GKz¨BwU GÛ A›Uª¨vcÖ¨vbvikxc dvÛ (BBGd) BDwbU

evsjv‡`k e¨vsK
A›Uª¨vcÖ¨vbvikxc mv‡cvU© dvÛ (BGmGd) Gi AvIZvq Lv`¨ cÖwµqvRvZKiY I K…
wlwfwËK LvZfz³ cÖKí
¯’vc‡bi j‡ÿ¨ BGmGd F‡Yi Rb¨ Expression of Interest (EOI) |

(Av‡e`bcÎwU c~iY Kivi c~‡e© AbyMªnc~e©K ms‡hvRbx I GZ`&mswkøó MvBW jvBb-G

ewY©Z Z_¨vejx/wb‡`©kbvmg~n mZK©Zvi mv‡_ cvV Kiæb |)

1| cÖK‡íi bvg t.....................................................................................................................................

2| cÖ¯ÍvweZ cÖK‡íi D‡`¨v³v/‡kqvi†nvìvi msµvšÍ mvwe©K cwiwPwZ t

[cÖ‡Z¨K D‡`¨v³v/‡kqvi‡nvìvi/cwiPvjK Gi Rb¨ ms‡hvRbx ÔKÕ Abyhvqx Z_¨ cÖ`vb Kiæb]

3| cÖKíwU hš¿cvwZ wbf©i cÖKíwU hš¿cvwZ wbf©i bq

[cÖ‡hvR¨ N‡i wUK wPý w`b Ges MvBWjvBb †_‡K hš¿cvwZ wbf©i cÖK‡íi msÁv †R‡b wbb] |
4| cÖK‡íi cÖK…wZ(cÖvB‡fU wjwg‡UW †Kv¤úvbx)t (K) cÖ¯ÍvweZ (L) wbewÜZ
[cÖ‡hvR¨ N‡i wUK wPý w`b ]
[†Kv¤úvbxwU cÖ¯ÍvweZ (Proposed) n‡q _vK‡j Registrar of Joint Stock Companies and
Firms (RJSC) KZ…©K cÖ`Ë cÖ¯ÍvweZ †Kv¤úvbxi bv‡gi Qvoc‡Îi (Name Clearance Letter)
d‡UvKwc A_ev †Kv¤úvbxwU RJSC †Z wbewÜZ n‡q _vK‡j Certificate of Incorporation Gi
d‡UvKwc mshy³ Kiæb]
5| cÖK‡íi wbewÜZ/bv‡gi QvocÎvbyhvqx cÖ¯ÍvweZ wVKvbv
t ........................................................................................................................

..........................................................................................................................................................

6| cÖKí mvB‡Ui wVKvbv t MÖvg/gnjøv .....................................‡gŠRv

t .............................................................

LwZqvb bs t wm Gm...........GmG...........................AviGm................. weAviGm...........wmwU

Rwic............

bvgRvix .........

`vM b¤^i t wm Gm...........GmG...........................AviGm................. weAviGm...............wmwU

Rwic.....................

Dc‡Rjv/_vbv........ †Rjv........ †cvó †KvW ....... |

1
7| me©‡kl †iKW© Abyhvqx cªKí f~wgi cwiwPwZt

Rwgi cÖK…wZ/‡kÖYx Rwgi ‡gŠRv †iU Abyhvqx cÖ¯ÍvweZ gšÍe¨ (hw `

(‡hgb t bvj, †Wvev, Pvjv cwigvY(kZ cÖwZ kZvsk Rwgi f~wgi ‡gvU _v‡K)
BZ¨vw`) vsk) g~j¨ g~j¨
1 2 3 4(2X3 5
)

me© ‡gvU

8| cÖKí f~wgi gvwjKvbv msµvšÍ Z_¨ t

K) cÖK‡íi bv‡g `wjj bs t .............. L) µq m~‡Î D‡`¨v³vi bv‡g `wjj bs

t ..............

M) Iqvwik m~‡Î D‡`¨v³v‡`i bv‡g N) †iwRóvW© evqbv m~‡Î cÖK‡íi bv‡g

[cÖ‡hvR¨ Ni/Nimg~‡n wUK wPý w`b]

9| cÖKí f‚wg eb¨vgy³/eb¨v wbqš¿Y‡hvM¨ wKbv t

K) eb¨v gy³ , L) eb¨v wbqbš¿Y‡hvM¨ , M) eb¨v wbqbš¿Y‡hvM¨ bq

|
[cÖ‡hvR¨ Ni/Nimg~‡n wUK wPý w`b]
10| cÖK‡íi †hvMv‡hvM e¨e¯’v (g~j moK n‡Z cÖKí mvB‡U I GKvwaK LÛ wewkó cÖK‡íi
LÛmg~‡ni g‡a¨ ¯’jc‡_ hvZvqv‡Zi Ges gvjvgvj cwien‡bi mye¨e¯nv _vK‡Z n‡e ) t

K) ¯’j c‡_ L) †bŠ c‡_ M) Dfq c‡_

[cÖ‡hvR¨ N‡i wUK wPý w`b]
11| cÖKí f‚wgi LÛ msL¨v t
K) GK LÛ L) GKvwaK LÛ
[cÖ‡hvR¨ N‡i wUK wPý w`b]

12| cÖKí f‚wg GKvwaK L‡Û wfbœ wfbœ ¯’v‡b Aew¯’Z n‡j LÛ msL¨v Ges m‡e©v”P `~ieZx©
`yÕwU L‡Ûi g‡a¨ AvbygvwbK `~iZ¡ t

K) LÛ msL¨v..............................wU L) m‡e©v”P `~ieZx© `yÕwU L‡Ûi g‡a¨

`~iZ¡ .................................wK‡jvwgUvi

13| cÖK‡íi aiY(Drcvw`Ze¨ c‡Y¨i bvg) t

2
K) g~j cY¨ (Main Product) t
L) mnRvZ cY¨( Co-product) t
[cÖ‡hvR¨ ‡ÿ‡Î]
M) DcRvZ cY¨(By- product) t
[cÖ‡hvR¨ ‡ÿ‡Î]

14| Drcvw`Z c‡Y¨i evRvi t K) ¯ ’vbxq evRvi L) ˆe‡`wkK evRvi M) Dfq

[cÖ‡hvR¨ N‡i wUK wPý w`b]

15| cÖK‡íi A_©vqb cwiKíbv (jÿ UvKvq) t

K) ‡gvU cÖKí e¨q(100%) t

L) D‡`¨v³vi GKz¨BwU( †gvU cÖKí e¨‡qi b~¨bZg 51%)t

M) BGmGd mnvqZvi (F‡Yi) cwigvY (‡gvU e¨‡qi m‡e©v”P 49%)t

16| EOI Form `vwL‡ji Rb¨ wd (A‡diZ‡hvM¨) cÖ`vb msµvšÍ Z_¨ t

e¨vsK WªvdU/‡c-AW©vi bs..................................................... ............ZvwiL

t ....................................

UvKvi cwigvY As‡K 5000/- K_vq cuvP nvRvi UvKv |

e¨vs‡Ki bvg ................................................................................................................................

kvLvi bvg ..................................................................................................................................

Avwg G g‡g© †NvlYv KiwQ †h, µwgK bs 1 -16 †Z ewY©Z Z_¨vw` mwVK I wbfz©j|
Av‡e`bc‡Î ewY©Z AÎ cÖK‡íi D‡`¨v³v/cwiPvjK/‡kqvi‡nvìviM‡Yi †KD BGmGd/BBGd n‡Z
gÄywicÖvß ev Av‡e`bK…Z Lv`¨cÖwµqvRvZKiY I K…wlwfwËK Ges AvBwmwU LvZfz³ Ab¨
‡Kvb cÖK‡íi D‡`¨v³v/cwiPvjK/‡kqvi‡nvìvi wn‡m‡e AšÍfz©³ †bB| cÖ`Ë Z_¨ AmZ¨ ev wg_¨v
cÖgvwYZ n‡j Z`&wecix‡Z KZ©„cÿ KZ…©K M„nxZ †h †Kvb wm×všÍ †g‡b wb‡Z eva¨ _vKe|

ZvwiL t ¯^vÿi t
bvg t
c`ex t e¨e¯’vcbv cwiPvjK/‡Pqvig¨vb
‡Kv¤úvbxi bvg t
‡hvMv‡hv‡Mi wVKvbv t
‡Uwj‡dvb b¤^i t
†gvevBj b¤^i t
B-‡gBj t
3
wet `ªt Am¤ú~Y©/ÎæwUc~Y©/wg_¨v ev fzj Z_¨ m¤^wjZ Av‡e`b mivmwi evwZj e‡j MY¨ n‡e|

4
 17| cÖK‡íi cwiPvjK/†kqvi†nvìviM‡Yi †hvMv‡hvM msµvšÍ (Contact Person)
cwiwPwZg~jK Z_¨vejx (Avewk¨Kfv‡e c~iY Ki‡Z n‡e) t
1 Kwc cvm‡cvU©
1 Kwc cvm‡cvU©
AvKv‡ii iwOb Qwe
AvKv‡ii iwOb Qwe
AvVv w`‡q jvMv‡Z n‡e
AvVv w`‡q jvMv‡Z n‡e

¯^vÿi: ............................................................. ¯^vÿi: .............................................................

bvg: ................................................................
†Kv¤úvbx‡Z c`ex: e¨e¯’vcbv cwiPvjK
*RvZxq cwiPqcÎ/ cvm‡cvU© Gi
b¤^i :...............................................................
‡Uwj‡dvb
b¤^i : .................................................
‡gvevBj
b¤^i : ...................................................
B-‡gBj : .......................................................... mshy³ Kiæb]
18| cÖK‡íi cwiPvjK/‡kqvi‡nvìviM‡Yi cwiev‡ii m`m¨ m¤úwK©Z Z_¨vejx t
bvg: ................................................................
†Kv¤úvbx‡Z c`ex: ‡Pqvig¨vb/cwiPvjK
*RvZxq cwiPqcÎ/ cvm‡cvU© Gi
b¤^i :...............................................................
‡Uwj‡dvb b¤^i : .................................................
‡gvevBj b¤^i : ...................................................
B-‡gBj : ..........................................................
*[cÖ‡hvR¨wU‡Z wUK wPý w`b Ges d‡UvKwc

[ ms‡hvRbx ÔLÕ Abyhvqx †Kv¤úvbxi cÖ‡Z¨K cwiPvjK/†kqvi‡nvìvi‡K c„_K c„_K fv‡e

GZ`&msµvšÍ Z_¨ cÖ`vb Ki‡Z n‡e]

5
 ms‡hvRbx ÔKÕ

GK Kwc cvm‡cvU©
AvKv‡ii iwOb Qwe AvVv
w`‡q jvMv‡Z n‡e

bvg t
wcZvi bvg t
gvZvi bvgt
¯^vgxi bvg t
¯¿xi bvgt
‡Kv¤úvbx‡Z c`ex t
RvZxq cwiPqcÎ b¤^it
cvm‡cvU© b¤^it
Rb¥ mb` b¤^it
B-wUAvBGb b¤^it
Rb¥ ZvwiL t
RvZxqZvt
wkÿvMZ †hvM¨Zv t
eZ©gvb wVKvbv t
K) ‡ivW/MÖvgt
L) _vbv/Dc‡Rjvt
M) †Rjv t
¯’vqx wVKvbv t
K) ‡ivW/MÖvgt
L) _vbv/Dc‡Rjvt
M) †Rjv t
‡gvevBj b¤^i t
‡Uwj‡dvb b¤^i t
†Kv¤úvbx‡Z ‡kqvi avi‡Yi kZKiv nvi (‡gvU †kqv‡ii 80% Gi AwaK bq) t
cÖKí mswkøó Kv‡Ri AwfÁZv (eQ‡i) t
¯^vÿit

6
 ms‡hvRbx ÔLÕ

cÖK‡íi cwiPvjK/‡kqvi‡nvìviM‡Yi cwiev‡ii m`m¨ m¤úwK©Z Z_¨vejx

K) cwiPvjK/†kqvi‡nvìv‡ii bvg t
L) wcZvi bvg t
M) gvZvi bvg t
N) ¯^vgx/¯¿xi bvgt .

cyÎ-Kb¨v‡`i cwiwPwZ t (GKvwaK n‡j cÖ‡Z¨‡Ki wb¤œiƒc Z_¨ c„_Kfv‡e c~iY Kiæb)
1) bvg t
cwiPvjK/†kqvi‡nvìv‡ii mv‡_ m¤úK© t
Rb¥ ZvwiL t
RvZxq cwiPqc‡Îi b¤^i t
cvm‡cvU© b¤^i t
Rb¥ wbeÜb mb` b¤^i t

fvB-‡evb‡`i cwiwPwZ t (GKvwaK n‡j cÖ‡Z¨‡Ki wb¤œiƒc Z_¨ c„_Kfv‡e c~iY Kiæb)
bvg t
cwiPvjK/†kqvi‡nvìv‡ii mv‡_ m¤úK© t
Rb¥ ZvwiL t
RvZxq cwiPqc‡Îi b¤^i t
cvm‡cvU© b¤^i t
Rb¥ wbeÜb mb` b¤^i t

wbf©ikxj e¨w³/e¨w³e‡M©i cwiwPwZ t (GKvwaK n‡j cÖ‡Z¨‡Ki wb¤œiƒc Z_¨ c„_Kfv‡e c~iY
Kiæb)
bvg t
cwiPvjK/†kqvi‡nvìv‡ii mv‡_ m¤úK© t
Rb¥ ZvwiL t
RvZxq cwiPqc‡Îi b¤^i t
cvm‡cvU© b¤^i t
Rb¥ wbeÜb mb` b¤^i t

Avwg G g‡g© †NvlYv KiwQ †h, Avgvi ¯^vgx/¯¿x, gvZv-wcZv, cyÎ-Kb¨v, fvB-‡evb ev
Avgvi Dci wbf©ikxj †Kvb e¨w³ BBGd/BGmGd Gi Lv`¨cÖwµqvRvZKiY I K…wlwfwËK Ges
AvBwmwU Lv‡Z gÄywicÖvß Ab¨ ‡Kvb cÖK‡í cwiPvjK/‡kqvi‡nvìvi wn‡m‡e AšÍfz©³ †bB Ges
Avwg Qvov Ab¨ †KD Av‡jvP¨ cÖKí e¨ZxZ Ab¨ ‡Kvb cÖK‡í BGmGd mnvqZvi Rb¨ Av‡e`b
K‡ibwb|

ZvwiL t
D‡`¨v³v/cwiPvjK/‡kqvi‡nvìv‡ii ¯^vÿi
7