Application Form Page 3
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1
2
3
414 (A) Employment :
Local
Outside
% of Local
Employment
1 Workers
2 Supervisor
3 Manager
Total
(B) New/Proposed Employment
Local
Outside
% of Local
Employment
1 Workers
2 Supervisor
3 Manager
Total
15 There details related to project if any :
Signature
Date:-
Name
Place:-
Designation
Enclosure:
1) Application form
2) Copy of Land Purchase Deed
3) Copy of N.A. Permission of Land
4) Copy of project report
5) Copy of Term Loan Sanctioned letter from Financial Institution.
6) Copy of Noc/Site Clearance Consent from Gujarat Pollution Control Board
(if applicable)
7) Copy of Partnership deed/Memorandum/Articles of Association.
8) Copy of Provisional SSI No./Permanent SSI No./sia regn.
9) Original affidavit for local employment (Duly noatarized)
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