APPENDIX-16-A

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APPLICATION FOR SETTING UP TRADING/SERVICE EOU/EPZ/SEZ UNITS

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Note: 
 

1. Please see Paragraph  9.2(c )  and 9A.2 of this Handbook.

2. Please read the general instructions given at Appendix-I before filling this application and also some important guidelines given at the end of this application.

3. The application will be treated as incomplete without its own permanent   E-mail No and will not be considered

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The application should be submitted to the concerned Development Commissioner of the Export Processing Zone  in three copies alongwith a crossed Demand Draft of Rs.5,000/- drawn in favour of the Pay & Accounts Officer, Department of Industrial Development, Ministry of Industry, payable at the Sate Bank of India, Nirman Bhavan, New Delhi. 
 

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For Official Use only 
 

Application No.   ______________________________ 
 
 

Date :     ______________________________ 
 
 

                              Date__________Month____________Year __________

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Details of Bank Draft 
 

Amount Rs.  ___________________ 
 

Draft No.  ___________________ 
 

draft date  ___________________ 
 

Drawn on  __________________(Name of the Bank)

Payable at   ________________________ 
 
 

I. NAME AND ADDRESS OF THE INDUSTRIAL

      UNDERTAKING IN FULL (Block Letters) 
 

      Name of the Undertaking/Applicant  _________________________________ 
 

      Full Address     _________________________________ 
 

      (Regd.Office in case of limited  _________________________________

      companies & Head Office for  _________________________________

      others      _________________________________ 
 

      Pin Code     _________________________________ 
 

      Tel. No.     _________________________________ 
 

      Fax No.     _________________________________ 
 

      E-Mail No.     _________________________________ 
 

      Incometax PAN No.    _________________________________ 
 

II. NATURE OF THE APPLICANT FIRM:

      (Please tick ( \/ ) the appropriate box) 
 

      1. Government Undertaking 
 

      2. Public Limited Company 
 

      3. Private Limited Company 
 

      4. Proprietor ship 
 

      5. Partnership 
 

      6. Others (please specify) 
 

III. (1) Location of the proposed undertaking * 
 

            Full Address   __________________________ 
 

            Pin code         __________________________

                              __________________________ 
&nbs