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Application for Sanction of Capital Subsidy for Micro , Small and Medium (Manufacturing) Enterprises.
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I Entrepreneurs Memorandum Number (Part II) *
II Date Of Issue (EM Part II) *
III Date of commencement of commercial production
 
Specify the name of the subsidy applied for
          1. Capital Subsidy
          2. Special Capital Subsidy for Thrust Sector Enterprises
          3. Employment Intensive Subsidy
          4. Additional Capital Subsidy for Select Category of Entrepreneurs
          5. Additional Capital Subsidy for Promotion of Cleaner and
              Environment Friendly Technologies
 
1.0. Details of Enterprise:
1.1 .Name of the Enterprise   *
1.2 Name of the Proprietor /Managing Partner /Managing Director *
 
2.0. Address of the Unit:
2.1. Office *
 
 
PIN Code *
2.2. Factory *
 
 
PIN Code *
 
3. Location of Enterprise
3.1 Located in Industrial Estate Yes No
    1.Name of the Industrial Estate *
    2.Industrial Estate type
3.2 District*
3.3 Taluk *
3.4 Block *
3.5 Village/Town *
 
4. Contact Nos
Office
Factory
Cell Phone
Email
 
5.0 Status of the Enterprise:*
5.1 Constitution:*
Proprietary Hindu Undivided Family
Partnership Private Limited Company
Public Limited Company Selfhelp Groups
Others
5.2 Enterprise Status * Micro Small Medium
5.3 Whether New/ Expansion/ Diversification * New Expansion Diversification
5.4. Social Status of the Entrepreneur*
5.5 If Women/ SC, ST /Physically disabled / Transgender please indicate % Share of the Partner(s) / Director(s) in the equity:*
Name
Gender * Community *

Knowledge Level *
Value (in Rs)  *     Equity %   Physically Challenged Yes No
Share
Name Gender Community Knowledge Value (Rs) Equity(%) Share Phy.Challenged (Y/N)
 
6.0 Activity as specified in the Entrepreneurs Memorandum (Part II) *

Product Name
Code Quantity

Unit

 Type
    

Product Name Code Quantity Unit Type

7.0 Project Details:
7.1. Line of Activity.
Status Item Manufacture Installed Capacity / Turn Over
In Units In Value
New/Existing Unit
 
Expansion/ Diversification Project
 
7.2 Fixed Capital Investment (in Rs.)

Nature of Assets Existing Unit Expansion / Diversification Project Total % of increase under Expansion/ Diversification Project
Land
Building
Plant & Machinery*(in Rs)
Others
Total

7.3. Means of finance (in Rs.)

i. Equity from Promoters/Partners/Shareholders
ii. Term loan
iii. Hire purchase
iv. Leasing
v. Public issue
vi. Preferential issue
vii. Others
Total

7.4 Details of Term loan sanctioned and availed :

a. Name of the Bank/Financial Institution
b. Type of Loan
c. loan Sanction No. and date
d. Term loan Sanctioned in Rs.
e. Term loan released in Rs.
f. Rate of Interest %

8. Details of Power Supply
8.1. Service connection No. & Date
8.2. Load Details :

  Sanctioned Load Connected Load
Power Load H.P.
Lighting Load H.P.
Total H.P.

 
9. Employment created / likely to be created

  Men Women Total
i) Managerial :
ii) Supervisory / Technical
iii) Workers
    a) Skilled
     b) Semi-skilled
     c) Unskilled
Total

 
10. Details of Registration with Commercial Tax Department with Date
    i. TIN Number and Date
    ii. CST Registration Number and Date
 
11 Date of first sale invoice raised or date of first delivery Challan (in case of enterprises manufacturing on job work basis) Give Invoice/ delivery Challan Number & Date
 
12. Details of subsidy claimed in Rs. :

a. Plant and Machinery value
b. Capital Subsidy / Special Capital subsidy @ 15% of Plant and Machinery (Maximum Rs. 30 lakhs)
c. Employment Intensive Subsidy @ 5% of Plant and Machinery value (Maximum Rs. 5 lakhs)
d. Additional Capital Subsidy for Select Category of Entrepreneurs 5% (Maximum Rs. 2 lakhs)
e. Additional Capital Subsidy on @ 25% on the value of Plant and Machinery installed to promote cleaner and environment friendly technologies (Maximum Rs. 3 lakhs)
Total subsidy claimed * Rs.(* This should not exceed Rs.40.00 Lakh per Enterprise)