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

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..... etting 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 _________________________________ (Regd.Office in case of limited _________________________________ companies & Head Office for _________________________________ .....

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..... tion 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 Code(ITC HS Code No.) (Not required for service unit) ________________ ________________ _______________________ ________________ ________________ _______________________ ________________ ________________ _______________________ VI. PRODUCTION (In case of more than one item, supplementary sheets may be used) Quantity (Unit __________) (Value (In Rupees) (Not required for service unit) 1st year ___________________ __________________ 2nd .....

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..... oreign Exchange Balance sheet 1st 2nd 3rd 4th 5th (5 yrs) Total In Rs./Lakhs (5 yrs) Total In US$ Th XII. FOB value of exports in first five years XIII. Foreign Exchange outgo on (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) (xiii) Any other payments(specify details) Total (i)to(xiii) Net Foreign Exchange earnings in five years XIV. REJECTS (Only for EOU manufacturing units.) Generation of Rejects/Sub-standard __________ __________________ finished goods __________ __________________ (percentage of 5 yrs production) Goods (In case rejects are more (Qty.(Unit = ) than 5% estimated percentage __________________ ________________ with justification may be given __________________ ________________ .....

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..... tipulated by the concerned Development Commissioner. I/We fully understand that any Permission Letter granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that may be taken having regard to the circumstances of the case if it is found that any of the statements or facts therein are incorrect or false. An affidavit duly sworn in support of the above information is enclosed. Place:__________ Signature of the Applicant _____________ Date:___________ Name in Block Letters _________________ Designation ___________ Official Full Official address _________________ _________________ Seal/Stamp __________________ Tel. No. _________________ e-mail Address ________________ Web-Site _________________ Full Residential address ___________ __________________ Tel. No __________________ SOME IMPORTANT GUIDELINES 1. Additional Information may be furnished by existing domestic units seeking conversion into the EOU Scheme as per annexure. 2. Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as granite/marble/sandstone products where availability of raw materials is contingent upon Government leas .....

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