APPLICATION FORM FOR ALLOTMENT OF LAND/SHEDS UNDER LEASE IN INDUSTRIAL ESTATE/ MINI INDUSTRIAL ESTATE

1. Name of the applicant                                       :
2. Full Postal Address showing particulars

   of Village and Taluk and District                                    :

   a.       Permanent

   b.      Present

3.    a.  Name and address of the Industry

      b.  Whether existing or proposed

      c.   SSI Registration No. and date

 4.Type and number of shed (s) applied for ,

with location of the Estate                                             :

5 (a).   If the applicant is a partnership firm, is the

  applicant a firm registered under the

  Partnership Act and whether Partnership

  Agreement and acknowledgement  of

  registration are produced                                      :

               (b).  If the applicant is a Co-operative  Society

        whether the following documents

        details are produced                                             :

1)           Certificate of Registration

2)           Regd. Bye-laws

3)           Name and address of the Directors

4)           Resolution of the Board of Directors

to obtain shed in the estate on lease basis:

5)           Resolution of the Board of Directors

to sign lease agreements binding on the

society                                                      :                                 

c.         If the applicant is a Company Registered

under the Indian companies Act, whether

the following documents/details are produced       :

1)            Certificate of incorporation

2)            Regd. Memorandum and Articles of

Association of the Company

3)            Name and addresses of the Directors

4)            Resolution of the Board for obtaining

shed in Industrial Estate on lease basis

5)            Previous Balance sheet

6)            Resolution authorising any

Director to execute lease

agreement so as to bind the

Company

6. Are you an occupant of the Estate?

If so, show details of shed (s) occupied

duration of lease and balance of dues in

respect of shed (s) occupied                                         :

7. Number of employees

a)           Existing

b)           Proposed to be appointed

8. Is your scheme approved by the Industries

Development Commissionarate? 

If so, is evidence of approval produced

along with the approved scheme?                                  :

9. Any other information which the applicant

desires that the corporation should consider in this regard 

                                                            

The Industry I am running/propose to start comes within the purview of a Small Scale Industry.

I have read and understood the Corporation’s Rules for allotment of sheds in Industrial Estates on lease basis and I shall abide by them.

Signature of the Applicant/

Authorised Representative