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Online Acknowledgement
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Online Filing of Entrepreneur Memorandum -1
Field marked with
*
are compulsary
Personal Information (Main applicant)
*
Applicant Name
*
Father's Name
*
Address
*
Pin Code
Telephone No.
(eg.01352520604)
Fax Number
(eg. 01352520604)
Mobile No
(without 0 or +91)
Email
(eg. amit@doiuk.org)
Website
(eg.http://www.doiuk.org)
Permanent Residential Address (Main Applicant)
(Please tick the checkbox if the Residential information is exactly same as the Personal information.)
*
Address
*
Pin Code
Telephone No.
(eg.01352520604)
Fax Number
(eg. 01352520604)
Mobile No
(without 0 or +91)
Email
(eg. amit@doiuk.org)
Website
(eg.http://www.doiuk.org)
*
Name of Proposed Enterprise
(if decided)
Proposed Location of Enterprise
*
District
--Select District--
Almora
Bageshwar
Chamoli
Champawat
Dehradun
Haridwar
Nainital
Pauri Garhwal
Pithoragarh
Rudraprayag
Tehri Garhwal
Udham Singh Nagar
Uttarkashi
*
Sub-District (Tehsil)
*
Block
*
Village/Town
Pin Code
Area
Rural (1)
Urban (2)
Category Of Enterprise
Micro (1)
Small (2)
Medium (3)
Nature of Activity
Manufacture (1)
Service (2)
Nature of Operation
Perennial (1)
Seasonal (2)
Casual (3)
Whether the unit will be an ancillary ?
Yes (1)
No (2)
Proposed Schedule of Installation of Plant & Machinery
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Type of Organisation
Proprietary
HUF
Partnership
Co-Operative
Pvt Ltd. Company
Public Ltd. Comapany
Self-Help Group
Others
Main Manufacturing/Service Activity
Product
Quantity(
per annum
)
Unit
BOTTLES
Carat
Crore Metre
CRORE NUMBER
Crore Pieces
Cubic Metre
Cylinder
Dozen
Feet
Grams
Gross
Horse Power Hour
In Rupees
Kilo Litre
Kilo Volt Amphere Hour
Kilogram
Kilometre
Kilowatt Hour
Lakh Metre
Lakh Number
Lakh Pieces
Litre
Mega Watt Hour
Metre
Metric Tonne
Million Cubic Centimeter
Million Press Strokes
Not Specified
Number
Pairs
PIECES
Quintal
Ream
SETS
SPINDLES
Square Metre
Thousand Boxes
Thousand Gross
Thousand Metre
Thousand Pieces
Thuousand Number
Thuousand Pairs
Tonne
Products
Quantity
Unit
Proposed Investment In Fixed Assets (in Rupees )
Manufacturing Sector (Plant & Machinery)
Service Sector (Equipment)
Micro Enterprises
Rs 0 - Rs 25 Lakhs
Rs 0 - Rs 10 Lakhs
Small Enterprises
Rs 25 Lakhs - Rs 5 Crore
Rs 10 Lakhs - Rs 2 Crore
Medium enterprises
Rs 5 Crore - Rs 10 Crore
Rs 2 Crore - Rs 5 Crore
*
Please enter the amount in numbers for eg if your investment is Rs 10 Lakhs. Please enter the amount as Rs. 1000000
Land
Owned-01
Rented-02
Leased-03
Approximate Value(A)
Building
Owned-01
Rented-02
Leased-03
Approximate Value(B)
Plant & Machinery (C)
(In case of Machinery enterprise)
Equipment (D)
(In case of service enterprise)
Foreign Equity (if any)(E)
Total(A+B+C+D+E)
Power Load (Anticipated)
Power Load
(H.P/K.W/K.V.A)
Unit
K.W
H.P
K.V.A
Other Source of Energy
Power Required
Source of Energy
Quantity
Unit
Coal
Tonne
Kilogram
Quintal
Oil
Kilolitres
Litres
LPG
Tonnes
Quintal
Kilogram
Electricity from Grid
Kilowatt
Megawatt
Horsepower
Kilovolt Amp.
(Per Hour)
Electricity from Generator
Kilowatt
Megawatt
Horsepower
Kilovolt Amp.
(Per Hour)
Non Conventional Energy
Kilowatt
Megawatt
Horsepower
Kilovolt Amp.
(Per Hour)
Traditional Energy
Kilowatt
Megawatt
Horsepower
Kilovolt Amp.
(Per Hour)
Firewood
Tonne
Quintal
Kilogram
Power Not Required
Power not needed
(Reason)
Expected Employment
*
Management & Office Staff
*
Supervisory
*
Workers
Entrepreneur's Profile (of all Partners/Directors)
*
Name
Gender
Male
Female
Domicile
Uttarakhand
Other
Category
SC(1)
ST(2)
OBC(3)
Others(4)
Physically Challenged(5)
Knowledge Level
Technical Graduate(1)
Management Graduate(2)
Post Graduate(3)
Other Graduate(4)
Under Graduate(5)
Any Other Level(6)
Equity Participation (in R.s)
% of Total Equity
Stake in Other Manufacturing Enterprises ?
Yes
No
Name
Gender
Category
Knowledge
Equity
%
Stake
Expected Schedule (Commencement of Production/Activity)
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022