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

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..... 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 ₹ 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 ___________________ (Name of the Bank) Payable at ____________________ I. NAME AND ADDRESS OF THE UNDERTAKING IN FULL (Block Letters) Name of the Applicant Firm _________________________________ Full Address ______ .....

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..... he 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 unit) ________________ ________________ _______________________ ________________ ________________ _______________________ ________________ ________________ _______________________ V-A Intermediate Products, if any, which are to be taken out for job work abroad as part of production process. Item(s) Description Quantity Item Co .....

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..... lty (on DTA sales if envisaged) ____________________ (f) Duration of agreement ________________(No .of years) XI. EQUITY INCLUDING FOREIGN INVESTMENT (i) ($ Thousand) (Rs.lakhs) (a) Authorized ________________ ________________ (b) Subscribed ________________ ________________ (c) Paid up Capital ________________ ________________ Note : If it is an existing company, please give the break up of the existing and proposed capital 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 .....

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..... (xi) Foreign Travel (xii) Amount of interest to be paid on external commercial borrowing/deferred payment credit (specify details) (xiii) Any other payments(specify details) Total (i)to(xiii) Net Foreign Exchange earnings in five years XIV. REJECTS (Only for EOU manufa .....

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..... , items of manufacture etc. iii) Whether the applicant or any of the _________________ partners/Directors who are also partners _________________ /Directors of another company or 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 :________ Name in Block Letters _______________ Designation ________________ Official Seal/Stamp_________________ Tel. No. __________________ e-mail ___________________ Web-Site, if any ______________ Full Residential____________________________ Address____________________________ UNDERTAKING I/We hereby declare that the above statements are true and correct to the best of my/our kno .....

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..... 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/SEZ. (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 under EPCG scheme; iii) Any other Scheme. (Give all relevant details including total E.O. imposed, the E.O. discharged till date etc.) e) Whether your unit is registered with the Customs or Excise authorities. (Please give details viz. Reg. No., date etc.) f) Are you agreeable to have your whole unit customs bonded as required under the EOU/SEZ scheme? g) Whether you are a merchant exporter or a manufacturer exporter.(Please give details) h) What is the age(year of manufacture)and residual life of items/ machinery already installed in your unit, whether they are import .....

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