Note: 1. Please see Para 9.2 of this Handbook.
2. Please read the general instructions given at Appendix 1
before filling this application and also some important
guidelines given at the end of this application.
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INDICATE WHETHER FOR
--------------------------------
____ ____
AUTOMATIC APPROVAL |____| BOARD OF APPROVAL |____|
The Application should be submitted to the Development Commissioner of the concened
Export Processing Zone (for setting up units in EPZ / SEZ or Export Oriented Units)
in 10 copies alongwith a crossed Demand Draft of Rs. 1,000/- (Rupees 2,500/- in
case of items falling under Schedule I & II of the new Industrial Policy)
drawn in favour of the Pay & Accounts Officer, Department of Industrial
Development, Ministry of Industry, payable at the State Bank of India, Nirman
Bhavan Branch, New Delhi.
(Amended by Exim.Public Notice No.10(RE-00)/1997-2002 Dt.22-5-2000.
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For Official Use Only
__________________________
Application No.: ___________________________
Date : ___________________________
Date _______ Month ______ Year ______
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Details of Bank Draft
Amount Rs. ____________________
Draft No. ____________________
draft date ____________________
Drawn on ____________________
(Name of the Bank)
Payable at __________________
I NAME AND ADDRESS OF THE PROMOTER / INDUSTRIAL UNDERTAKING
IN FULL (Block Letters)
Name of the Undertaking / Applicant ____________________
Full Address ____________________
(Regd. office in case of limited ____________________
companies & Head Office for ____________________
others ____________________
Pin Code ___________________________
Tel.No. ___________________________
Fax No. ___________________________
E-Mail No. ___________________________
II NATURE OF THE APPLICANT FIRM:
(please tick (\/) the appropriate box)
1. Government Undertaking
2. Public Limited Company
3. Private Limited company
4. Proprietor ship
5. Partnership
6. Others (please specify)
III INDICATE WHETHER THIS PROPOSAL IS FOR
(Please tick (\/) the appropriate
box).
1. Establishment of a New Undertaking
2. Effecting Substantial Expansion
3. Manufacture of New product
4. Conversion of (i) existing DTA unit into EOU / EPZ.
(ii) existing STP / EHTP to EOU / EPZ
(in case of conversion, please attach fact sheet as per Annexure)
IV (1) Location of the proposed undertaking
Full address __________________________
Pin code ____________________________
IV. (2) ONLY FOR PROJECTS UNDER EOU SCHEME
Please indicate if the proposed location is in a Centrally Notified Backward Area
(Please tick (\/) the appropriate box).
No. _________ Yes ___________ If yes, indicate category
(a) Indicate whether it is within 25 kms from the periphery of the standard
urban area limit of a city having population above one million according
to 1991 census.
Yes ______ No. ___________
(b) 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. ___________
(c) If not, does it come under the category of non-polluting industries as
notified by the Govt.
Yes ______ No. ___________
V. ITEM(S) OF MANUFACTURE : (Including By-Products / Co-products)
(If necessary, additional sheets may be attached)
Item(s) Description Capacity (Unit = ) Item Code (ITC HS Code No.)
_______ ____________ __________________ __________________
_______ ____________ ___________________ ___________________
_______ ____________ ___________________ ___________________
VI PRODUCTION (In case of more than one item, supplementary sheets may be used.)
Quantity (Unit ______) Value (in rupees)
1st Year ____________________ _______________
2nd Year _____________________ ________________
3rd Year _____________________ _________________
4th Year _____________________ _________________
5th Year ______________________ _________________
VII FOB VALUE OF EXPORTS
(1$ = Rs.)
| |
Ruppes (Lakhs) | US $ (Thousand)
|
| 1st Year |
|
|
| 2nd Year |
|
|
| 3rd Year |
|
|
| 4th Year |
|
|
| 5th Year |
|
|
| Total |
|
|
VIII. INVESTMENT:
(Rs.IN LAKHS)
(a) Land __________________________
(b) Building __________________________
(c) Plant and Machinery __________________________
(i) Indigenous __________________________
__________________________
(US$ Thousand)
(ii) Import CIF value __________________________
(iii) Total (1) + (ii) __________________________
IX. WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED
(Please tick (\/) the appropriate box)
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)
X EQUITY INCLUDING FOREIGN INVESTMENT
(i)
$ Thousand) (Rs. Lakhs)
(a) Authorised __________________ __________________
(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. 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
Borrowings _______________ _______________
Foreign Exchange Balance sheet
$
| | | 1st | 2nd | 3rd | 4th | 5th | Total5 Yrs | |
| XI. | Fob value of exports in first five years | | | | | | | |
| XII. | 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 | | | | | | | |
|
| | | | | | | | |
XIII.
REJECTS
Generation of Rejects / Sub-standard ____________ ____________________
goods of the Finished _________ ___________________
percentage of 5 Yrs production
Goods (in case rejects are more Quantity (Unit = )
than 5% estimated percentage with ________________ ________________
justification may be given ________________ ________________
Value (Rs. Lacs)
XIV SUB-CONTRACTING
a) Whether any of the required components are ________ ________
proposed to be sub-contracted to small ________ ________
cale and ancillary units. Yes No
b) Name of the component ________ ________
________ ________
c) Percentage of this component in relation ________ ________
to the total expected value of production ________ ________
XV EMPLOYMENT
(All figures in number)
Existing Proposed
------------ --------------
a) Supervisory ________ ________
________ ________
b) Non-Supervisory ________ ________
XVI NET FOREIGN EXCHANGE EARNING AS A PERCENTAGE OF EXPORTS
Percentage
Average NFEP on FOB Value of Exports in ________
5 Years in terms of Paragraph 9.29 of the Policy. ________
XVII MARKETING
a) Whether marketing tie-up / Buy-back ______ ______
envisaged / finalised? (Attach documents, ______ ______
if any) Yes No
G. C. A. R. P. A.
b) Destination of exports (in Percentage) ______ ______
______ ______
XVIII OTHER INFORMATION
i) Any special feature of the :.................................
project proposal which you want .................................
to highlight .................................
.................................
(Please attach the Project .................................
Report, for new units)
ii)(a) Whether the applicant has been :................................
issued any industrial licence or .................................
LOI / LOP under EOU SEZ / EPZ .................................
scheme if so, please give full .................................
particulars especially reference .................................
number, date of issue, items of
manufacture and progress of
implementation of each project.
(b) Whether the applicant has :.................................
submitted any other application .................................
for LOI / LOP which is pending .................................
with the Board of Approvals. If .................................
so, please give particulars like .................................
reference number, name under
which application made, 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 have been debarred from .................................
getting any Licence / Letter of
Intent / Letter of Permission
under the Export and Import
(Control) Act. 1947 / Foreign
Trade (Development and Regulation)
Act, 1992 or otherwise penalised.
Place : Signature of the Applicant __________________
Date : Name in Block Letters ____________________
Designation ____________________
Official Seal / Stamp ___________________
Full Official Address :.................................
.................................
.................................
Full Residential Address :.................................
.................................
.................................
UNDERTAKING
-----------
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 any
other condition which may be stipulated by the concerned Development
Commissioner of Secretariat of Industrial Approvals (Deptt. of Industrial
Policy and Promotion). 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.
Signature of the Applicant :.................................
Name in Block Letters :.................................
Designation :.................................
Official Address :.................................
Official Seal / Stamp :.................................
Residential Address :.................................
Place :
Date :
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 products where availability
of raw materials is contingent upon Government leases etc.
3. Normally lumps sum amount upto US$ 2 Million and 8% royalty (net of Taxes)
over a period of five years from the commencement of production is allowed
as per the current policy 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.
4. In cases involving high outgo of foreign exchange for capital goods and
raw materials, the Government prefers raising of funds through external
commercial borrowings.
5. If the unit is proposed to be set up in leased preimises, it should have
lease document valid for a period of not less than 5 years.
(FTZ has been replaced with SEZ and Free trade zone has been replace with Special
Economic Zone at all places in this form vide Exim.Public Notice No.10(RE-00)/1997-
2002, Dt. 22-5-2000.)