Application Form for the Allotment of Plot/Shed in Industrial Area/Estate of Himachal Pradesh

1. Applicant Details

Applicant Name *

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Applicant Photo (Size of photo must be between 5 KB to 250 KB) *

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Address Line 1 *

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Country *

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Address Line 2

State *

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City/Village *

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District

Postal / Zip Code *

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Mobile Number *

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Aadhaar Number

E-Mail

2. Proposed Enterprise Details

Select Type of Allotment you require *

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Plot

Sheds

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Full Name of the Proposed Enterprise *

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Select District *

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1st Choice - Select Industrial Area

2nd Choice-Select Industrial Area

3rd Choice-Select Industrial Area

1st Choice- Select Industrial Estate

2nd Choice-Select Industrial Estate

3rd Choice - Select Industrial Estate

Requirement of Plot Area/built up area in case of Shed( in sq. mtrs) *

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Constitution of the proposed enterprise *

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Category of Enterprise *

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Nature of Activity

Manufacturing

Service

Main Manufacturing/Service Activity *

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3. Additional Details

Proposed investment in Fixed Assets (₹ in Lacs)

Means of Finance (₹ in Lacs)

Land *

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Promotor’s Contribution *

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Building *

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Loan

Plant & Machinary (equipments in case of Service Unit) *

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Subsidy (if any)

Other Fixed Capital *

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Foreign Equity

Total

4. Expected Employment

Management & Office Staff *

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Supervisory/Skilled *

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Unskilled Workers *

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5. Other Requirements

Power Load Requiremnet (anticipated) in K.W. *

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Requirement of Water (in Kilo Litres) @ Per Day *

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Details of Bank Draft (vide which 10% earnest money paid)

Details of Bank Draft (vide which 10000 earnest money paid)

Name of Bank *

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Amount (Upload scanned copy of DD) *

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Draft Number *

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Draft Date *

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Check to view official website

Check Latest Rates of Industrial Plot/Shed

Whether the industrial enterprises is to be setup/promoted by person(s) with Disability either individually or collectively *

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Yes

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Whether the proposed enterprise falls in the category of thrust Industrial Enterprises? *

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Yes

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* If Yes, Select from the list of below thrust industry

Indicate type of approval required for setting up of project

Name of Department / agency

Declaration

Gist of the Detail Project Report especially indicating manufacturing/service process is to be uploaded

I/We agree to confirm and to abide by the provisions made under Rule Regarding Grant of Incentives, Concessions and facilities to Industrial units in Himachal Pradesh, 2004 and as amended from time to time. *

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Yes

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Signature (Max Resolution permitted 240x180 and Size Min 1 KB and Max 250 KB)