Industrial Memorandum
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INDUSTRIAL ENTERPRENEURS" MEMORANDUM
- This format is to be used for submission to the Central Government in the Secretariat for Industrial Assistance, for the purpose of record, a memorandum under the Industries (Development and Regulation) Act, 1951 (65 of 1951) in respect of proposals covered by the Notification No. 477(E) dated 25th July, 1991 of the Department of Industrial Policy and Promotion, Ministry of Industry, Government of India as amended from time to time. The application should be submitted to the Secretariat for Industrial Assistance (SIA), Department of Industrial Policy and Promotion, Ministry of Industry, Udyog Bhawan, New Delhi - 110011 in 6 (six) copies alongwith a crossed demand draft for Rs.1,000/- drawn in favour of the "Pay & Accounts Officer, Department of Industrial Development, Ministry of Industry", payable at the State Bank of India, Nirman Bhawan Branch, New Delhi. Entrepreneurs may go through the "Note of Guidence for Entrepreneurs" carefully before filling up the details in the IEM. The note contains relevant extracts of licensing provisions, a note on NIC Classification System and guidelines for filling up the Memorandum.
---------------------------------------------------------------------- For Official Use only Memorandum No. Date Date Month Year ---------------------------------------------------------------------- 1. Details of Bank Draft Amount Rs. Draft No. ......................... Draft Date Date Month Year Drawn on .......................................... ( Name of the Bank ) Payable at .......................................... II. Name and Address for correspondance of the Promoter / Industrial Undertaking in full (BLOCK LETTERS) Name of the Undertaking Promoter Area Town Tehsil/Taluk District State Pin Code Telephone Telex Fax Cable III. Registrar of Companies Registration No. (if registered) IV. Status of the Promoter/Industrial Undertaking (1) Status of the Promoter/Industrial Undertaking (Please tick the appropriate box) Central Government Undertaking Private Sector Undertaking State Government Undertaking Individual Promoter State Industrial Development Assisted Sector Undertaking Corporation Joint Sector Undertaking Co-operative Undertaking (2) Indicate whether this Proposal is for (Please tick the appropriate box) Establishment of a New Undertaking Change of Location Effecting Substantial Expansion Change of Ownership/ name of Company Manufacture of New Articles Graduation to Medium Scale Others* * Please specify in a separate sheet (3) Whether the proposal is in lieu of any other IEM already Acknowledged/Letter of Intent/Industrial Licence held Yes No (If,Yes, indicate the previous reference number and date, attach the previous reference in original. Reference N0.________________________________ Date_____________________ V Location (1)Location of the proposed undertaking Place/Town Tehsil/Taluk District State Pin Code (2) Please indicate whether the Proposed Location is (a) Within 25 km from the periphery of a City having Population above one million according to 1991 Census Yes No (b) Located in an Industrial area/Industrial Estate Designated/Set up prior to 25.7.1991 Yes No (3) (a) Is the IEM being filed for Electronics, Computer Software or Printing Industry Yes No (b) Is the IEM being filed by a Small Unit graduating to medium Scale for the Unit Located within 25 kms. from periphery of a City with more than one million population. Yes No (c) Is the IEM being filed by Existing Unit for New Articles without Additional Investment Yes No VI Item(s) of Manufacture: In case of more than one item supplemen- tary sheets may be used. (Specimen of supplementary sheet is enclosed) In case of proposal for Drugs and Pharmaceuticals, applicants should also fill up the Annexure (1) Item of Manufacture* (a) National Industrial Classification of all Economic Activity (NIC), 1987 NIC No. (b) Item Description c) Proposed Annual Capacity d) Existing Capacity (if applicable) e) Total Capacity after Expansion f) Unit of Capacity (2) Description of Activities to be Undertaken(if, no manufacturing envisaged) ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ (3) By-Products/Co-products NIC No. Item Discription Proposed annual capacity. Existing capacity,(if applicable) Total Capacity after expansion Unit of Capacity NIC No. Item Discription Proposed annual capacity. Existing capacity,(if applicabe) Total Capacity after expansion Unit of Capacity * Not to be filled if no manufacturing is envisaged NIC No. Item Discription Proposed annual capacity. Existing capacity,(if applicable) Total Capacity after expansion Unit of Capacity (4) Raw Material (Including Components, Intermediates and Packing Materials) per annum ITEM(S) QUANTITY UNIT VALUE VII Whether the Item(s) of Manufacture/ by-product/co-product is covered in Schedule I (Reserved for Public Sector),Schedule II (Under compulsory Licensing) or Schedule III (Reserved for manufacture in Small Scale Sector) of Notification No. 477(E) dated 25.7.1991/ as amended from time to time. Schedule I Schedule II Schedule III Yes Yes Yes No No No VIII Investment Existing Proposed (a) Land (for rented (Amount in Rupees) (Amount inRupees) premises capitalised value of the same to be indicated (b) Building (c) Plant & Machinery (i) Indigenous (ii) Imported (a) CIF Value (b) Landed Cost (iii) Total[(i)+(ii)b] ix) Financing Pattern Existing Proposed (Amount in Rupees) (Amount in Rupees) Total Equity (i)Resident Indian (ii)Non Resident Indian (iii)Foreign Total Borrowings (i) Public financial Institution (ii) Public Borrowing (iii)Other Sources Promoters" Contribution (1) Whether Foreign Technology Agreement is Envisaged (Please tick the appropriate box) Yes No (2) Whether Foreign Investment is Envisaged (Please tickthe appropriate box) Yes No X) Empolyment (All figures in number) Existing Proposed (a)Supervisory (b)Non-supervisory Total XI) Expected Date of Commencement of Commercial Production Date Month Year Declaration 1. I/We hereby certify that this memorandum conforms to all the conditions stipulated in the Notification No. 477(E) dated 25th July, 1991 regarding exemption from Industrial Approvals. 2. I/We hereby further declare that the above statements are true and correct to the best of my/our knowledge and belief................ Signature of Promoter(s) ...................... (Name in Block Letters) ........................ Designation of Promoter
Place.............. Date Month Year * To be filled wherever applicable PART B To be submitted at the time of Commencement of Commercial Production to the Secretariat for Industrial Approvals (SIA) Department of Industrial Policy and Promotion, Udyog Bhavan, New Delhi - 110 011 in 6 copies. I Reference Number II Actual Date of Commencement III Actual Investment: (Amount in Rupees) (a) Land (for rented) Existing Proposed Premises,Capitalised value of the same to be indicated) (b) Building (c) Plant & Machinery (i) Indigenous (ii)Imported (a) CIF Value (b) Landed Cost (iii) Total[(i)+(ii)(b)] IV. Item(s) of manufacture :In case of more than one item supplementary sheets may be attached. *NIC No. *ITC Code Proposed Annual Capacity Exiting Capacity,(if applicable) Total Capacity after Expansion Unit of Capacity V. Employment Proposed Actual (a) Supervisory (b) Non-Supervisory Place.................. ...................... Signature of Promoter(s) ....................... (Name in Block Letters) ....................... (Designation of the Promoter) Date Month Year ........................ * To be filled wherever applicable ANNEXURE ADDENDUM TO MEMORANDUM TO BE FILED BY THE ENTREPRENEURS IN RESPECT OF PROPOSALS FOR DRUGS AND PHARMACEUTICALS COVERED UNDER NOTIFICATION REGARDING EXEMPTION FROM INDUSTRIAL APPROVALS Information to be furnished for each item of manufacture separately: A. PROPOSALS FOR BULK DRUGS/DRUG INTERMEDIATES/FORMULATIONS* 1. Name of the proposed item of Manufacture: 2. Approval under Drugs and cosmetics Act, 1940 and Rules made thereunder: (Please indicate date and reference number of the approval, for use in the country, of the proposed Bulk Drug or of the Bulk Drug for which the proposed Drug Intermediates will be used, as the case may be, and enclose a copy thereof.) 3. Proposed Annual Capacity: 1) Quantity (Unit): 2) Ex-factory Value of Production (Rs. In Lakhs): 3) CIF Value of : (i) Imported raw materials requited per kg of product (Rs.): (ii) Product (if imported) (Rs. Per kg.): 4) Description of Proposed Process: (Please furnish schematic diagram of chemical reaction sequences by giving chemical structures of reactants and products at each step.) 5) Source of technology: (a) Developed through own R&D : (Please give details of work done) (b) Procured from indegenous sources(*): (c) Involves foreign collaboration (*): (* Please furnish name and address of the source and terms of payment.) * (The name of the item of manufacture should comply with British Approved Name (BAN) ; United State Adopted Name (USAN) or International Non- Proprietary Names.) 6. Raw Material Requirement for the proposed Annual Capacity:
| Sl. No. | Name of Raw Material | Unit | Quantity | Rs. In Lakhs | |
|---|---|---|---|---|---|
| CIF Value If imported | Cost at Factory | ||||
| (1) | (2) | (3) | (4) | (5) | (6) |
B. PROPOSALS FOR FORMULATIONS
| Sl. No. | Name of the formulation and Dosage Form | Capacity | Composition Bulk ____Drug Name____________Strength | Total Qty. Kg/Lit. | Value Rs. In Lakhs | DCI/SDC Approval No. and Date |
| (1) | (2) | (3) | (4)____________________ (5) | (6) | (7) | (8) |