Form

Part B

Document type: Form
Dated: 07 Feb 2013
Category: Forms

For Industrial Licence Application only


PART : B

[For Industrial Licence Application Only]

XVIII.  Import Requirements:

  a.	  Capital Goods for the Projects

 
     	            (in rupees )		    (US $ Thousand)
 
 
 Imported       	               

 Indigineous	              

 b.	 Raw Materials(including components, intermediates and packing materials)per annum

 
     	            (in rupees )		     (US $ Thousand)
 

 Imported       	               

 Indigineous	               

		ITEM NAME	   		    QUANTITY    

       1          

	Unit		Value
		        	 _____________
	      	|_____________|

       2          

      Unit		Value
			 _____________
	      	|_____________|


       3          

      Unit		Value
			 _____________
	      	|_____________|

      c.	Consumables & Spares for CG for the Project per annum.

   
     Year      		       (in rupees )	       	       (US $ Thousand)
  

        Imported            		

        Indigineous	    		

 DECLARATION 

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

     (Signature of Applicant)	    	: 	_________________________________

     (Name in block letters)  	    	: 	_________________________________

     (Designation of the signatory) 	: 	_________________________________

     Place 			: 	_________________________________

     Date 		            		: 	_________________________________

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PART : B

DECLARATION

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