Men _______________ _______________ Women_____________ _______________ XVI. NET FOREIGN EXCHANGE EARNING Average NFE on FOB value of exports in Block period, as per para 6.04 of FTP. ________________ XVII. MARKETING a) Whether marketing tie-up/Buy-back envisaged/finali .....

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..... tion has been made have not been penalized under any of the following Acts (as amended from time to time): (i) The Customs Act, 1962, (ii) The Central Excise Act 1944, (iii) Foreign Trade (Development Regulation) Act 1992, and (iv) The Foreign Exchange Management Act,1999; B. none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is/are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which is on the Denied Entity List (DEL) of DGFT; C. neither the Registered Office / Head Office of the firm / company nor any of its Branch Office(s)/ Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy; D. we have not obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office or any of our Branch(s) / Units(s) / Division(s) to any other Licensing Authority 2. I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed t .....

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..... 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. ANNEXURE PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU SCHEME a) Whether conversion of DTA Unit into the EOU 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.) b) Whether any expansion of the DTA unit proposed to be converted into EOU has been envisaged, if so the extent thereof.(Please give details of the existing capacity and the enhanced capacity etc). c) What is the level of existing exports of the unit proposed to be converted into EOU. (Please give details of export performance item-wise for a minimum of three previous years) d) .....

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