WPCQ JVLw zp\0TDs\ֱl-D3nے.pwy]~Vck!^ll27N(f?w p'1}:H{Ql3DנAှ&Z 1mqΙd7oYmМCAbOa1$K5>E%uY8ꯙ[k ]N, :"Eԍ]RBy^[Ajƾ+# _Lk~~}L,η@LTǶL !_ RqαlMs{a9JӪሳTvdMDR?}aO̺aΖoH"2S0iwZnχ3x<T.0u„˒[ُf/xr i/9a@9fV9fX9 AMZ99 0Jm: C*: C":a;a;f/;f1;a3; hI;f =UJ =aU=fk=fm=ao=f=f=a=f=a=Ul:=f=a=f >a >f!>a#>f9>a;>fQ>aS>fi>ak>f>a>f>a>f>a>f>a>f>a>f>a>f?a?a)?f??fA?aC?fY?a[?aq?f? B*?f?a?f?a?f?a?f?a?f@a@f)@a+@fA@aC@aY@fo@fq@as@f@a@f@a@f@a@f@a@f@a@fAaAaAf/Aa1AfGAaIAf_AaaAfwAayAfAaAfAaAfAaAfAaAfAaAfBa BfBa!Bf7Ba9BfOBaQBfgBfiBakBaBU:BUNBfCa!Ca7CfMCaOCfeCagCf}CaC D3CfCaC B7C B7DfNDaPDffDfhDajDfDfDaDfDaDaDaDfDaDfDaDfEaEf&Ea(Ef>Ea@EU:VEUNE hEfEfEaEaEU :FENFfPFaRFfhFajFfFaFfFaFfFaFfFaFfFaFfFaFaGf&GU:(GabGfxGazGfGaGfGaGfGaGfGaGfGaGfHa Hf Ha"Hf8Ha:HfPHaRHfhHajHfHaHfHaHfHaHfHaHfHaHfHaHfIaIf(Ia*If@IaBIfXIaZIfpIarIfIaIfIfIaIfIfIaIfIaIfIaIfJaJfJaJf4Ja6JfLJaNJfdJafJf|Ja~JfJaJaJfJfJaJaJaJfKa Kf Ka"Kf8Ka:KfPKaRK hhK hnK htK hzK hK hK hK hKfKaKfKaKfKaKfKaKfKaKfLaLf(La*Lf@LaBLfXLaZLfpLarLfLaLfLaL hL hL hL hL hL hL hL hL hL hL hL hL hM hM h M hM hM hM h$M h*M h0M h6M hN hDN hJN hPN hVN h\N hbN hhN hnN htN hzN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hN hO h O hO hO hO h"O h(O h.O h4O h:O h@O hFO hLO hRO hXO h^O hdO hjO hpO hvO h|O hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hO hP hP h P hP hP hP h$P h*P h0P h6P h$"Small Circle"0  (3$ !UKUS.,..,,        TRWX6&A43'6&A43'T  ####'dxd d'dxdTABLE GTABLE HTABLE VTABLE I-.!/0C<< CLevel 1Level 2Level 3Level 4Level 5(3$ !UKUS.,..,,        TRWX6&A43'6&A43'T  ($$   1  11' dxdP PdTABLE JTABLE KTABLE LTABLE MTABLE NTABLE OTABLE PTABLE QTABLE R\dTABLE S dTABLE TTABLE UTABLE AGTABLE W dTABLE XTABLE YTABLE ZTABLE AATABLE ABTABLE ACTABLE ADTABLE AE\TABLE AFTABLE AHTABLE AITABLE AGTABLE AJTABLE AKTABLE ALTABLE AITABLE AJv!w$M << deUULevel 1Level 2Level 3Level 4Level 5(n$ (  1  ) TABLE AKTABLE AGdd.aAZ"Arial RegularTABLE AMTABLE ANTABLE AGddTABLE AO!0A<< BLevel 1Level 2Level 3Level 4Level 5(P$ Table  1  &Bricks 2dd MeshddTABLE AUTABLE APTABLE AL                   TABLE A 0'AZ2MS Sans Serif RegularTABLE CATABLE AV TABLE AWTABLE AX(@AZ"Arial RegularTABLE AYTABLE AZTABLE BATABLE BBTABLE BCTABLE BDTABLE BETABLE BFTABLE BGTABLE BHTABLE BITABLE BJTABLE BKTABLE BMTABLE BNTABLE BOTABLE BX&0 d dTABLE ZTABLE AATABLE ABTABLE ACTABLE ADTABLE AETABLE CHTABLE ARTABLE AGTABLE AITABLE AJTABLE ATTABLE ALTABLE AQTABLE AHTABLE CBTABLE ASTABLE ASTABLE CGTABLE AHTABLE AITABLE AJTABLE AKTABLE ALTABLE ASTABLE CGTABLE AHTABLE AUTABLE CCTABLE BRTABLE CF,@AZ"Arial Regular(  Z 6Times New Roman RegularTABLE BSTABLE BTTABLE BUTABLE BVTABLE BZ    'dxdTABLE BY3+0 d d d3+0 d d dTABLE CATABLE CBTABLE CDTABLE CETABLE BQTABLE CJTABLE CKTABLE CCTABLE AGTABLE AITABLE CF(@AZ"Arial Regular(  Z 6Times New Roman RegularTABLE CGTABLE CG(@AZ"Arial RegularTABLE CITABLE CLTABLE CMTABLE AJTABLE AKTABLE ALTABLE AQTABLE CNTABLE CK.aAZ"Arial RegularTABLE AHTABLE AGTABLE AITABLE AJTABLE AKTABLE ALTABLE AQTABLE CKTABLE AHTABLE COTABLE CPTABLE CQTABLE CRTABLE CSTABLE CTTABLE BLTABLE CU\TABLE CV\TABLE CW\TABLE CX\TABLE CY\TABLE CZ\TABLE DA\TABLE DBTABLE DCTABLE DDTABLE DETABLE DFTABLE DGTABLE DHTABLE DITABLE DJTABLE DKTABLE DLTABLE DMTABLE AVTABLE DNTABLE BTTABLE AWTABLE AXTABLE AYTABLE BUTABLE BV &(*TABLE AZTABLE BATABLE BBTABLE BCTABLE BDTABLE BETABLE BFTABLE BGTABLE BHTABLE BITABLE BJTABLE BK2468:<>@BDHIKNOQTVXZ\^`beghjloqrt{~  "'(-/13579;>ACEGIKMOQSUWY[]_acegikmoprsuwy{}Level 1Level 2Level 3Level 4Level 5 !UKUS.,..,,        TRWX6&A43'6&A43'T  hXXXXi, 3#h 0  `Eb:i ""       "" 1.  ThisformatistobeusedforsubmissiontotheCentralGovernmentinthe ~  SecretariatforIndustrialAssistance,forthepurposeofrecord,amemorandumundertheIndustries(DevelopmentandRegulation)Act,1951(65of1951)inrespectofproposalscoveredbytheNotificationNo.477(E)dated25thJuly,1991oftheDepartmentofIndustrialPolicy&Promotion,MinistryofIndustry,GovernmentofIndiaasamendedfromtimetotime.2.  TheapplicationshouldbesubmittedtotheSecretariatforIndustrialAssistance   (SIA),DepartmentofIndustrialPolicy&Promotion,MinistryofIndustry,UdyogBhavan,NewDelhi110011in6(six)copiesalongwithacrosseddemanddraftforRs.1000/drawninfavourofthe Pay&AccountOfficer,DepartmentofIndustrial  Development,MinistryofIndustry ,payableattheStateBankofIndia,Nirman  ТBhavan,NewDelhi.3.  EntrepreneursmaygothroughtheNoteforGuidanceforEntrepreneurscarefully  beforefillingupthedetailsintheIEM.Thenotecontainsrelevantextractsoflicensingprovisions,anoteonNICClassificationSystemandguidelinesforfillinguptheMemorandum.3A#,) xdEMbA N`    uXXForOfficialUseOnly#XXu#    3MemorandumNo.  .@  *w# ddd Xdd Xdd X""w,,dd ,,dd ,,dd ,,dd ,,dd ,wdd ,,dd ,,dd ,,dd ,,dd +   2D" ,8 ,XX '#" ' '$" ' '%" ' '&" ' ''" ' '(" ' ')" ' '*" ' '+" '":" "ff  ;  ,,8ffDate*# d  d,dd ,dd ,dd ,dd ,dd wdd ,dd ,dd ,dd ,dd #"",,dd ,dd ,dd ,dd ,dd ,,dd ,,dd ,,dd ,,dd ,,dd +    >  ;  #;  #,8 , ; u C  z q D "q Ez "  q F  z q G "q Hz "  q I   q J    Y  u ^ "  ,,8   `  Date   h Month  Year >!P| A#,) xdE"bA "0~ 1.  XX " DetailsofBankDraft 0"B    AmountRs.    P#b  *# d  d,dd dd dd dd dd ,dd ,dd ,dd ,dd ,dd #"",add ,add ,add ,add ,add ,add ,add +   T#f  ,8 ,XX  #    #    #    #    #    #   #  1 ,,8    XX1DraftNo.#1XX# 1Ԅ  %"   XXDraftDate  _&q# *# d dadd add add add add add add #"",Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd +   c&u# ,8 ,XX  &#   &#   &#   &#   &#   &#   &#   &#   &#  &#     ̀   `      XX ,,8Drawnon AG,) ($\ dE ($\ A (%    `     h (NameoftheBank)  Payableat AG,) t+$dE t+$A *'    1 x4  -* x4y4y4 z4z4II  ; XXNameandAddressforCorrespondenceofthePromoter/Industrial    Undertaking infull#XX ;(#) h (BLOCKLETTERS)     Nameofthe    * #%d  dQdd Qdd Qdd Qdd Qdd Qdd Qdd Qdd Qdd Qdd #"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX )  #5    #5    #5   #5   #5   #5   #5   #5   #5   #5   #5   #5   #5   #5   #5   #5   #5  3E- XX ,,8  Undertaking/,8 ,XX - *v2#3dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #%""v,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,Hdd ,dd +   /   >P2   <N3   <N4   <N5   <N6   <N7   <N8   <N9   <N:   <N;   <N<   <N=   <N>   <N?   <N@   <NA   <NB  Xj_       XX ,,8      Promoter*v#dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd Hdd dd 2#3""v,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    m ,8 ,XX  qn   qo   qp   qq   qr   qs   qt   qu   qv   qw   qx   qy   qz   q{   q|   q}   q~ #XX ,,8p+#,8 ,XX q   XX ,,8Area#,8 ,XXm-# `  $ *v*#+dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #""v,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   BT  ,,8                                                   #,8 ,P1#    ;  ,,8Town `       *v4#5dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd *#+""v,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 , ;                                                                               ;  ,,8  XX ;ԢTehsil/Taluk    *6#7dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd 4#5"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX                                                                                       XX ,,8  District      *8#9dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd 6#7"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX   %     %     %     %     %     %     %     %     %     %     %     %     %     %     %     %     %     %     %    %  XX ,,8  State `       *:#;dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd 8#9"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX  $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6    $ 6   $ 6  XX ,,8  PinCode      *<#=dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd :#;"",dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX  5G    5G    5G    5G    5G   5G  XX ,,8  Telephone*>#?dddd dd dd dd dd dd <#="",,dd , dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX  J\    J\    J\    J\    J\    J\    J\    J\ !   J\ "  J\ # XX ,,8  Telex*@#Ad d,dd dd dd dd dd dd dd dd dd dd >#?"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    ) ,8 ,XX  [m *   [m +   [m ,   [m -   [m .   [m /   [m 0   [m 1   [m 2  [m 3 XX ,,8  Fax `     7 *B#Cd ddd dd dd dd dd dd dd dd dd dd @#A"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   9 ,8 ,XX  l~:   l~;   l~<   l~=   l~>   l~?   l~@   l~A   l~B  l~C XX ,,8  Cable `     'G *D#Fd ddd dd dd dd dd dd dd dd dd dd B#C"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   +I ,8 ,XX  }J   }K   }L   }M   }N   }O   }P   }Q   }R  }S XX ,,8 3III  RegistrarofCompaniesRegistrationNo.(Ifregistered) l~U 333,8 ,XX*&#'d ddd dd dd dd dd dd dd dd dd dd D#F"",dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   W   0X   0Y   0Z   0[   0\   0]   0^  0_ XX ,,833IV  StatusofPromoter/IndustrialUndertaking a     IV(1) `  StatusofthePromoter/IndustrialUndertaking e h   `  (Pleasetick(3)theappropriatebox) g h(X@""(ff  |__| ` CentralGovernment vi    ` Undertaking  |__| ` StateGovernment h  FXl    ` Undertaking   |__| ` StateIndustrial h  !(o    ` DevelopmentCorporation  fUa " q |__|  JointSectorUndertaking vq |__|  PrivateSectorUndertaking $6s |__|  IndividualPromoter   E  u |__|AssistedSectorUndertaking|__|  CooperativeUndertaking ."@y 5@""XX@a5 3f  IV(2) ` Indicatewhetherthisproposalisfor $!y    ` (Pleasetick(3)theappropriatebox)  %#{  (X@  (3  |__| ` EstablishmentofaNew @'R$}    ` Undertaking  |__| ` EffectingSubstantial *"'    ` Expansion  |__| ` ManufactureofNew ,)    ` Articles * 󀀀Pleasespecifyinaseparatesheet. /, 3fe3|__| 1 Changeoflocation @'R$ |__| 1 Changeofownership/nameof  )2&  1 company|__| 1 GraduationtoMediumscale +) |__| 1 Others* -*  /, 5@  XX@>e5   2hh3 g,3 p30 IV(3)  WhethertheproposalisinlieuofanyotherIEMalreadyacknowledged/Letterof  ЀIntent/IndustrialLicenceheld.3h     4 Yes|____|  < No|____|  ,f3(IfYes,indicatethepreviousReferencenumberanddate,attachthepreviousreferenceinoriginal)3f j  ReferenceNo.A,)   ddE  A  <     DateA,) PdE PA ? Q   V.  Location     V(1)   4 Locationoftheundertaking   3  Place/Town 4  );  *I#J dddd dd dd dd dd dd dd dd &#'  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   -?  ,8 ,XX                                                           !    "    #    $    %   &       XX ,,8ԢTehsil/Taluk 4  4F ( *K#L d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd I#J  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   8J * ,8 ,XX   +    ,    -    .    /    0    1    2    3    4    5    6    7    8    9    :    ;    <    =   H     XX ,,8District M_N *O#P d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd K#L  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   QcP ,8 ,XX  Q   R   S   T   U   V   W   X   Y   Z   [   \   ]   ^   _   `   a   b   c   d  m   XX ,,8State   ^pm *Q#S d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd O#P  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   bto ,8 ,XX  r   s   t   u   v   w   x   y   z   {   |   }   ~                             XX ,,8PinCode k} *T#U d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd Q#S  ,dd ,dd ,dd ,dd ,dd ,dd +   o ,8 ,XX                  XX ,,83  3  V(2)  Pleaseindicatewhethertheproposedlocationis:   L   3{3    (a) 4 Within25Kmsfromtheperipheryofacityhavingpopulationaboveone     4 millionaccordingto1991census.     4 Yes|___|  <   No|___| r     (b) 4 Locatedinanindustrialarea/industrialestatedesignated/set   Rd    4 uppriorto25.7.1991     4 Yes|___|  <   No|___| "4   V(3)  (a) 4 IstheIEMbeingfiledforelectronics,computersoftware L    !    4 orprintingindustry     4 Yes|___| 4    <   No|___| #      (b) 4 IstheIEMbeingfiledbyasmallscaleunitgraduatingtomedium   %"    4 scalefortheunitlocatedwithin25Kms.fromperipheryofacity   &#    4 withmorethan1millionpopulation     4 Yes|___|  <   No|___| r)&     0 4 IstheIEMbeingfiledbyexistingunitfornewarticleswithout L    @  R+d( additionalinvestment 4 4       4 Yes|___|  <   No|___| ".4+ _    3  1. 6 30 Ї" XX&& " VI  #" &&#XX "Item(s)ofManufacture:Incaseofmorethanoneitemsupplementarysheets  maybeused.(Specimenofsupplementarysheetisenlcosed) . Incaseof  proposalsforDrugsandPharmaceuticals,applicantsshouldalsofilluptheAnnexure. #" XX#  LL  VI(1)   XX "ItemofManufactrure* #" XXّ#  LLr    XX "(a) 4 (NATIONALINDUSTRIALCLASSIFICATIONOFALL   ЀECONOMICACTIVITY(NIC),1987ӀNICNO.*V#Wd ddd dd dd dd dd dd T#U  ,rdd ,rdd ,rdd ,rdd ,rdd ,rdd ,rdd ,rdd +     #" XXŒ# "  \ n   \ n   \ n   \ n   \ n   \ n   \ n #"  񁱕# \ n XX "    (b) 4 ItemDescription,8 ,XX G Y  *X#Yddrdd rdd rdd rdd rdd rdd rdd rdd V#W  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   w                                     !    "    #    $    %    &    '    (    )    *    +    ,    -   . *Z#[ dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd X#Y  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   | .    /    0    1    2    3    4    5    6    7    8    9    :    ;    <    =    >    ?    @    A    B    C    D    E    F    G    H    I    J    K   L )*B\#] d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd Z#[  B,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    L    M    N    O    P    Q    R    S    T    U    V    W    X    Y    Z    [    \    ]    ^    _    `    a    b    c    d    e    f    g    h    i   j *B^#_ d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd \#]  B,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    j    k    l    m    n    o    p    q    r    s    t    u    v    w    x    y    z    {    |    }    ~                                        )    XX ,,8(c) 4 ProposedAnnualCapacity        4    < *B`#apd ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd ^#_  B,dd ,dd ,dd ,dd ,,dd ,dd ,dd ,dd ,dd ,,dd +     ,8 ,XX  !   !   !   !   !   !   !   !   !  !     XX ,,8(d) 4 ExistingCapacity,(ifapplicable)  *b#cpd pddd dd dd dd ,dd dd dd dd dd ,dd `#a  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    ,8 ,XX  "4   "4   "4   "4   "4   "4   "4   "4   "4  "4     XX ,,8(e) 4 TotalCapacityafterexpansion    *(#)pd pddd dd dd dd dd dd dd dd dd dd b#c  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    ,8 ,XX  +=   +=   +=   +=   +=   +=   +=   +=   +=  +=     XX ,,8(f) 4 UnitofCapacity  *(#)pd pddd dd dd dd dd dd dd dd dd dd (#)  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    ,8 ,XX  <N   <N   <N   <N   <N   <N   <N   <N   <N  <N XX ,,8   VI(2)  DescriptionofActivitiestobeundertaken(if,nomanufacturingenvisgaed)  F K   A#,)dEA  A#,)XdEXAA#,)dEAA#,)dEA{4A#,) xdMEA{4|4|4ӹ'F VI(3)BYPRODUCT/COPRODUCTS:'  NICNo.  /  =O *H#M/ d pddd dd dd dd dd dd dd dd dd dd (#)' ' ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +   AS ,8 ,XX                       )XX ,,8ItemDescription /  FX *e#f/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd H#M' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   z #,8 ,XX#                                                                 XX ,,8*j#k/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd e#f' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,XX                                                                                            XX ,,8*l#m/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd j#k' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ! ,8 ,XX  !   !   !   !   !   !   !   !   !   !   !   !    !!   !"   !#   !$   !%   !&   !'   !(   !)  ", XX ,,8)  Proposedannualcapacity ", *g#nd/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd l#m' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ". ^ j^XX   # /    # 0    # 1    # 2    # 3    # 4    # 5    # 6    # 7   # : &&^^ jXX&&  Existingcapacity,(ifapplicable) # : *#d ddd dd dd dd dd dd dd dd dd dd g#n' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   # < #&&XXb#,8 ,&&  )$;!=   )$;!>   )$;!?   )$;!@   )$;!A   )$;!B   )$;!C   )$;!D   )$;!E  )$;!F   i ,,8XXi  TotalCapacityafterexpansion $!J *'#*pd ddd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $!L #iXX'#  6%H"M   6%H"N   6%H"O   6%H"P   6%H"Q   6%H"R   6%H"S   6%H"T   6%H"U  6%H"V XXi     #iXX#XXi  Unitofcapacity,8 ,XX &$#^ *N#dd pddd dd dd dd dd dd dd dd dd dd '#*' ' ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,kdd ,kdd ,kdd +   B&T#`   &#a   &#b   &#c   &#d   &#e   &#f   &#g   &#h  &#k XX ,,8)    / ,8 ,XXԄ ]'o$k ЄXX ,,8ԢNICNo.  /  '$t *h#i/ d dddd ddd ddd ddd ddd ddd kdd kdd kdd N#d' ' ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +   '%v #,8 ,XXv#  a(s%w   a(s%x   a(s%y   a(s%z   a(s%{   a(s%|   a(s%}  a(s%~ XX ,,8ItemDescription /  )&~ *o#p/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd h#i' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   6)H& #,8 ,XXo#  )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&   )&  )& XX ,,8*r#s/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd o#p' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ;*M' #,8 ,XX#  *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'   *'  *' XX ,,8*t#x/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd r#s' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   @+R( #,8 ,XX2#  +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(   +(  +( XX ,,8)  Proposedannualcapacity ],o) *#d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd t#x' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   a,s) #,8 ,XXs#^ j^ ,,8  ,)   ,)   ,)   ,)   ,)   ,)   ,)   ,)   ,)  ,) #,8 ,^^ j#XX ,,8  Existingcapacity,(ifapplicable) }-* *#d ddd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   -* #,8 ,XX#  -*   -*   -*   -*   -*   -*   -*   -*   -*  -*     XX ,,8  TotalCapacityafterexpansion .+ *#pd ddd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   .+ #,8 ,XX #  .,   .,   .,   .,   .,   .,   .,   .,   .,  ., XX ,,8    #,8 ,XX #XX ,,8#,8 ,XXc #XX ,,8  Unitofcapacity#,8 ,XX # /, *#d pddd dd dd dd dd dd dd dd dd dd #' ' ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,kdd ,kdd ,kdd +   /,   70I-   70I-   70I-   70I-   70I-   70I-   70I-   70I-  M0_- XX ,,8 *NOTTOBEFILLEDIFNOMANUFACTURINGISENVISAGED. 1.    4  30  #,8 ,XX#u}4 }4XX ,,8}4  }4NICNo.   *q#y/ d dddd ddd ddd ddd ddd ddd kdd kdd kdd #' ' ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +    #,8 ,XX#  BT   BT   BT   BT   BT   BT   BT   BT  XX ,,8ItemDescription /    *#/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd q#y' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     #,8 ,XX#  7I    7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I   7I    7I!  7I" XX ,,8*#/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   " #,8 ,XXQ#  <N#   <N$   <N%   <N&   <N'   <N(   <N)   <N*   <N+   <N,   <N-   <N.   <N/   <N0   <N1   <N2   <N3   <N4   <N5   <N6   <N7  <N8 XX ,,8*#/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   8 #,8 ,XX!#  AS9   AS:   AS;   AS<   AS=   AS>   AS?   AS@   ASA   ASB   ASC   ASD   ASE   ASF   ASG   ASH   ASI   ASJ   ASK   ASL   ASM  P XX ,,8  Proposedannualcapacity R dP *#d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   B TR #,8 ,XX'#^ j^ ,,8   S    T    U    V    W    X    Y    Z    [  , >^ #,8 ,^^ j5+#XX ,,8  Existingcapacity,(ifapplicable)  ^ *#d ddd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    ` #,8 ,XXN,#  6 H a   6 H b   6 H c   6 H d   6 H e   6 H f   6 H g   6 H h   6 H i  6 H j XX ,,8  TotalCapacityafterexpansion '9 p *#pd ddd dd dd dd dd dd dd dd dd dd #' ' ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ) r #,8 ,XX/#  { s   { t   { u   { v   { w   { x   { y   { z   { {  { | XX ,,8#,8 ,XX=3#XX ,,8#,8 ,XX3#XX ,,8  Unitofcapacity#,8 ,XX3#  *#d pddd dd dd dd dd dd dd dd dd dd #' ' ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,kdd ,kdd ,kdd +       p   p   p   p   p   p   p   p   XX ,,8)   #,8 ,XX 7#X ,l, ,,8,,l" XX "3) K ]VI(4).  RawMaterial(includingComponents,intermediatesandpackingmaterials)  perannum34@X@X@X@@  4  ITEM(s)    *#d dddd ddd ddd ddd ddd ddd kdd kdd kdd #**,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    #" XX7# "  l~   l~   l~   l~   l~   l~   l~  l~ *#dddd dd dd dd dd dd dd dd #**,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   &   x   x   x   x   x   x   x  x *#dddd dd dd dd dd dd dd dd #**,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    2                        *#dddd dd dd dd dd dd dd dd #**,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ,>                        *#dddd dd dd dd dd dd dd dd #**,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   8J                            ##7# DV .%#$; %.QUANTITY#$ $;3F###$RF#  #XX*#dddd dd dd dd dd dd dd dd #% U% U,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   * #XXG#  |   |   |   |   |   |   |  | *#dddd dd dd dd dd dd dd dd #% U% U,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $6                        *#dddd dd dd dd dd dd dd dd #% U% U,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   0B                        *#dddd dd dd dd dd dd dd dd #% U% U,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   <N                        *##dddd dd dd dd dd dd dd dd #% U% U,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   HZ                          % ##F# Tf +#+XX+XXX+X&&XXUNIT#+&&&&"T#&y'&&+&  #+&&'&&yT#&&&+&   P #XX&&AT#          &&XX P #XX&&|U#          ,8 ,XX*-#.dddd dd dd dd dd dd dd dd ##PP,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   L^  ,,8                       */#0dddd dd dd dd dd dd dd dd -#.PP,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   Xj!   "   #   $   %   &   '   (  ) *1#2dddd dd dd dd dd dd dd dd /#0PP,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   dv+   ,   -   .   /   0   1   2  3 *3#<dddd dd dd dd dd dd dd dd 1#2PP,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   p5   6   7   8   9   :   ;   <  = *Q#Rdddd dd dd dd dd dd dd dd 3#<PP,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   |?   B   C   D   E   F   G   H  I    P              P              P           #+T# x a +XX+VALUE a #+X+Xc#*S#Tdddd dd dd dd dd dd dd dd Q#Rz z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   g   Xjh   Xji   Xjj   Xjk   Xjl   Xjm   Xjn  Xjo *U#Vdddd dd dd dd dd dd dd dd S#Tz z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   q   dvr   dvs   dvt   dvu   dvv   dvw   dvx  dvy *W#Xdddd dd dd dd dd dd dd dd U#Vz z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    {   p|   p}   p~   p   p   p   p  p *Y#Zdddd dd dd dd dd dd dd dd W#Xz z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   *   |   |   |   |   |   |   |  | *[#\dddd dd dd dd dd dd dd dd Y#Zz z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $6                         . A@  @X@X@X@@*8A+; +VII.+XX +;  Whethertheitem(s)ofmanufacture/byproduct/coproductiscovered   inSchedule+" X+X?"  +"I?XX ?"Ԁ(ReservedforPublicSector),ScheduleII(under W!i compulsoryLicensing)orScheduleIII(ReservedformanufactureinSmallScaleSector)ofNotificationNo.477(E)dated25thJuly1991/asamendedfromtimetotime.  #  |XXX?X.UUXUUXUU@  .     ScheduleI  %)" )    Yes S |__| &#     No S |__| '$ )Ӏππ )'  XXX|XScheduleII  %)" Yes  |__| 7&I# No  |#|XXXXt#__| W'i$  XXX|XScheduleIII  %)" Yes|__|No  |__|#|XXXXu# W'i$  .UUXUUXUU`  ..UUXUUXUU@  .VIII.  Investment +1( Ѐ (a)Land(forrented ,) Ѐpremises,Capitalisedvalueofthesametobeindicated̀(b)   Building 1. Ѐ(c)Plant&Machinery  _3q0 Ѐ (i)Indigenous 411 Ѐ(ii)Imported̀(a)CIFValue (b)LandedCost̀(iii)Total[(i)+(ii)(b)]     11.  Existing  +1(  (AmountinRupees) ,!) *#dddd dd dd dd dd dd dd dd [#\  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ,* |X|X 'c-u* ' 'c-u* ' 'c-u* ' 'c-u* ' 'c-u* ' 'c-u* ' 'c-u* '"c-u* " *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   /, L| |  0-   O0a-   O0a-   O0a-   O0a-   O0a-   O0a- L} O0a- *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   O1a. | |  1.   1.   1.   1.   1.   1.   1.  1. *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   3!0   s30   s30   s30   s30   s30   s30   s30  s30 *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   k4}1   41   41   41   41   41   41   41 41  44*#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      Rd   Rd   Rd   Rd   Rd   Rd   Rd  Rd *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +       $    $   $   $   $   $   $  $ *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +       n   n   n   n   n   n   n  n   |XX Proposed  (AmountinRupees)    *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   " XX  2D#   2D$   2D%   2D&   2D'   2D(   2D)  2D* *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   4   05   06   07   08   09   0:   0;  0< *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    (>   z ?   z @   z A   z B   z C   z D   z E   z F   z G   z H   z I   z J   z K   z L   z M  z N *T#dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #T,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    R   : LS   : LT   : LU   : LV   : LW   : LX   : LY  : LZ *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   2 D \    ]    ^    _    `    a    b    c   d *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    f     g     h     i     j     k     l     m    n *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   N` r    s    t    u    v    w    x    y   z *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    |    }    ~                            ;@  UUXUUXUUX@ Yv; XX  5  j| IX  FINANCINGPATTERN 󀀀ExistingAmount c ProposedAmount      XXXXTotalEquity #XXXX#   inRupees     c inRupees k    ͤ.UUXUUXUU@  . wffӀ 󀀀(i)ResidentIndian .@ Ѐ(ii)NonResidentIndiaǹ(iii)Foreigǹ 򀀀TotalBorrowings   ffӀ 󀀀(i)" XXԀPublicFinancialInstitution#XX "䩧#   Ѐ(ii)PublicBorrowing̀(iii)OtherSourcesff̀ PromotersContribution    ffm a s  XX*]#^dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   .@                        *_#`dddd dd dd dd dd dd dd dd ]#^,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   &8       !   "   #   $   %   &  ' *a#bdddd dd dd dd dd dd dd dd _#`,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   0'   (   )   *   +   ,   -   .  / *c#ddddd dd dd dd dd dd dd dd a#b,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   3   B T4   B T5   B T6   B T7   B T8   B T9   B T:  B T; *e#fdddd dd dd dd dd dd dd dd c#d,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    ;   : L<   : L=   : L>   : L?   : L@   : LA   : LB  : LC *g#hdddd dd dd dd dd dd dd dd e#f,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    C   2 DD   2 DE   2 DF   2 DG   2 DH   2 DI   2 DJ  2 DK *i#jdddd dd dd dd dd dd dd dd g#h,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    O     P     Q     R     S     T     U     V    W *k#ldddd dd dd dd dd dd dd dd i#j,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    W    X    Y    Z    [    \    ]    ^   _ *m#ndddd dd dd dd dd dd dd dd k#l,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ~ _    `    a    b    c    d    e    f   g   i *r#tdddd dd dd dd dd dd dd dd m#n  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   .@i   j   k   l   m   n   o   p  q  =      E *p#qdddd dd dd dd dd dd dd dd r#t  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   (:s   t   u   v   w   x   y   z  {  =     *u#vdddd dd dd dd dd dd dd dd p#q  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   "4}   ~                      =     *w#xdddd dd dd dd dd dd dd dd u#v  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   E   > PF   > PG   > PH   > PI   > PJ   > PK   > PL  > PM  =   *y#zdddd dd dd dd dd dd dd dd w#x  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    O   8 JP   8 JQ   8 JR   8 JS   8 JT   8 JU   8 JV  8 JW *#dddd dd dd dd dd dd dd dd y#z  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    W   0 BX   0 BY   0 BZ   0 B[   0 B\   0 B]   0 B^  0 B_  =     *{#|dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    1    2    3    4    5    6    7    8   9 *}#~dddd dd dd dd dd dd dd dd {#|  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    9     :     ;     <     =     >     ?     @    A *#dddd dd dd dd dd dd dd dd }#~  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    A    B    C    D    E    F    G    H   I ## ~ I ;@  UUXUUXUUX@ v; XXIX(1)  WhetherForeignTechnologyagreementisenvisaged:  I  w  (Pleasetick(!/)theappropriatebox) \nK Z   '   Yes|___| /     No|___| M  IX(2)  WhetherForeignInvestmentisenvisaged: O    (Pleasetick(!/)theappropriatebox) Q    '   Yes|___| /     No|___| |S  XXXXX.  Employment  /     (Allfiguresinnumber) \nU    '     / Existing   7   Proposed  <NW .UUXUUXUU@w w . (a)Supervisory .Y (bNonsupervisory  Total !] *#dddd dd dd dd dd dd dd dd #Z Z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   .] #XX#,8 ,  ^   _   `   a   b   c   d  e *#dddd dd dd dd dd dd dd dd #Z Z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    g   g yh   g yi   g yj   g yk   g yl   g ym   g yn  g yo *#dddd dd dd dd dd dd dd dd #Z Z ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   !q   N"`r   N"`s   N"`t   N"`u   N"`v   N"`w   N"`x  N"`y  # { *#dddd dd dd dd dd dd dd dd #= = ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   .{   |   }   ~               *#dddd dd dd dd dd dd dd dd #= = ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +       g y   g y   g y   g y   g y   g y   g y  g y *#dddd dd dd dd dd dd dd dd #= = ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   !   N"`   N"`   N"`   N"`   N"`   N"`   N"`  N"`  "  ;@w w UUXUUXUUX@w ; XX ,,8XI.ExpectedDateofCommencementofCommercialProduction  $! .UUXUUXUU@w w .   Date &# *#dddd dd dd dd dd dd dd dd #w w , d, , dd +   s(%   (%   (%  +( Month*f # N dd d, dd #Z Z f,wd ,dd +   s(%  '(%" '"(%" " ) ' Year*f#dN dwd dd # = = f,_dd ,dd ,dd , dd +   s(%   (%   (%   (%  (%  ) ' ;@w w UUXUUXUUX@w F;6 W3i0 ЇDeclarations wX ]  1.   F I/Weherebycertifythatthismemorandumconformstoalltheconditionsstipulated  intheNotificationNo.477(E)dated25thJuly1991andamendmentsthereofregardingexemptionfromIndustrialApprovals.2.   F I/Weherebyfurtherdeclarethattheabovestatementsaretrueandcorrecttothe  bestofmy/ourknowledgeandbelief._A,)sJ$(dEsJ$(A   F     N      V SignatureofPromoter(s)XXXXA,)aP$(dEaP$(A#XXXX#   F     N      V (NameinBlockLetters) ^p A,)s$^dEs$^A   F     N      V (DesignationofPromoter) PlaceA,)C$(dEC$(A w K 'XXX'.@.Date*#dd_dd dd dd dd #! ! ,Qdd ,Qdd +      "4  "4  BT  Month*f#ddQdd Qdd #N N f,wdd ,wdd +      "4   "4!  BT!  Year*f#ddwdd wdd #VVf,dd ,dd ,dd ,dd +   #   "4$   "4%   "4&  "4'  "4) .@! ! .  74  %"/ 4  + XXX+ 3  SPECIMEN     Ӏ @4  @  @  @< SupplementarySheetreferredtoinColumnVI3  1VI w Item(s)ofManufacture:" XX    1  VI(1)   #XX "#ItemofManufactrure   Ӏ(a)  ItemCode(NICNo.)  *#dddd dd dd dd #,rdd ,rdd ,rdd ,rdd ,rdd ,rdd ,rdd ,rdd +     XX  2D    2D    2D    2D   2D   2D   2D #XX#^ j^XX 2D XX^^ jԀ(b)  ItemDescription#^ j^XX#  *# ddrdd rdd rdd rdd rdd rdd rdd rdd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +     ,8 ,^^ j  l ~   l ~   l ~   l ~   l ~  ,,8  l ~   l ~   l ~   l ~   l ~   l ~   l ~    l ~!   l ~"   l ~#   l ~$   l ~%   l ~&   l ~'   l ~(   l ~)   l ~*   l ~+   l ~,   l ~-   l ~.   l ~/   l ~0   l ~1  l ~2 3333*B# d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #B,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   3 E4    5    6    7    8    9    :    ;    <    =    >    ?    @    A    B    C    D    E    F    G    H    I    J    K    L    M    N    O    P    Q   R )*B# d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #B,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   A S T    U    V    W    X    Y    Z    [    \    ]    ^    _    `    a    b    c    d    e    f    g    h    i    j    k    l    m    n    o    p    q   r *B# d ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #B,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   O a t    u    v    w    x    y    z    {    |    }    ~                                                                                XXԀ)(C)  ProposedAnnualCapacity GY     ' *B#Dd ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #B, dd , dd , dd , dd , dd , dd , dd , dd , dd , dd +   Wi  XX            ,8 ,                           ,8 , ,,8XX ,,85 >  (d)    /      7      `r   '   ExistingCapacity(If,applicable)*{#}Dd Dd dd dd dd dd dd dd dd dd dd dd #, dd , dd , dd , dd , dd , dd , dd , dd , dd , dd +     XX  Zl    Zl    Zl    Zl    Zl    Zl    Zl    Zl    Zl   Zl     ' XX(e)  TotalCapacityafterexpansion  5#XXXXb$#*#Dd Dd dd dd dd dd dd dd dd dd dd dd {#}, dd , dd , dd , dd , dd , dd , dd , dd , dd , dd +   Rd XX                                ' XX(f)  Unitofcapacity     Pb *#d Dd dd dd dd dd dd dd dd dd dd dd #,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd ,Qdd +   Tf XX                          XX. L^  VI(2)BYPRODUCT/COPRODUCTS: ,>   NICNo.   *#/ d dQdd Qdd Qdd Qdd Qdd Qdd Qdd Qdd Qdd #,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +   " XX  t   t   t   t   t   t   t  t   XXItemDescription    *#/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   " ,8 ,XX  t   t   t   t   t   t   t   t   t   t   t   t   t   t   t   t   t   t   t   t   t  t    '    *#/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   )   {   {   {   {   {   {   {   {   {   {   {   {   {    {    {    {    {    {   {   {   {  { #XX ,,86#&&XX*~#/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   . ,8 ,&&                                             !   "   #   $   %   &   '  ( XX ,,8  Proposedannualcapacity !3( *#d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd ~#,gdd ,<dd ,wdd ,dd ,gdd ,gdd ,dd ,,dd ,}dd ,gdd ,dd +   %7* #,8 ,XXKE#  +   ,   -   .   /   0   1   2   3   4  5 XX ,,8    Existingcapacity,(ifapplicable)*#d dgdd <dd wdd dd gdd gdd dd ,dd }dd gdd dd #,wdd ,,dd ,wdd ,wdd ,wdd ,wdd ,wdd ,,dd ,wdd ,wdd ,wdd +   6H; ,8 ,XX  <   =   >   ?   @   A   B   C   D   E  F XX ,,8XXXX  TotalCapacityafterexpansion,8 ,XX ;MF *#d dwdd ,dd wdd wdd wdd wdd wdd ,dd wdd wdd wdd #,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd +   ?QH   I   J   K   L   M   N   O   P   Q   R  S #,8 , ,,8M##XX ,,8M#  Unitofcapacity DVS *#d didd idd idd idd idd idd idd idd idd idd idd #,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,kdd ,kdd ,kdd +   tU ,8 ,XX  V   W   X   Y   Z   [   \   ]  ^ 5  XX ,,8XXXXԢNICNo.   ,8 ,XX y^ *#/ d dddd ddd ddd ddd ddd ddd kdd kdd kdd #,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +   `   A Sa   A Sb   A Sc   A Sd   A Se   A Sf   A Sg  A Sh #XX ,,8*U#)5  ItemDescription   h * #!/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   !(j ,8 ,XX  z!k   z!l   z!m   z!n   z!o   z!p   z!q   z!r   z!s   z!t   z!u   z!v   z!w   z!x   z!y   z!z   z!{   z!|   z!}   z!~   z!  z! *"#4/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #!,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   "-   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "   "  " *5#6/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd "#4,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    #2    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #    #   #  #XX ,,8[#&&XX  Proposedannualcapacity =$O! *7#8d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd 5#6,gdd ,<dd ,wdd ,dd ,gdd ,gdd ,dd ,,dd ,}dd ,gdd ,dd +   m$! #XX&&i#,8 ,XX  $!   $!   $!   $!   $!   $!   $!   $!   $!   $!  $! #XX ,,8m#  Existingcapacity,(ifapplicable) r%" *9#:d dgdd <dd wdd dd gdd gdd dd ,dd }dd gdd dd 7#8,wdd ,,dd ,wdd ,wdd ,wdd ,wdd ,wdd ,,dd ,wdd ,wdd ,wdd +   %" ,8 ,XX   &#    &#    &#    &#    &#    &#    &#    &#    &#    &#   &# #XX ,,8p##XXXXT#XXXX  TotalCapacityafterexpansion,8 ,XX &# *;#=d dwdd ,dd wdd wdd wdd wdd wdd ,dd wdd wdd wdd 9#:,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd +   &#   C'U$   C'U$   C'U$   C'U$   C'U$   C'U$   C'U$   C'U$   C'U$   C'U$  C'U$ #,8 , ,,8&r#,8 , ,,8#XX ,,8pr#)  Unitofcapacity '$ *>#@d didd idd idd idd idd idd idd idd idd idd idd ;#=,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,kdd ,kdd ,kdd +   (&% ,8 ,XX  x(%   x(%   x(%   x(%   x(%   x(%   x(%   x(%  x(% #XX ,,8x#  NICNo.,8 ,XX I)[& *A#B/ d dddd ddd ddd ddd ddd ddd kdd kdd kdd >#@,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +   y)&   )&   )&   )&   )&   )&   )&   )&  )& #XX ,,8y#  ItemDescription  ~*' *C#D/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd A#B,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   *' ,8 ,XX  +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(   +$(  +$( *E#F/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd C#D,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   +(   ,))   ,))   ,))   ,))   ,))    ,))    ,))    ,))    ,))    ,))   ,))   ,))   ,))   ,))   ,))   ,))   ,))   ,))   ,))   ,))   ,))  ,)) *G#H/ d/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd E#F,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ,)   -.*   -.*   -.*   -.*   -.*   -.*    -.*!   -.*"   -.*#   -.*$   -.*%   -.*&   -.*'   -.*(   -.*)   -.**   -.*+   -.*,   -.*-   -.*.   -.*/  2-D*2 #XX ,,8#&&XX)  Proposedannualcapacity -*2 *I#Jd/ ddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd G#H,gdd ,<dd ,wdd ,dd ,gdd ,gdd ,dd ,,dd ,}dd ,gdd ,dd +   .+4 #XX&&#,8 ,XX  g.y+5   g.y+6   g.y+7   g.y+8   g.y+9   g.y+:   g.y+;   g.y+<   g.y+=   g.y+>  g.y+? #XX ,,8#)  Existingcapacity,(ifapplicable) /,? *K#Ld dgdd <dd wdd dd gdd gdd dd ,dd }dd gdd dd I#J,wdd ,,dd ,wdd ,wdd ,wdd ,wdd ,wdd ,,dd ,wdd ,wdd ,wdd +    /,A ,8 ,XX  p/,B   p/,C   p/,D   p/,E   p/,F   p/,G   p/,H   p/,I   p/,J   p/,K  p/,L #XX ,,8h#  #XXXXu#XXXXTotalCapacityafterexpansion,8 ,XX 0#-L *M#Nd dwdd ,dd wdd wdd wdd wdd wdd ,dd wdd wdd wdd K#L,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd ,idd +   0'-N   y0-O   y0-P   y0-Q   y0-R   y0-S   y0-T   y0-U   y0-V   y0-W   y0-X  y0-Y #,8 , ,,8Ė##XX ,,8#  Unitofcapacity 1,.Y *O#Pd didd idd idd idd idd idd idd idd idd idd idd M#N,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,kdd ,kdd ,kdd +   10.[ ,8 ,XX  1.\   1.]   1.^   1._   1.`   1.a   1.b   1.c  1.d 5#XX ,,8#  8 @X  2/f   4)1n Ї X5 ; XX K >VII.  #XX ;#Whethertheitem(s)ofmanufacture/byproduct/coproductis  coveredinSchedule" XXI#XX "l#(ReservedforPublicSector),Schedule  II(undercompulsoryLicensing)orScheduleIII(WhetheritisreservedformanufactureinSmallScaleSector)ofNotificationNo.477(E)dated25thJuly1991asamendedfromtimetotime.   XXXX.UUXUUXUU@  .Ҁ ScheduleI #XXXXӠ#XXXX     Yes S |__| p     No S |__|#XXXXp#XXXX T f   ScheduleII #XXXX#XXXX    Yes Z |__| p   No Z |__|#XXXX#XXXXA,)w$H dEw$H A T f  #XXXX)#XXXX ScheduleIII #XXXX#XXXX   Yes|__|No|__|#XXXX# T f   8J  ;@  UUXUUXUUX@_ ;   S     [     SignatureofPromoter(s)(X@  ( p1 A,)ev$6 dEev$6 A  (NameinBlockLetters)XXXXA,)$6 dE$6 A#XXXX4# Y  [  [   (DesignationofPromoter) [ (X@(PlaceA,).$6 dE.$6 A X K 'XXX'.@.Date*o#d dddd ddd ddd ddd ddd ddd kdd kdd kdd O#P! ! ,Qdd ,Qdd +   V hu    v   w  !w  Month*f#ddQdd Qdd o#N N f,wdd ,wdd +   V hy    z   {  !{  Year*f#ddwdd wdd #VVf,dd ,dd ,dd ,dd +   V h}    ~            + XXX+XXXX #  d .@RR. #XXXXa#XXXX*^X!"#XX*   9  :+L( a4 4#XXXX#4 444%XT"XXX ,K  %+X%XT"PARTB#%XT"X+%2#  &d %$.X%XT"ffff K, Tobesubmittedatthetimeofcommencementofcommercialproductiontothe >P SecretariatforIndustrialAssistance(SIA)DepartmentofIndustrialPolicy&A#,)dEAPromotion,UdyogBhavan,NewDelhi110011insix(6)copies.#; .%$# #XX ;# ,> ffff A#,)" dE" AI ' ReferenceNumber     , II ' ActualDateofCommencement : L *#dddd dd dd dd #,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd ,ddd +   > P  ,8 ,XX      z    "  z "     z   " z "                XX ,,8 III  ' ActualInvestment:     (AmountinRupees) R d .UUXUUXUU@.(a)Land(forrentedϢpremises,CapitalisedvalueofthesametobeindicatedӀ(b)Building(c)Plant&Machinery  " Ѐ (i)Indigenous # Ѐ(ii)Importedπ(a)CIFValueπb)LandedCost(iii)Total[(i)+(ii)(b)] 4 ' 4  '  "4)  򀀀Existing  2 D )  (AmountinRupees) " 4 + *s#d dddd ddd ddd ddd ddd ddd ddd ddd ddd ddd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $ - XX 'v . ' 'v / ' 'v 0 ' 'v 1 ' 'v 2 ' 'v 3 ' 'v 4 '"v 5 " *#dddd dd dd dd dd dd dd dd s#  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   ? L#XXf# XX  B   btC   btD   btE   btF   btG   btH L btI *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $I #XX 񁹼#XX  vJ   vK   vL   vM   vN   vO   vP  vQ *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    Q   nR   nS   nT   nU   nV   nW   nX  nY *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   Y   fxZ   fx[   fx\   fx]   fx^   fx_   fx`  fxa *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +    a   ^pb   ^pc   ^pd   ^pe   ^pf   ^pg   ^ph  ^pi *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   i   Vhj   Vhk   Vhl   Vhm   Vhn   Vho   Vhp  Vhq *#dddd dd dd dd dd dd dd dd #  ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   q   N`r   N`s   N`t   N`u   N`v   N`w   N`x  N`y  y #XXႿ#   Actual 2 D y (AmountinRupees)  " 4 { *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $ } XX  v ~   v    v    v    v    v    v   v  *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      bt   bt   bt   bt   bt   bt   bt  bt *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl   Zl  Zl *T#dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #T,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      Rd   Rd   Rd   Rd   Rd   Rd   Rd  Rd *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      J\   J\   J\   J\   J\   J\   J\  J\ *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      BT   BT   BT   BT   BT   BT   BT  BT *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      :L   :L   :L   :L   :L   :L   :L  :L *#dddd dd dd dd dd dd dd dd #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +      2D   2D   2D   2D   2D   2D   2D  2D  *< ;@UUXUUXUUX@ 8;#XX# 33IV ' Item(s)ofmanufacture  :" XXIncaseofmorethanoneitemsupplementary $ Ѐsheetsmaybe#XX "#" XXԀattached #XX "w#.  3U3 ' XXXX*NICNo. ,8 ,XX  *#/ dddd dd dd dd dd dd dd dd #,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd ,"dd +      HZ   HZ   HZ   HZ   HZ   HZ   HZ  HZ #XX ,,8E#Ԁ*ITCCode  *#/ d/ d"dd "dd "dd "dd "dd "dd "dd "dd #,,dd ,,dd ,,dd ,dd ,,dd ,,dd ,,dd +    ^ j^XX  Oa   Oa   Oa   Oa   Oa   Oa  Oa  ' " ^^ j&& "Proposedannualcapacity '9  *#d/ d,dd ,dd ,dd dd ,dd ,dd ,dd #,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add +   );  #" &&#,8 , "                                     XX ,,8 '  ' ExistingCapacity,(ifapplicable)*#d dAdd Add Add Add Add Add Add Add Add Add Add Add #,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add +   4 F ,8 ,XX                !    "    #    $    %    &    '    (   ) XX ,,8#XXXX#XXXXTotalCapacityafterexpansion,8 ,XX ?!Q/ *#d dAdd Add Add Add Add Add Add Add Add Add Add Add #,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add ,Add +   A!S1   !2   !3   !4   !5   !6   !7   !8   !9   !:   !;   !<  != #XX ,,8#Unitofcapacity*#d dAdd Add Add Add Add Add Add Add Add Add Add Add #,Add ,Add ,Add ,Add ,Add ,Add +   L"^C ,8 ,XX  "D   "E   "F   "G   "H #XX ,,8#,8 ,XX "I XX ,,8#XXXX# V ' Employment /   Proposed     ? Actual  o# g  '  '   (a)Supervisory*#ddAdd Add Add Add Add Add #,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   $!l ,8 ,XX  ?%Q"m   ?%Q"n   ?%Q"o   ?%Q"p   ?%Q"q   ?%Q"r   ?%Q"s  z ?%Q"t "?%Q"uz "  ?%Q"v   ?%Q"w   ?%Q"x   ?%Q"y   ?%Q"z   ?%Q"{   ?%Q"|  C%U"  '   XX ,,8(b)NonSupervisory %" *e#dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #e,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +   %" ,8 ,XX  L&^#   L&^#   L&^#   L&^#   L&^#   L&^#   L&^#  z L&^# "L&^#z "  L&^#   L&^#   L&^#   L&^#   L&^#   L&^#   L&^#  L&^# XX ,,8PlaceA#,)( dE( AAA#,)9) dE9) A߈ '$  '    S     /      7 SignatureofPromoter(s)XXXXA#,)K`+ dEKv- A#XXXX# w-*  '    S     /      7 (NameinBlockLetters)XXXXA#,)K`+ dEKL1 A#XXXX# M1_.  '    S     /      7 (DesignationofthePromoter)*e#rdddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd #e,Cdd ,Cdd ,Cdd ,Cdd ,Cdd ,Cdd ,Cdd ,Cdd ,Cdd ,Cdd +   C3U0 ,8 ,XX  30  z 30 "30z "  30  z 30 "30z "  30   30   30  30  ' #XX ,,8 #Date  Month / Yea4r   7      ?  ? 444R444r H4Z1 4 4 H4Z1 4*TOBEFILLEDWHEREVERAPPLICABLE    10   4 4  4 4XXXX H2 XXNoteforguidanceofEntrepreneursforsubmittingIEMs #XX2  Hn #  #XXXXO #XXXX(Thispartcontainsinformationforguidanceofentrepreneursandmaybe Tf retainedbythem,itneednotaccompanytheapplication)9 1.UnderthenotificationNo.477(E)dt.25.7.91Industrialundertakings $6 havebeenexemptedfromtheoperationofSections10,11,11Aand13oftheI(D&R)Act,1951subjecttofulfilmentofcertainconditions.Section10referstotherequirementofregistrationofexistingindustrialunits,Section11referstotherequirementoflicensingofnewindustrialundertakings.Section11Adealswithlicensesfortheproductionofnewarticles.Section13refers,interaliatotherequirementoflicensingforeffectingsubstantialexpansion. #XXXXK#XT"XXX   ffӀExtractsfromnotificationNo.477(E)dated25thJuly,1991.̀ParaIofNotificationNo477(E)dt.25.7.91asamendedfromtimetotime.#XXXXT"#XT"XXX  ' #XXXXT"#XXXXEXEMPTIONFROMINDUSTRIALLICENSING󀀀  <N   K 4 TheCentralGovernmentherebyexemptsfromtheoperationoftheprovisionsofSection10,11,11A,13oftheI(D&R)Act,1951,industrialundertakingsexemptedlicensingarespecifiedbelow. |  I S  Smallscaleandancillaryindustrialundertakingscoveredby  NotificationNo.S.O.232(E),datedthe2ndApril,1991(asamendedbyS.O.857(E),dated10/12/97)subjecttotheconditionsthatthearticle(s)ofmanufactureis:3 X X^X!"#X3    (i)notincludedinScheduleIorScheduleIItothisnotificationor (ii)includedinScheduleIIItothisnotification. |-  <X X X-II.Industrialundertakings,notcoveredbythisMinistrysϢNotificationNo.S.O.232(E),dated2ndApril,1991(asamendedbyS.O.857(E),dated10/12/97)subjecttotheprovisionscontainedinAandBbelow: F A.(i)Thearticle(s)ofmanufactureshallnotbeanarticle(s)includedinScheduleI,ScheduleIIorScheduleIIItotheNotification;and Ӏ(ii)Theproposedprojectshallnotbelocatedwithin25Ϣkmsfromtheperipheryofthestandardurbanarealimitsofcitieshavingpopulationofmorethan10lakhsaccordingtothe1991Census. wThisconditionshallnotapplyto: F >w(a)electronics,computersoftware,andprintingindustriesandothernonpollutingindustriesthatmaybenotifiedfromtimetotime,  Ӏ 11  4.14 Ї44Z4f4 43f4(b)otherindustriesprovidedtheyarelocatedwithinindustrialareasdesignatedbytheStateGovernment(s)beforeJuly24,1991.(c)TheSmallscaleorancillaryindustrialundertakingsontheirexceedingtheinvestmentlimitsprescribedforsuchIndustrialundertakingsinthenotificationoftheGovernmentofIndiaintheMinistryofIndustry(DepartmentofIndustrialDevelopment)No232(E)dated2ndApril,#XXXX(#XT"XXX1991#XXXXT"#XXXX(asamendedbyS.O.857(E),dated    10/12/97)   >ӀB.Section11AofthesaidActsubjecttotheconditionthatthenewarticleshallnotbeanarticleincludedinScheduleI,ScheduleIIorScheduleIIItothisnotificationandshallnotπinvolveanyadditionalinvestmentinplantandmachinery.#XXXX.#XXXX III.Industrialundertakings,otherthanthesmallscaleand  ancillaryindustrialundertakingscoveredbynotificationNo.S.O.232(E),datedtheApril2,1991(asamendedbyS.O.857(E),dated10/12/97)availingoftheexemptionunderNotificationshallfilewiththeDepartmentofIndustrialDevelopment(SecretariatforIndustrialAssistance),MemorandaasmaybeprescribedinthisbehalfbytheCentralGovernment.   Se  #XXXX#XT"XXX K >2#XXXXT"m!#XXXX򀀀SubsequenttoaboveNotification,videwhichonly18industrieswere + exemptedfromlicensing,nowonly9industriesremainundercompulsorylicensingforwhichIEMcannotbefiled.  #XXXX!#XT"XXX3#XXXXT"##XXXX򀀀InthecaseofproposalsforDrugsandPharmaceuticalstheapplicants  shouldalsofillupAnnexureinprescribedForm.PartAistobefilledforBulkDrugs/IntermediatesandPartBistobefilledforformulations.OneIEMapplicationshouldnotcontainmorethan10itemsofmanufacture.PleasereadtheInstructionscarefullybeforefillingtheϢIEMapplicationform.4򀀀DefinitionofaSmallScaleIndustrialUndertaking "$  " XX XKa)#XX "m%#Anindustrialundertakinginwhichtheinvestmentinfixedassets s$!& inplantandmachinerywhetherheldonownershiptermsoronleaseorbyhirepurchasedoesnotexceedrupeesThreeCroresandequityholdingbyotherindustrialundertakinginitdoesnotexceed24%ofitstotalequity.ThelistofitemsreservedforexclusiveproductionintheSmallScaleSectorhasbeennotifiedalongwithGazetteNotificationNo.477(E),date25.7.91asmodifiedthroughGazetteNotificationNo.398(E)dated3.4.97 *'- 4fq4 KX% 4f45  Location  n,)/ 4fk'f4 > KWhiledesignatedindustrialestateslocatedwithin25KmsofStandardUrbanArealimitof23majorcitiesaregenerallyexemptedfromlocationalrestrictionforfilingIEM,entrepreneursshouldensurethattheindustriesproposedtobelocatedinsuchdesignatedindustrialestates/areasareaccordingtolanduseandzonalpoliciesoftherespectiveStategovernments.  2/6  m    I   12 i4{18 4f34 4'f4446  CLASSIFICATIONSYSTEM.    Entrepreneursmaynotethatthedescriptionofarticle(s)tobemanufactured  shouldbestatedaccordingtotheNationalIndustrialClassificationofallEconomicActivity,(NIC1987).CopiesoftheNationalIndustrialClassificationofallEconomicActivity,1987canbeobtainedonpaymentfromtheControllerofPublication,1CivilLines,Delhiτ110054orfromanyoftheagentsauthorisedtosellGovernmentofIndiaPublications.Ithastobeinconformitywiththeitem(s)ofmanufacture. 7 F GENERALINSTRUCTIONS:  > P  e-" r" X  <X-  (a)Foreachitemofmanufacture,separatesupplementaryprescribedsheet,(includingAnnexurefordrugsandPharmaceuticals)be#XXXXH##XXXXԀadded.   (b)InasingleIEMnotmorethan10itemsbeindicated.IfIEMisrequiredformorethan10items,anadditionalfeeofRs.250/foreachadditionaltenitemsshouldbepaid.(c)Item(s)ofmanufacturefallingunderdifferentAdministrativeMinistriesrequirefilingofseparateIEM,alongwithaseparateDemandDraft.(d)Whilesubmittingintimationofcommencementofproductionreturn,(Form m B)itmaybeensuredthatNICNo.givenintheReturnshould n beinconformitywiththeNICNo.givenintheIEM.(e)SeparateapplicationsmaybefiledforAyurvedic(includingHerbalpreparations,Unanimedicines&otherrelatedmedicines)andAllopathicmedicines.(f)ItmaybeensuredthattheIEMiscompleteinallrespect.  #XXXX.# Xt4XXX  XX4X Xt # # f+@25f  13  >&P#) 5    ANNEXURE @-   F3ӀADENDUMTOTHEMEMORANDUMTOBEFILLEDBYTHEENTREPRENEURSINRESPECTOFPROPOSALSFORDURGSANDPHARMACEUTICALSCOVEREDUNDERNOTIFICATIONREGARDINGEXEMPTIONFROMINDUSTRIALAPPROVALS.   A#,) xdEr} A ~  Informationtobefurnishedforeachitemofmanufactureseparately:A.0 ` PROPOSALFORBULKDRUGS/DRUGINTERMEDIATES/ |   FORMULATIONS* ` : ` :  1. ` Nameoftheproposeditemofmanufacture: L^  2. ` ApprovalunderDrugsandCosmeticsActs,1940and ,>   ` Rulesmadethereunder:0 ` (Pleaseindicatedateandreferencenumberoftheapproval,foruseinthecountry,oftheproposedBulkDrugoroftheBulkDrugforwhichtheproposedDrugIntermediateswillbeused,asthecasemaybeandencloseacopythereof.) ` : ` :  3. ` ProposedAnnualCapacity;  (a) ` Quantity(Unit): | (b) ` ExfactoryValueofproduction(Rs.InLakhs); \n (c) ` CIFValueof: <N (i) ` Importedrawmaterialsrequiredperkgofproduct(Rs.);  .! (ii) ` Product(ifimported)(Rs.Perkg.): !# XXX X0 ` *ThenameoftheitemofmanufactureshouldcomplywithBritish '$) ApprovedName(BAN);UnitedStateAdoptedName(USAN)orInternationalnonProprietorynames.# XXXX9# |)&+` : ` :  4. ` Descriptionofproposedprocess:  0 ` (Pleasefurnishschematicdiagramofchemicalreaction x   sequencebygivingchemicalstructuresofreactantsandproductsateachstep.) ` : ` :  5. ` SourceofTechnology:  (a) ` developedthroughownR&D: n   ` (Pleasegivedetailsofworkdone)(b) ` Procuredfromindigenoussources(*) .@  (C) ` InvolvesForeignCollaboration(*):   0 ` (*PleasefurnishnameandaddressofthesourceandtermofthePayment.) ` : ` :  6. ` RawmaterialRequirementfortheproposedannualCapacity:  A#,) xdEr}A ~ S.No.NameofRawmaterialUnitQuantityRs.InLakhs x    `     h     CIFValueCostat x    `     h   IfimportedFactoryA#,) xdEr[A \n (1) ` (2)  (3)  (4) p   (5)  (6) z A#,) xdErYA Zl! B. ` PROPOSALSFORFORMULATIONS x# A#,) xdErW A X j% * #d rdCdd Cdd Cdd Cdd Cdd Cdd Cdd Cdd Cdd Cdd #r: r: ,d",dd",dd",dd",dd",dd",9dd",^dd"+   V"h)  &&X X   Sl. "* No. * # + && *NameoftheformulationandDosageForm * N%`"/  *Capacity * "0  *CompositionBulkDrug  # 2 TotalQty.(Kg./Ltr.) * N%`"6  *ValueRs.InLakhs * r$!9  *DCI/SDCApprovcalNo.&Date * N%`"=  *  $!=   $!=   $!= Name  %"> Strength  %"?   $!?   $!?  8. $!?  -18# XX& &B#(1) UK)'$@  -1   -2U(2) UK)'$A  -2   -3U(3) UK)'$B  -3   -4U(4) UK)'$C  -4   -5U(5) UK)'$D  -5   -6U(6) UK)'$E  -6   -7U(7) UK)'$F  -7    -8 U(8)9/-'$G   -8    9