service is mandatory since 15th May 2014.

Transcription

1 Industrial License IL DIPP Application form for Industrial License I. Name and Address of Industrial Undertaking (Indian/foreign) in full for Correspondence. INDUSTRIAL UNDERTAKING Postal Address NUMBER / BUILDING STREET LANDMARK LOCALITY VILLAGE / TOWN / CITY STATE DISTRICT PIN Contact Details TELEPHONE (include STD code) FAX (include STD code) MOBILE PHONE ID WEBSITE II (A). REGISTRAR OF COMPANIES REGISTRATION NO. (If Registered) II (B). PAN III (A) Location of the Factory / Proposed Activities NUMBER / BUILDING STREET LANDMARK LOCALITY VILLAGE / TOWN / CITY STATE DISTRICT PIN Contact Details TELEPHONE (include STD code) FAX (include STD code) IL form Page 1 of 8

2 Industrial License IL DIPP MOBILE PHONE ID WEBSITE III(B) Whether factory is located in SEZ Area or an EOU Unit IV(A) EXISTING ACTIVITIES OF THE COMPANY (Specify Item codes of all economic activities as per National Industrial Classification, NIC 2008.) Item Description Item Code (NIC 2008) IV(B) PROPOSED ITEMS OF THE COMPANY Item Code(NI C 2008 Item Description Propose d Annual Capacity Existing Capacity Total Unit of Capacity Capacity after Expansio n DESCRIPTION OF ACTIVITIES TO BE UNDERTAKEN IV(C) BRIEFLY INDICATE PROCESS INVOLVED IN MANUFACTURE OF THE ITEM(S) (Attach separate sheet if required) IV(D) Attach list of Industrial License/Registration/LOI/IEM acknowledgements already issued in favour of the applicant so far Name of Uploaded Registration Document IL form Page 2 of 8

3 Industrial License IL DIPP V. PATTERN OF SHARE HOLDING IN PAIDUP CAPITAL V (A). WHETHER ACTIVITY/INVESTMENT PROPOSED QUALIFY FOR AUTOMATIC ROUTE? IL form Page 3 of 8

4 Industrial License IL DIPP V (B)(i). Pattern of Share Holding in PaidUp Capital EXISTING PROPOSED EQUITY (%) EQUITY (%) (Only positive (Only positive whole numbers whole numbers less than or less than or equal to 100 or equal to 100 or decimals are decimals are allowed to be allowed to be enter in the enter in the (A) Foreign Direct Investment (FDI) (B) Foreign Institutional Investment (FII) (C) Foreign Portfolio Investment (FPI) (D) Investment by Qualified Foreign Investors (QFI) (E) Investment by Foreign Venture Capital Investors (FVCI) (F) Non resident (i) Non Indian Repatriable Individual (Not counted in Investment total Foreign Investment) (ii) Repatriable (G)Total Foreign Investment V[A+B+C+D+E +F(ii)] (H) Total Resident Investment Calculation of total direct and indirect foreign investment should be made as per para of the FDI Policy Circular (May 2015) IL form Page 4 of 8

5 Industrial License IL DIPP V (B)(ii) FIPB Approval required as per Policy? VI(A) Details in respect of Company/ Firm (Indian Foreign) S.N Full Date of Address of Previou Details Locatio o. Name Registr Head s Name of n of of the ation of Office, of the earlier Unit compan the Regional comapn aprrov y and compan Offices and y, if als, if its foreign collabo rator,if any y Registered Office any any Produc t to be manufa ctured. VI(B) Details in Respect of the Directors S.N Full Present Dat Percent Present Nationa Passpor Contact o Name of the Board of Directo rs Positio n held with Date since when e of age Bir th and Perman ent address lity t No and issue of date, if any Addres s and telepho ne no. IL form Page 5 of 8

6 Industrial License IL DIPP VI(C) Details of shareholders of applicant company (all firms/ companies/ entities/ individual having shareholding more than 10% ) S.N Full o Name Parenta ge( Mother / Father ) Dat e of Bir th Perman ent Addres s Comple te Present address Present Positio n held in the compan y, if any Nationa lity(if hold dual Nationa lity, both must be clearly mentio ned) % of share held in the compan y VI(D) Details of Criminal Cases, if any, against the company/ Director (s) Selfdeclaration for company and Director (s) for whom security clearance is sought, may be uploaded in the format provided here UPLOADED DOCUMENT VII. Investment (in Rupees) EXISTING (Only positive whole numbers are allowed to be enter in the (A) Land (B) Building (C) Plant and Machinery (i) Indigenous (ii) Imported (iii) Total Plant and Machinery [(i)+(ii)] Total Investment [A + B + C (iii)] PROPOSED (Only positive whole numbers are allowed to be enter in the IL form Page 6 of 8

7 Industrial License IL DIPP VIII. Employment (Refer to Section 3 (C) (i) & (ii) of I(D&R) Act 1951) Existing( If Applicable ) (Only positive whole numbers are allowed to be enter in the PROPOSED (Only positive whole numbers are allowed to be enter in the Total (a) Supervisory (b) Non Supervisory IX. EXPECTED DATE OF COMMENCEMENT OF COMMERCIAL PRODUCTION(DDMMYYYY) Attachments Ownership Proof Memorandum of Association / Articles of Association Certificate Of Incorporation Board Resolution Certificate Other Attachments ATTACHMENT NAME UPLOADED DOCUMENT DECLARATION I/We hereby certify that the above statements are true and correct to the best of my/our knowledge and belief. DATE(DDMMYYYY) NAME PLACE DESIGNATION IL form Page 7 of 8

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