Export Promotion Branch

Application Form for grant of 50% subsidy on space rent for

Small Scale Industries participated in the international
trade fairs / exhibitions held in India or abroad.

1. a) Name of the unit :

b) Address

Office Address :

Tel. :

Fax :

E-mail :

Mobile No. :

Factory Address :

Tel. :

Fax :

E-mail :

2. S.S.I. registration No. and Date/EM :

No. and Date
3. Products registered in S.S.I. :
registration/EM
4. Products manufactured :

5. Details of international trade :

fair/exhibition in which unit
participated.
6. i) Name of international trade
fair/exhibition
ii) Name of the Organizer :
 iii) Location :

iv) State :

v) Country :

vi) i) Period of fair/exhibition :

ii) Products exhibited :

vii) Other Information if any :

7. Whether certified copies of :

following documents are enclosed
with the application.
i) SSI registration/EM- Yes/No :

ii) Certificate regarding participation :

in international trade fair from
ITPO / concerned Export
Promotion Council / Maharashtra
State Export Promotion Council-
Yes/No

iii) Affidavit (As per Annexure A)- :

Yes/No

iv) Chartered Accountant’s Certificate :

towards expenditure on
participation by way of space
rent.- Yes/No

Place :

Date : Signature of the applicant