Common Application Form-1A (For Existing Units)
Section-1: Registration
Section-2: General Information
A. Applicant’s Details:
i. Name of Applicant:
ii. Address of Applicant:
State:
District:
PIN:
iii. Mobile No. :
iv. Email Id:
B. Organisation’s Details:
i. Name of the Organisation:
ii. Type of Organisation:
Proprietorship/ Partnership/ Pvt. Ltd./Public Ltd./ LLP/ Society/Trust/Others
iii. Registered office address of the Organisation:
State:
District:
iv. Details of Promoters/Directors/ Partners:
Name
Designation
PIN:
Gender
M/F/ TG
(Add another row if required)
v. Turn-over of the Organisationin the previous FY (In Rs.):
vi. Details of Authorised Signatory:
Name
Designation
Mobile No.
Email ID
vii. Designation of the Applicant in the Organisation:
viii. If applying under priority section, please indicate:
SC/ ST/ Differently abled / War widow/Acid Attack Victim/ Trans Gender
Social Category
General/ OBC /SC/ST
Section-3: Project Information
1. Nature of Industry: a. Manufacturing
2. Sector:
Sub-sector:
3.
□
b. Services
□
Options: Priority sectors as per Bihar Industrial Investment Promotion Policy, 2016 + Others
Options: As per Bihar Industrial Investment Promotion Policy, 2016 + Others
Project Type: a. Establishment of new unit
□
c. Modernisation of existing unit
b. Expansion of existing unit
□
□
d. Diversification of existing unit
□
4. Date of SIPB approval for the existing unit (dd/mm/yyyy):
5. Date of Commencement of Commercial Operation of the existing unit (dd/mm/yyyy):
6. Land and Location Details:
i. Location of the existing unit:
District:
<……………………………………Text…………………………………>
Block:
PIN:
ii. Area of the land required for the proposed project: Sq. Ft.
□ NA□
If yes, please indicate the land ownership type: Absolute possession □ Leased Land □
iii. Is the required land area in the possession of the firm? Yes
iv.
□
No
7. Details of Product/Services:
i. Product Details:
Name of Product
Existing Production Capacity/Annum
Proposed Production Capacity/Annum
(Add another row if required)
OR
Service Details:
Name of Service
(Add another row if required)
ii. Raw material(s) to be used :
In case of Manufacturing
Existing Capacity
Proposed Capacity
8. Investment Details (In Rs.)
a. Fixed Capital
Existing
Proposed (additional)
i. Land
ii. Building
iii. Plant & Machinery/Equipment
a. Indigenous
b. Imported
iv. Miscl. Fixed Assets
b. Preliminary & Preoperative Expenses:
c. Working Capital:
Total
9. Means of Finance (In Rs.)
i. Equity/ Promoters’ Contribution
ii. Foreign Equity
iii. Term Loan
iv. Govt. Grant (if any)
Details
v. Unsecured Loan
Total
10. Bank Details :
Name of Bank
Branch
(Add another row if required)
11. Electric Load: a. Existing Load
b. Proposed Load (additional)
12. Employment Details:
Type
i. Managerial
ii. Supervisory
iii. Skilled
iv. Semi-skilled
v. Unskilled
Existing
Proposed (additional)
13. Proposed Timelines:
MM
YYYY
i. Commencement of Construction:
ii. Trial Production:
iii. Commencement of Commercial Operation:
Section-4: Details of Incentives Claimed for Existing Unit
1. Details of incentives claimed under Bihar Industrial Incentive Policy, 2011:
Type of IncentiveAmount availed (In Rs.)
i.
Exemption/ Reimbursement of Stamp duty/ registration fee for land transfer
ii.
Incentive on Land/ Shed
iii.
Incentive on investment on P&M purchased for Captive Power Generation/ DG Set
iv.
Exemption from Monthly Minimum Charges/ Minimum Base Energy charge/
Demand/Billing Demand
v.
Capital Subsidy on P&M
vi.
Interest Subvention
vii.
Reimbursement of VAT and Entry Tax
viii.
Others, Please specify
(Add another row if required)
GENERAL DECLARATION (By the Applicant)
I do hereby declare that the above statements are true and correct to the best of my knowledge and belief and I have not
concealed any information.
Place:
Date:
Name of the Applicant
List of Documents
1. Certificate of Incorporation (in case of Pvt. Ltd. Company);
2. Memorandum of Associations & Article of Association (in case of Pvt. Ltd. Company);
3. Bye-laws / Deed ( in case of Cooperatives/Societies/Trust);
4. PAN Card of the Organisation / Promoters
5. Audited Financial Statements (Balance Sheet & Profit & Loss account) of the organisation
(for last 3 years for Existing Firms & latest for New Firms (if available)); in absence of audited
balance sheet please furnish net worth certificate as on date.
6. Turn-over (Certificate of Auditor or Balance Sheet);
7. IT Return of the Organisation / Promoters
(for last 3 years for Existing Firms & latest for New Firms (if available)).
8. Power of Attorney / Board Resolution of Organisation for the Authorised Signatory;
9. Project Profile (Maximum 10 Pages);
10. Land Documents (if available);
11. SIPB Approval Letter for the existing unit (if available);
Note: All Documents upload in Pdf. file.
Fees Structure: 1. Upto 50 Lacs Investment- Rs.1000/2. From 50 Lacs to 20 Crore Investment - Rs.3000/3. Above 20 Crore Investment - Rs.5000/-
Payment online made through RTGS / NEFT etc.