Application Form
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4Application for Interest/Cash Subsidy/Assistance for SSI/SME
Industrial Unit
Application Form
1.
Name of Unit :
:
2.
Address
Factory
:
Office
:
Tele No.
:
Fax No.
:
Email
:
address
:
3.
Constitution of Unit
: Proprietorship/Partnership/
Registered Under
Company Act
4.
Name of key Promoter
:
5.
Name of contact Person / Other
:
6
S.S.I. No. & Date Or M.S.I. (SIA) Regn. No.
:
& Date
7
Category of Promoters as Sc/ST or Women
entrepreneur
8.
Purpose of term loan & Amount
a)
For New Unit Rs.
:
b)
For Expansion Unit Rs.
:
For Modernization Unit Rs.
c)
:
For Diversification Unit
d)
:
Rs.
(Whichever is applicable)
9.
Name & Address of Financial Institution
10 Manufacturing Item :
If unit is existing
Name of item
Annual production
Capacity
11 Details of fixed Investment
(Rs. In Lacs)
Existing Land
Building
Machinery
Imported
Indigenous
Total
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Parent category: Legal