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    Application Form For: To Be Submitted in Duplicate (2 Sets) Along With Bank Demand Draft / Cheque

    Uploaded by

    Rock Ram
    This document appears to be an application form for land from the Karnataka Industrial Areas Development Board (KIADB). The form requests information about the applicant such as company details, promoter information, category, type of company, location and land details of proposed unit, estimated costs, means of financing the project, employment details, production timeline, infrastructure requirements and a declaration signed by the promoter. It also lists the documents required to be submitted along with the application depending on the type of entity such as proprietorship, partnership, private or public company etc.

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    Application Form For: To Be Submitted in Duplicate (2 Sets) Along With Bank Demand Draft / Cheque

    Uploaded by

    Rock Ram
    69 views5 pages
    This document appears to be an application form for land from the Karnataka Industrial Areas Development Board (KIADB). The form requests information about the applicant such as company details, promoter information, category, type of company, location and land details of proposed unit, estimated costs, means of financing the project, employment details, production timeline, infrastructure requirements and a declaration signed by the promoter. It also lists the documents required to be submitted along with the application depending on the type of entity such as proprietorship, partnership, private or public company etc.

    Original Description:

    Project report

    Original Title

    project report

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    This document appears to be an application form for land from the Karnataka Industrial Areas Development Board (KIADB). The form requests information about the applicant such as company details, promoter information, category, type of company, location and land details of proposed unit, estimated costs, means of financing the project, employment details, production timeline, infrastructure requirements and a declaration signed by the promoter. It also lists the documents required to be submitted along with the application depending on the type of entity such as proprietorship, partnership, private or public company etc.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    69 views5 pages

    Application Form For: To Be Submitted in Duplicate (2 Sets) Along With Bank Demand Draft / Cheque

    Uploaded by

    Rock Ram
    This document appears to be an application form for land from the Karnataka Industrial Areas Development Board (KIADB). The form requests information about the applicant such as company details, promoter information, category, type of company, location and land details of proposed unit, estimated costs, means of financing the project, employment details, production timeline, infrastructure requirements and a declaration signed by the promoter. It also lists the documents required to be submitted along with the application depending on the type of entity such as proprietorship, partnership, private or public company etc.

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    © All Rights Reserved
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    Download as doc, pdf, or txt
    of 5

    APPLICATION FORM FOR - INVEST TUMKUR

    To be submitted in Duplicate (2 Sets) along with Bank


    Demand Draft / Cheque

    I. Name of the Company/Unit

    Correspondence address

    Pin Code
    Telephone No.
    Fax No.
    Email.

    Name of the Promoter/ Managing


    Partner / Managing Director / CEO /
    Chief Promoter
    Contact Mobile no.
    Name of the authorized
    coordinating person Contact
    Gender [] MALE [ ] FEMALE [ ]

    Special Category:
    ST/SC/WOMEN/OBC/GEN/ Minorities,
    Backward Clases (Category 1 & 2A
    Only)/ PH/Ex-Servicemen (Please
    mention category compulsory)
    II Type of company

    Public/ Private Sector undertaking/


    Co-operative/ Joint Sector/
    Partnership firm/ Proprietary/ Others
    (please specify)
    III Location of the proposed Unit
    1) KIADB Industrial Area,
    Vasanthanarasapura Extend Land ....................... Acres

    2)KIADB Industrial Area, Sira


    Extend Land .................. Acres
    3) Revenue Land (U/S 109)
    Extend Land ............... Acres
    Sy No .....................................
    Village ....................................
    Hobli. ......................................
    Taluk ......................................
    District .....................................
    IV Indicate whether this proposal is for (Please tick (√) the appropriate box)

    Establishment of a New unit

    Effecting substantial Expansion

    V (a) Details of earlier projects


    approved by Government of
    Karnataka with status of
    implementation pertaining to
    your company or your associate
    companies, if any.
    (b) Details of projects under
    implementation by your company
    or your associate companies, if
    any, outside Karnataka.
    VI Items(s) of Manufacture/Service
    Activity:

    VII Cost of the Project (Rs. In Lakhs)

    Land

    Building

    Plant & Machinery

    Working Capital Margin

    Contingency

    Others

    TOTAL

    VIII Means of Finance (Rs. in Lakhs)


    Promoter’s equity

    Term Loans

    Others (Please Specify)

    Subsidy/grants

    TOTAL
    IX Employment: Nos.

    X Expected date of commencement


    of Commercial production.
    XI 1) Land Details ( acres)

    Existing(own)

    Required (KIADB/KSSIDC/u/s109)

    Total
    DD/Cheque No & Date /Name of the
    Bank and Full Addres of Rs.5000-00 /
    Rs/10000-00

    2) Building:
    (i) Existing (Area Sq. meters)

    (ii) Required

    XII Water requirement(in liters per day):

    XIII Power requirement

     Note:-
    As per Government order No.CI204/SPI/2015 date:12/09/2016
    1) Special Thrust for encouraging SC /ST entrepreneurs:
    Land / Shed allotment by KIADB and KSSIDC at concessional rates land & Sheds will
    be allotted to SC /ST entrepreneurs by KIADB / KSSIDC at 50% of the rate in all zones. The
    Payment of cost of land & shed will be realized in installments out of this, 50% will have to be
    paid as down payment and remaining 50% will be in 8 equal quarterly installments

    2) Encouragement to Minorities, Backward Classes (Category 1 & 2A only).


    Physically Challenged and Ex-Servicemen

    Reservation of 10% of plots / sheds in the Industrial Area / Estates / Developed


    by KIADB / KSSIDC For Minorities. Backward Classes (Category 1 and 2A Only.
    Physically Challenged and Ex-Servicemen Entrepreneurs’ in all the future industrial
    areas/ estates. (This amount will have to be paid in 6 equal quarterly installments)

    DECLARATION
    I/We hereby declare that the above statements/s are true and correct to
    the best of my/our knowledge and belief.

    Place:
    Date:
    Signature of the
    Promoter(s)
    Check list of KIADB Industrial Area Land Application
    pravite Sector
    Private sector
    under Co- Public
    Partner under
    taking PVT Operative Sector
    Sl No Details Proprietary ship taking pubic Other
    Company/ Under Under
    firm limited
    Joint Sector taking taking
    company
    Undertaking
    1 Brief note on the present activities of the
    YES YES YES YES YES YES YES
    company
    2 Project Layout Map YES YES YES YES YES YES YES
    3 Project Implementation Schedule YES YES YES YES YES YES YES
    4 Detailed Project Report YES YES YES YES YES YES YES
    5 IT return of individual promoter YES YES YES YES YES YES NA
    6 CA Certified Net Worth Statement of
    YES YES YES YES YES YES NA
    Each Individual Promoter / Director
    7 PAN Card of Promoters/ Company YES YES YES YES YES YES NA
    8 Audited Account Report of the Concern NA YES YES YES YES YES NA
    9 Partnership Deed/ Registration of Firm NA YES NA NA NA NA NA
    10 Incorporation Certificate issued by ROC NA YES YES YES NA YES NA
    11 Memorandum and Article of Association
    NA YES YES YES NA YES NA
    Company / Farm
    12 Authorization Letter YES YES YES YES YES YES NA
    13 Registration Certificate Co-Operative
    NA NA NA NA YES NA NA
    Society / Society By LAW
    Note:- Department may seek additional document other than the MANDATORY DOCUMENT given relying on the
    project proposal submitted.
    AUTHORIZATION LETTER:- A Letter stating the functional resposibilty of Authorized person (Coordinating
    Person representing the Company to Karnataka Udyog Mitra Process ACRONYM :- BS- Business Start Date PE-
    Promoter Equity

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