J&K ENERGY DEVELOPMENT AGENCY Department of Science & Technology, Govt. of J&K PROFORMA FOR SUBMISSION OF PROPOSAL FOR ESTABLISHMENT OF AKSHAY URJA SHOP 1. Name of the proposed shop : 2. Complete address of the location of : the shop proposed to be established 3. Name of the person establishing the shop : 4. Present Address of the applicant with : Phone, fax & email address 5. Educational Qualification of the Applicant : 6. Financial standing of the applicant 7. Whether any Akshay Urja Shop already : exists in the concerned district, if yes, please provide details 8. Details of the shop to be established : i) Whether to be constructed/purchased/ : renovated (Details of covered area / owner of the land/building to be given) ii) Proposed covered area of the shop : with and without storage iii) anticipated expenditure on Establishing the shop (provide itemwise breakup) iv) Means of financing for the shop (Whether any loan is proposed to be taken from bank) Certified that above mentioned details for the Akshay Shop are true and correct to the best of my knowledge. The guidelines given by the MNRE (Ministry of New and Renewable Energy), New Dehi for establishment of Akshay Urja shop are acceptable to us. We hereby undertake to follow these guidelines and run the shop satisfactorily after the receipt of financial assistance from MNRE. (Signature of the applicant) Place : Date :
