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APPENDIX-14 A
APPLICATION FOR SETTING UP EOUs or UNITS IN EXPORT PROCESSING ZONE /SEZ
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Note:     1.   Please see Para 6.2(a), 6.2(c) and 7.7 of this Handbook.
2.   Please read the general instructions given in EXIM Policy 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  address and will not be considered.
INDICATE WHETHER FOR
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AUTOMATIC APPROVAL      OR        BOARD OF APPROVAL
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The application should be submitted to the Development Commissioner of the concerned Export Processing Zone/ Special Economic Zone (for setting up units in EPZ / SEZ/Export Oriented Units) in 3 copies alongwith a crossed Demand Draft of Rs.9,000/- drawn in favour of the Pay & Accounts Officer, Ministry of Commerce & Industry, Department of Commerce, payable at the Central Bank of India, Udyog Bhavan, New Delhi.
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For Official Use only
Application No.              ______________________________
Date :                  ______________________________
                   Date__________Month____________Year __________
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Details of Bank Draft
Amount Rs.         ___________________
Draft No.          ___________________
Draft date         ___________________
Drawn on           ___________________
                   (Name of the Bank)
Payable at         ____________________
I.   NAME AND ADDRESS OF THE  
     UNDERTAKING IN FULL (Block Letters)
     Name of the Applicant Firm        _________________________________
     Full Address                 _________________________________
     (Regd.Office in case of limited   _________________________________
     Companies & Head Office for       _________________________________
     Others                       _________________________________
Pin Code                      _________________________________
     Tel. No.                     _________________________________
     Fax No.                      _________________________________
e-Mail No.                         _________________________________
     Income Tax PAN No.           _________________________________
II.  NATURE OF THE APPLICANT FIRM:
     [Please tick (√ ) the appropriate entry]
Government Undertaking/Public Limited Company/Private Limited Company/Proprietor ship/Partnership/Others (please specify)
Note:-Copy of certificate of incorporation along with Article of Association and Memorandum in case of companies and partnership deed in case of partnership firms may please be attached.
III. INDICATE WHETHER THIS PROPOSAL IS FOR
     [Please tick (√) the appropriate entry].
Establishment of a New Undertaking 
-    Manufacturing  [    ]
-    Services        [    ]
Effecting Substantial Expansion
Manufacturing of New product
Conversion of  (i) existing DTA unit into EOU 
          (ii)existing STP/EHTP to EOU/EPZ/SEZ
(in case of conversion, please attach fact sheet as per Annexure)
IV.  (1)  Location of the proposed undertaking
          Full Address  __________________________
          Pin code        __________________________
(2)    ONLY FOR PROJECTS UNDER EOU SCHEME 
(In case the unit is proposed to be located on leased premises, then lease should be obtained from Government or any undertaking / authority of Government)
(a)  Please indicate if the proposed location is in a Centrally Notified Backward Area [Please tick (√) the appropriate entry].
No. ______________Yes_________________ If yes, indicate category
(b)  Indicate whether it is within 25 kms from the periphery of the standard urban area limit of city having population above one million according to 1991 census.
Yes_____________ No. __________________
(c)  Is it located in an Industrial Area/Estate designated/set up prior to issuance of Notification No. 477(E) dated 25th July,1991.
Yes_____________No. _____________
(d)  If not, does it come under the category of non-polluting industries as notified by the Govt.
Yes ___________ No. _______________
V.   ITEM(S) OF MANUFACTURE/SERVICE: (Including By-product/Co-products) (If necessary, additional sheets may be attached )
Item(s) Description   Capacity(Unit=) Item Code(ITC HS Code No.)                       Not required for 
   service unit)
________________   ________________   _______________________
________________   ________________   _______________________
________________   ________________   _______________________
VI.PRODUCTION (In case of more than one item, supplementary sheets may be used)
          Quantity (Unit __________)    (Value (In Rupees)
              Not required for service unit)
     1st year           ___________________ __________________
2nd year           ___________________ __________________
     3rd year           ___________________ __________________
     4th year           ___________________ __________________
     5th year           ___________________ __________________
VII. Indigenous Requirement:
(Value in Rupees)
a)   Capital Goods                         
b)   Raw material, components, consumables,
     packing material, fuel etc. during the
     period of 5 years
     TOTAL:                            ------------------------
                                      ------------------------     
VIII.     FOB VALUE OF EXPORTS
                                                                                                                 (1 $ = Rs.)
                  Rupees (lakhs)       US $ (Thousand)
| 1st year | |
| 2nd year | |
| 3rd year | |
| 4th year | |
| 5th year | |
| Total: | 
IX.  INVESTMENT:
                                  (RS. IN LAKHS)
(a)  Land                    ________________________
(b)  Building                ________________________
(c)  Plant and Machinery     ________________________
     (I)  Indigenous         ________________________
                                 (US $ Thousand)
     (ii) Import CIF value   ________________________
     (iii)Total (I) + ii)    ________________________
X.   WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED 
     (Please tick ( \/ ) the appropriate entry )
     Yes ____________             No_____________
(I)         Name and Address of foreign collaborator ___________
     (ii) Terms of collaboration            (Rupees lakhs)
                                  (Gross of Taxes)
     (a)  Lumpsum payment              _____________________
     (b)  Design & Drawing fee         _____________________
     (c)  Payment to foreign technician     _____________________                                                   
     (d)  Royalty (on exports )        _____________________%
     (e)  Royalty (on DTA sales if envisaged)_________________
     (f)  Duration of agreement   ________________(No.of years)
XI.  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
(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)
                                               In Rs./In Th
                                               Lakhs / US$
| XII. | FOB value of  Exports in first  Five years | |||||||
| XIII. | Foreign Exchange  outgo on | |||||||
| (I) | Import of  machinery | |||||||
| (ii) | Import of raw  materials and components | |||||||
| (iii | Import of spares  and consumables | |||||||
| (iv) | Repatriation of dividends and  profits to  foreign collaborators | |||||||
| (v) | Royalty | |||||||
| (vi) | Lump sum know- how fee | |||||||
| (vii) | Design and  drawing fee | |||||||
| (viii) | Payment of  foreign  technicians | |||||||
| (ix) | Payment on training of  Indian  technicians  abroad | |||||||
| (x) | Commission on  Export etc. | |||||||
| (xi) | Foreign Travel | |||||||
| (xii) | Amount of  interest to be  paid on  external  commercial  borrowing/ deferred  payment credit (specify  details) | |||||||
| (xiii) | Any other  payments (specify  details) | |||||||
| Total   (i)to(xiii) | ||||||||
| Net Foreign  Exchange earnings in five years | ||||||||
XIV. REJECTS(only for EOU/EPZ manufacturing units).
     Generation of  Rejects/Sub-standard ______________________
     goods of the finished              ______________________
     (percentage of 5 yrs production)
     Goods (In case rejects are more                 (Qty.(Unit =    )
     than 5% estimated percentage       ______________________
     with justification may be given     ______________________
                                      Value (Rs. Lacs)
XV.  EMPLOYMENT
                                      (All figures in number )
     Existing                                   Proposed
     --------------                             --------------
     a)   Supervisory   Men_____________   Women____________       
     b)   Non-supervisory Men_____________  Women_____________
XVI. NET FOREIGN EXCHANGE EARNING AS A PERCENTAGE OF EXPORTS/NFE
                                                Percentage
     Average NFE/NFEP on  FOB value of exports in    _________
5 years                                    _________
XVII.     MARKETING
     a)   Whether marketing tie-up/Buy-back ______________
          envisaged/finalized?(Attach documents,___________
          if any)                          Yes            No
                                      G. C. A.  R. P . A.
     b)   Destination of exports(in percentage)_______    ________
                                             _______ ________
                                                                                                             XVIII     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 EOU/_____________
          EPZ/ STP/EHTP/SEZ 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 the  _________________
          partners/Directors who are also partners______________
          /Directors of another company or its
          associate concerns are being proceeded 
against or 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/
Custom/Central Excise Act.
Place:_________         Signature of the Applicant ____________
Date :________          Name in Block Letters  ________________
                        Designation        _________________
Official Seal/Stamp_________________Tel. No.    _________________
e-mail        _________________
Full Residential Address____________
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.  An affidavit duly sworn in support of the above information is enclosed.
Place:_________         Signature of the Applicant ____________
Date :________          Name in Block Letters  ________________
                        Designation        _________________
Official Seal/Stamp_________________Tel. No.    _________________
e-mail        _________________
Full Residential Address____________
SOME IMPORTANT GUIDELINES    
1.   Additional Information may be furnished by existing domestic units seeking conversion into the EOU/EPZ/SEZ Scheme as per annexure.
2.   Normally raw material tie-ups are not insisted upon but this may be necessary incases, such as granite products where availability of raw materials is contingent upon Government leases etc.
3.   Normally lumps sum amount up to 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/ EPZ/ SEZ SCHEME
| a) | Whether conversion of DTA Unit into the EOU/EPZ/SEZ 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/EPZ/SEZ 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/EPZ/SEZ. (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/EPZ/SEZ 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). | 
Date____________Signature_____________ Name ___________________
Place __________Address of the Applicant
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