Application Form
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3APPLICATION FORM
(For transfer of Industrial plots allotted under the scheme of relocation of industries)
1.
Particulars of Industrial plot under relocation
:
a) Original Application No. under RL scheme, 1996
:
___________________
b) Plot No./Pocket/Sector/Industrial area
:
__________________
c) Size in Sq.mt.
:
___________________
2.
Name & Address of the purchaser (s ) :
a) Purchaser
__________________________________
b) Co- Purchaser
__________________________________
(If there are more than 2 joint purchasers, a separate sheet be attached giving particulars)
3.
Particulars regarding proof of possession :
_______________________
4.
Description of particulars in respect of complete chain of sale/purchase of industrial plot:
S.No.
Name of the Purchaser (s)
Seller/allottee Date
Remarks
1
2
5.
Whether applied/obtained cancellation/surrender of following govt. documents in r/o
industrial unit at non conforming area to ensure closure of industrial unit:
a) MCD Licence
:
(Yes/No)
b) Sales Tax Registration
:
(Yes/No)
certificate
c) Surrender of power connection
:
(Yes/No)
d) SSI Registration Certificate
:
(Yes/No)
e) Central Excise certificate
:
(Yes/No)
f) Any other govt. document (s),
as the case may be.
:
(Yes/No)
6.
Details of industrial unit being run by the transferee/purchaser at the relocation plot:
a) Name of the unit being run
:
M/S__________________________
b) Status of transferee/purchaser in the present firm : __________________
Signature of transferee/purchaser
Contd…2/-
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