APPLICATION FORM FOR APPROVAL OF DEVELOPER/CO-DEVELOPER FOR DUAL USE OF INFRASTRUCTURE IN NON-PROCESSING AREA OF SEZ

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..... l. 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 Develope .....

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..... 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 b .....

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..... closed). 8. I/We shall abide by the FAR norms laid down by the State Government. 9. I/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 .....

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