Online Filing of Entrepreneurs Memorandum Form Download ADOBE
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All fields marked with * are mandatory. You have to furnish those details compulsorily.
1. Name of The Applicant *
 
2.(a) Address Of Communication * (ii) Fax Number
(iii) Cell Phone Number
(iv) E-Mail
PIN Code * (v) Web-Site
(i) Telephone Number (with STD code)    
 
(b) Permanent Resdential Address          (Main Applicant) * (ii) Fax Number
(iii) Cell Phone Number
(iv) E-Mail
PIN Code * (v) Web-Site
(i) Telephone Number (with STD code)    
 
3.Name Of The Proposed Enterprise   (If Decided) *
Name of Enterprise should not contain some of the reserved words. India, Bharath, Hidusthan, any of the State Name like Andra Pradesh, Tamil Nadu etc are restricted.
 
4.Proposed Location of Enterprise
S.F.No. / Door No.*
Street Name *
(i) Area Rural Urban
(ii) State
(iii) District*
(iv) Taluk *
(v) Block *
(vi) Village/Town *
(vii) PIN Code *
 
5.Category Of Enterprise * Micro Small Medium
 
6.Nature Of Activity* Manufacture Service

Based on the category of Enterprise and nature of activity, the value of Plant and Machinery (in case of manufacturing activity) or the cost of Equipment (in case of service activity) will be restricted.  The maximum limit of Plant and Machinery / Equipment value for each category of Enterprises can be checked from MSME Definitions.

   
7.Nature Of Operation* Perennial Seasonal Casual
 
 
8.Whether The U nit Will Be An Ancillary * Yes No
 
9.Proposed Schedule Of Installation Of Plant And Machinery  
 
10.Type Of Organisation *
ProprietaryHindu Undivided Family
Private Limited CompanyPublic Limited Company
OthersPartnership
Selfhelp Groups
11.(a) Main Manufacturing /Service Activity
Main Activity*
Sub Activity (Level-I) *
Sub Activity (Level-II)  *
Sub Activity (Level-III)  *

For selecting your Manufacturing activity, you have to first select the main activity and then select sub activity levels I, II and III step by step. If you donít know the main activity and various sub activities, you can alternatively select your Manufacturing activity by clicking on "Search Activity" button and then by typing a few key words of the activity say "Candle" or "Garment" etc., and click the Submit button and choose the activity from the list.
  For Service category, only a list of activities will be given. You have to select the activity from the list and click on ADD button to include it in your list. You can add upto 6 activities under Manufacturing/ Service categories.

(b) Products To Be Manufactured /Service To Be Provided
Note: For Those activities that does not appear in this list, nearest District Industries Centre may be contacted to get acknowledgement of EM Part I registration through manual procedure.
Activity List Qty Unit
Item Activity Quantity Unit
12.(a) Proposed Investment In Fixed Assets [Rupees In Lakh]
i) Land * Owned Rented Leased Approximate Value
(ii) Building* Owned Rented Leased Approximate Value
(iii) Plant And machinery (In case of manufacturing enterprise ) * Approximate value
(iv) Equipment (In case of service enterprise) Value
(v) Foreign Equity,If Any Value

13. Installed Capacity (Proposed) per Annum
Quantity Unit
 
14.Power Load (Anticipated) *
H.P K.W
 
15.(a) Other Source Of Energy/Power (If Required)
Source of Energy Yes/No Quantity Unit
Coal
Oil   
Liquid Petroleum Gas  
Electricity From Grid   
 Electricity From Generator   
Non-Conventional Energy  
Traditional Energy    
Firewood   
 b) If no power required specify reasons
 
16.Expected Employment *
(i) Management And Office Staff (ii) Supervisory (iii) Workers
17.Expected Schedule Of Commencement Of Production/Acitviy *
Please ensure that the Month & Year of expected schedule of commencement of production/activity is after proposed schedule of installation of Plant and Machinery indicating in col.9.
 
18.Entrepreneurs Profile: *
All Entrepreneurs have to be added. Fill up the details and click on Add button to include in the list. For Proprietary firms only one Entrepreneur is allowed.
Name
Gender * Community *

Knowledge Level *

Equity Participation (in Rs)  *     Equity %   Physically Challenged Yes No
Stake In Other Manufacturing Enterprises Yes No
Name Gender Community Knowledge Equity (Rs) Equity(%) Stake (Y/N) Phy.Challenged (Y/N)