Section A

(For declaration by the Unit for Electricity Duty Exemption)

(On Company Letter head)
Application for obtaining Electricity Duty Exemption Certificate
1 Name of the Unit
2 Registered Office Address
3 Location Address of the Unit

4 STP Approval No., Date & Validity

5 Export Obligation Agreement Date
6 Green Card No. & Validity Date
7 Custom Bonding License No. &
Validity Date
8 Area of Location in Sq. feet
9 Details of the steps taken to implement
Letter of Intent/Permission Letter (i.e. first
export bill raised/first duty free purchase of
capital goods)
10 Date of Commencement of Operation
11 Period of Electricity Duty Exemption
availed by the Unit till date
12 Whether the Unit has been regularly
sending Annual Performance Report(s) in
the prescribed format to STPI?
13 Whether an applicable Annual Service
Charges paid by the unit to STPI?
14 Whether the Unit is entitled for Exemption
from payment of Electricity Duty? If yes,
give the Notification/Policy/Scheme
reference.

I/We hereby declare that statements/particulars given above are true and correct to the best of my/our
knowledge and belief. I/We also undertake that the electricity duty exemption is sought for our own use at
the STP unit location mentioned above.

I/We fully understand that Electricity Duty Exemption Certificate issued to me/us on the basis of the
statement furnished is liable to cancellation or being made ineffective, in addition to any other penalty
that the Government may impose or other consequences as may be prescribed in law or otherwise
warranted 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.

I/We also certify that I/We am/are authorized to verify and sign this statement on behalf of the applicant.

Place : ___________ Signature : ______________________

 Date : ___________ Name : ______________________
Designation : ______________________

Section B

Ref: / / / / Date:

CERTIFICATE No.: EDE/2010-11/

This is to certify that << Company Name >> , is a 100% EOU

registered under STP scheme vide our Approval Letter No. << LOP No.
>> Dated << date >> having their Registered Office at << Registered
Office Address >>

<< Company Name >>, have commenced their commercial production from
the following business address as below:

STP STP Unit Address Area of Date of Commencement of

Unit Location Commercial Production

This certificate is issued to << Company Name >> for exemption from
payment of electricity duty vide circular . -/../ - and
circular . -/../ - issued by the Industries, Energy and
Labour Dept., Government of Maharashtra.

This Electricity Duty Exemption Certificate is valid for the period of One Year from the date of issue
of this certificate OR validity of Letter of Approval ref. no. << LOP No.
>> dated << date >> OR IT & ITES Policy of 2009 dated 29.08.2009, whichever is earlier.

This certificate is issued subject to requirement of obtaining prescribed regulatory approval from all
the concerned statutory authorities in this regard and follows necessary requirements as prescribed by
the other government department.

For Software Technology Parks of India

Signature and name of the signatory with official seal of the agency

To: << Company Name >>

<< Address >>

Cc: The Chief Engineer (Electrical), Public Works Department, Govt. of Maharashtra
Administrative Building, 3rd Floor, Ramkrishna Chemburkar Marg, Chembur (E), Mumbai 400 071.