APPENDIX - 16A

APPENDIX - 16A

---

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

---

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.

---

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.

---

					For Official Use only
Application No.				______________________________

Date :					______________________________

					Date__________Month____________Year __________



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)

Note :-	Copy of certificate of incorporation alongwith Article of Association and Memorandum in case of 
	companies and partnership deed in case of partnership firms may please be attached

III.	(1)	Location of the proposed undertaking *

		Full Address  		__________________________

		Pin code        		__________________________
					__________________________
		
* In case the unit is proposed to be located on leased premises, then lease documents valid for a period for 
at least 5 years should be attached with the application.

										(Rs. In lakhs)

IV	INDICATE BROAD DETAILS OF THE PRODUCTS/SERVICE ACTIVITIES FOR WHICH UNIT IS PROPOSED IN A PERIOD OF FIVE YEARS	Imports	Export	Local purchase	Local Sale

(1 $ = Rs.)

				Rupees (lakhs)				US $ (Thousand)

1st year
2nd year
3rd year
4th year
5th year
Total:

V.	INVESTMENT:
							(RS. IN LAKHS)

(a)	Land					________________________

(b)	Building					________________________

(c)	Plant and Machinery			________________________

	(i)	Indigenous			________________________

							(US $ Thousand)
	(ii)	Import CIF value			________________________

	(iii)	Total (I) + ii)			________________________

VI.	EQUITY INCLUDING FOREIGN INVESTMENT

(i)
	
			$ Thousand)				(Rs.lakhs)

	(a)	Authorized	________________		________________

	(b)	Subscribed	________________		________________

	(c)	Paid up Capital	________________		________________

Note:	If it is an existing company, please give the break up of the existing and proposed capital structure 
	separately.

(ii)	Pattern of share holding in the paid-up capital  (Amount in Rupees)

					(Rs. in lakhs)		(US $ Thousand)

(a)	Foreign holding			_____________		_________________

(b)	Non Resident Indian company / Individual holding

	(i)	Repatriable		_____________		__________________
	(ii)	Non-repatriable		_____________		__________________

(c)	Resident holding			_____________		__________________

(d)	Total(a+b(i+ii)+c equity		_____________		__________________

(e)	(iii) External commercial Borrowing 	_____________		__________________
	
FOREIGN EXCHANGE BALANCE SHEET

Total	          								Total

		       		1st	2nd	3rd	4th	5th	(5 yrs)		(5 yrs)
								         		In Rs./	  In Th
									        	Lakhs           US

$
VII.	Fob value of exports in five years
VIII	Foreign Exchange outgo on
(i)	Import of machinery
(ii)	Import of raw materials and components/spares/consumables
(iii)	Repatriation of dividends and profits to foreign collaborators
(iv)	Commission on Export etc.
(v)	Any other payments(specify details)
	Total (i)to(v)
	Foreign Exchange Earnings in 5 yrs

IX.	Net Foreign Exchange Earning as a percentage of exports.

	Average NFEP on FOB value of exports in 5 years 
       	Percentage in terms of paragraph 9.29 of Policy read with paragraph 
       	9.40 of this Handbook.								

X.	EMPLOYMENT
								(All figures in number )
	Existing							    	Proposed

	a)	Supervisory		Men	_____________		______________
					Women	_____________		______________

	b)	Non-supervisory	 	Men :	_____________		______________
					Women	_____________		______________

XI.	OTHER INFORMATION

	i)	Any special features of the project proposal	______________________
		which you want to highlight			______________________

	(Please attach the project report, for new units)

	ii)(a)	Whether the applicant has been issued	______________________ 
		any industrial license or LOI/LOP under 	______________________
		EOUSTP/ EHTP/ SEZ/ EPZ scheme if so, 
		please give full particulars especially 
		reference number, 	date of issue, items 
		of manufacture and progress of 
		implementation of each project.	

	  (b)	Whether the applicant has submitted any 	______________________
		other application for LOI/LOP which is		______________________ 
		pending with the Board of Approvals. 
		If so, please give particulars like 
		reference number, name under which 
		application made, items of manufacture etc.	

	 iii)	Whether the applicant or any of thepartners	______________________
		/Directors who are also partners /Directors 	______________________
		of another company or its associate concerns 
		have been debarred  from getting any License/ 
		Letter of Intent/ Letter of Permission under 
		the Export and Import (Control)Act. 1947/Foreign 
		Trade  (Development and Regulation) Act,  
		1992 /FEMA/ Customs/ Central Excise Act or 
		otherwise penalized.	

Place	:_________					Signature of the Applicant ________________

Date	:________					Name in Block Letters      _________________

							Designation	         _________________

Official Seal/Stamp__________________			Full Official Address         _________________

							Tel. No. 		         _________________

							E-mail Address	         _________________

							Full Residential Address    _________________
									         _________________
									         _________________
							Tel. No.		         _________________

UNDERTAKING

I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and belief. I/We will abide by any other condition which may be stipulated by the concerned Development Commissioner . I/We fully understand that any Permission Letter granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that may be taken having regard to the circumstances of the case if it is found that any of the statements or facts therein are incorrect or false.

Place:__________						Signature of the Applicant_____________

Date:___________						Name in Block Letters  ________________

							Designation	    ________________
Official Address
Seal/Stamp	__________________			Full Official Address    ________________
							Tel. No.         	    ________________

							E-mail Address	     ________________
      	
							Full Residential Address________________
							Tel. No.		     ________________

SOME IMPORTANT GUIDELINES

1. Additional Information may be furnished by existing domestic units seeking conversion into the EOU Scheme as per annexure.
   
   
2. Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as granite products where availability of raw materials is contingent upon Government leases etc.
   
   
3. Normally lumps sum amount upto US $ 2 Million and 8% royalty (net of taxes) as amended from time to time over a period of five years from the commencement of production is allowed as per the current policy on account of foreign technology agreement as per the norms of Department of Industrial Policy and Promotion. In addition selling agency commission is permitted as per RBI norms.
   
   
4. In cases involving high outgo of foreign exchange for capital goods and raw materials, the Government prefers raising of funds through external commercial borrowings.

ANNEXURE

PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS
SEEKING CONVERSION INTO THE EOU SCHEME

a)	Whether conversion of DTA Unit into the EOU 			:
	has been sought for the full existing capacity of the 
	unit or the proposal is for partial conversion.
	(Please give details of the existing capacity etc.)

b)	Whether any expansion of the DTA unit proposed 		:
	to be converted into EOU has bee envisaged, if so the 
	extent thereof.(Please give details of the existing 
	capacity and the enhanced capacity etc).

c)	What  is the level of existing exports of the unit 		:
	proposed to be converted into EOU. (Please give 
	details of export performance item-wise for a 
	minimum of three previous years)

d)	Whether the DTA unit is already under 			:
	obligation to export, under:

	i)	Advance Licensing Scheme;
	ii)	Import of machinery under EPCG scheme;
	iii)	Any other Scheme.

	(Give all relevant details including total E.O. 
	imposed, the E.O. discharged till date etc.)

e)	Whether your unit is registered with the Customs or 		:
	Excise authorities.(Please give details viz. Reg. No., 
	date etc.)

f)	Are you agreeable to have your whole unit 			:
	customs bonded as required under the EOU scheme?

g)	Whether you are a merchant exporter or a 			:
	manufacturer exporter.(Please give details)

h)	Whether manufacturing activity involved in the 			:
	unit is within the ambit of section-3 of the 
	Central Excise and Salt Act, 1944.

i)	What is the age(year of manufacture)and residual 		:
	life items of machinery already installed in your 
	unit, whether they are imported or indigenous.
	(Please attach separate sheets giving item-wise 
	details with value of the new CG as well 
	as existing value of machinery presently installed).

Signature	:....................................


Name:....................................

Address of the Applicant:......................................
........................................
................................


Date: .............	
Place:.............