APPLICATION

FOR ALLOTMENT OF SHED WITH LAND IN THE DISTRICT MINI INDUSTRIAL CO-OPERATIVE SOCIETY ON HIRE PURCHASE

1.      Name of the applicant and full permanent address            :

2.      Present address                                                   :

3.      Name and address of the existing/proposed industry        :

4.      Items manufactured/proposed to be

manufactured in the industrial unit with quantity     :

5.      Nature and quantity of raw materials used /

propoed to be used                                                       :

a)      Imported

b)      Indigenous

6.      Details of the land and shed required

a)      Land and shed No.

b)      Extent

c)      Survey No.

d)      Name of Villages

e)      Name of Taluk

7.      If existing industry present

location and reasons for changing the same                      :

8.      The total estimated cost for                                              :

a)      Building

b)      Machinery & Equipments                                               

a.       Imported

b.      Indigenous

c.       Working capital

9.      Nature of management                                                    :

a)      Proprietary

b)      Partnership

c)      Registered Company

d)      Industrial Co-op: Society

10.  The position held by the applicant in

undertaking and the name of the person               :

who is authorised to execute the agreement

on behalf of the organisation                   

11.  No. and date of chalan to prove

remittance of earnest money                                            :

I have read and understood the rules prescribed for hire of shed and land in the District Mini Industrial Estate Co-operative Society of Kerala State as per the Rules and conditions of the society and I hereby declare to abide by them.    

Place :                                                                                      (Signature of the Applicant )

Date: