APPLICATION FORM FOR ALLOTMENT FO LAND/SHED IN THE INDUSTRIAL ESTATE ( To be submitted to the General Manager concerned in case of North, South District, Dhalai and the Dy Director of Industries, A.D.Nagar in case of West District). PART - A To be filled up by the Applicant Particulars of the applicant a. Name & Address of applicant (s) : b. Qualification : c. Post Experience : d. Existing activities : Details of the Project/ Industrial Unit. (a copy of project report should be enclosed) a. Name of the Unit : b. Name of products to be : manufactured (with install capacity) c. Total project cost/proposed : Investment. d. Source of Finance : i) Own Contribution ii) Loans from TIDC/Banks e. In case loan is to be taken : from TIDC/Banks present position regarding sanction of loan. f. How much time will be taken to : complete the project and start production 3. GOVERNMENT OF CLEARENCE. a) SSI Registration No. & Date : (Please enclose a copy of Provisional SSI Registration Certificate) b) Pollution Clearance : (Please enclose a copy of Clearance from Tripura Pollution Control Board) 4. REQUIREMENT OF LAND/SHED a) Whether land is required : of factory shed is required b) Area of /shed required : c) Name of the Industrial Estate : in which / shed required PART - B ADDITIONAL INFORMATION TO BE FURNISHED BY EXISTING INDUSTRIAL UNITS 1) Name of the unit with location : and address 2) Name of the product manufactured : with installer capacity 3) Whether the unit is located : in Industrial Estate. If so, area of Land/ shed already allotted for the purpose. 4) Justification for the proposed : Requirement of land /shed Certified that the above information is true and correct to the best of my knowledge and behalf. In case the information is found to be false, I shall be liable as well as criminal action. Dated, Agartala Signature of the Applicant (s) the REPORT OF THE GENERAL MANAGER DIC/DY DIRECTOR INDUSTRIAL ESTATE 1. Whether the proposed project is as per the Govt. norms /guide lines. If not what is the shortcoming ? 2. Whether the requirement of area indicated by the application is justified ? If not, what should be the realistic requirement ? 3. Whether the applicant is serious about the project 4. Position regarding availability of land / shed in the Industrial Estate 5. Any other relevant points. Dated, Agartala, the 1996 Signature of the G.M./Dy.Director
