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Online Filing of Entrepreneurs Memorandum Form (Part-II) Download ADOBE
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Activities excluded for e-filing of EM Part II.
I Entrepreneurs Memorandum Number (Part I)
II Date Of Issue (EMF Part I)
III Month of Commencement ofProduction / Activity (Part - I)
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 Enterprise   *
 
4.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
 
7.Nature Of Operation* Perennial Seasonal Casual
 
 
8.Whether The Unit Is An Ancillary * Yes No
 
9.Month Of Installation Of Plant And Machinery
 

10.WHETHER THE UNIT IS REGISTERED UNDER FACTORY ACT(Under Section 2m(i)/2m(ii)-1, 85)I)/85(ii)-2, not registered –3) *

 Yes No
11.Type Of Organisation *
Proprietary Hindu Undivided Family
Partnership Private Limited Company
Public Limited Company Selfhelp Groups
Others
12.(a) Main Manufacturing Activity (For Service this 4 levels of items not available. Directly select activity list for Service.)
Main Activity*
Sub Activity (Level-I) *
Sub Activity (Level-II)  *
Sub Activity (Level-III)  *
(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
13.(a) 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
14. Installed Capacity per Annum
Quantity Unit
 
15.Power Load *
H.P K.W
 
16.(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
 
17. Employment *
(i) Management And Office Staff (ii) Supervisory (iii) Workers
18. Date Of Commencement Of Production/Acitviy *
 

19.Total Annual Turnover (in Rupees) *
(If less than one year of operation, then expected turnover)
20.Export (if any in Rupees)
21.Enterpreneurs Profile: *
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)