Part I

Government of Tamilnadu
Department of Industries and Commerce
jäH¦ehL muR
bjhêy¦ tâf¤ Jiw

APPLICATION FORM
FOR FINANCIAL ASSISTANCE UNDER
THE NEW ENTREPRENEUR -CUM- ENTERPRISE DEVELOPMENT SCHEME (NEEDS)
òÂa bjhêš Kidnth® k‰W« bjhêš ãWtd nk«gh£L¤ £l¤Â‹ (NEEDS)
Ñœ ãÂÍjé bgWtj‰fhd é©z¥g«

PLEASE AFFIX
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(rÛg¤Âš vL¡f¥g£l
gh°ngh®£ msÎ
òif¥gl« x£lΫ)

1. Name of the applicant in Block letters

tpz;zg;gjhuhpd; bgah; bghpa vGj;Jf;fspy;

2. Father’s / Spouse’s Name : jfg;gdhh; /fztd; / kidtpapd; bgah;

3. Gender : ghypdk; Male / Mz; Female / bgz; Transgender / jpUe=;ifah;

4. a. Are you Married? / jh=;fs; jpUkzk; Mdtuh> Yes/ M« No/ Ïšiy

b. Are you a Differently Abled person?
Yes/ M« No/ Ïšiy
jh=;fs; xU khw;Wj; jpwdhspah>
c. Are you an Ex-serviceman?
Yes/ M« No/ Ïšiy
jh=;fs; xU Kd;dhs; uhQtj;jpduh>
5. a. Date of Birth D D M M Y Y Y Y
gpwe;j njjp

b. Age on the date of application: Years Month

tpz;zg;gpf;Fk; ehs; md;W taJ taJ khjk;

6. Community / tFg;g[
SC ST BC MBC Minority Differently Ex- Service General
M gH§ Ãw¦g£l äfΫ ÁWgh‹ik Abled man bghJ
Âuhél® Foæd® tF¥Ãd® Ãw¦g£l æd® kh‰W¤ K‹dhŸ Ãçéd®
tF¥Ãd® ÂwdhëfŸ uhQt¤Âd®

7. Particulars of Educational Qualifications: fy;tpj; jFjp Fwpj;j tptu=;fs;

Educational Qualification Course Details Year of Passing

fy;tpj; jFjp go¥ò étu§fŸ nj®¢Á bgw¦w M©L
i. Graduate / Post Graduate Degree
Ïs§fiy /KJfiy¥ g£l¥ go¥ò

ii. Diploma
g£la¥ go¥ò

iii. Certificate obtained from ITI /

Vocational Training from recognized
Institutions.
IoI / m§Ñfç¡f¥g£l gæw¦Á
ãWtd§fs¦ _y« bgw¥g£l
bjhêš gæ‰Á rhd¦¿jH¦

8. a. Whether undergone any Entrepreneur Development

Training Programme? Yes/ No/
Ïj‰F K‹ bjhêš Kidnth® nk«gh£L¥ M« Ïšiy
gæ‰Á bgw¦Ws¦shuh?
b. If yes, give details. M« våš mj‹ égu«
Period of training
Name of the Course Name & Address of Training Institute gæ‰Á fhy«
gæ‰Áæ‹ bga® gæ‰Á ãWtd¤Â‹ bga® & Kftç From To
Kjš tiu

9. Employment Details: ntiy égu«

a. Self: é©z¥gjhu®
i. Whether the applicant is presently employed ? Yes/ No/
é©z¥gjhu® j‰nghJ ntiyæš ÏU¥gtuh? M« Ïšiy
ii. If yes, give details. M« våš égu§fŸ
iii. If No, whether registered with Employment Registration No. Date
Exchange? (Give registration No & Date) gÂÎ v© ehŸ
Ïšiybaåš ntiy thŒ¥ò mYtyf¤Âš
gÂÎ brŒJŸs gÂÎ v© k‰W« ehŸ

2
 b. Occupation of Father/Spouse
jªij/ fzt®/kidé brŒJ tU« ntiy
c. Whether any one in your family is self employed ?
j§fŸ FL«g cW¥Ãd®fëš vtnuD« Yes/ No/
M« Ïšiy
Ra bjhêš bra¦J tU»‹whuh ?
d. If yes, give details. M« våš mj‹ égu«
10. Communication Details / bjhlh;g[ tptu=;fs; :
a. Residential Address: ÏU¥Ãl Kftç
D.No/Street:
fjÎ v©

Village/Town:
»uhk«/efu«

Block:
x‹¿a«

Taluk:
t£l«

District:
kht£l«
Pin Code:
mŠryf F¿p£L v©

b. Email Id
ä‹dŠrš Kftç
c. Mobile No
ifngÁ v©
11. whether residing in the above address for at least 3 years
Yes/ No/
nk‰F¿¥Ã£l Kftçæš flªj _‹W M©Lfshf M« Ïšiy
bjhl®ªJ tÁ¤J tU»Ö®fsh ?
12. a. Name of the activity proposed to be established :
Jt§f c¤njÁ¤Js¦s bjhêš
b. Whether Manufacturing/Service activity :
c‰g¤Â ãWtd« my¦yJ nrit ãWtd«
c. Address of proposed location of Enterprise :
bjhêš Jt§f c¤njÁ¤Js¦s Ïl¤Â‹ KG éyhr«
D.No/Street:
fjÎ v©

Village/Town:
»uhk«/efu«

Block:
x‹¿a«

Taluk:
t£l«

District:
kht£l«
Pin Code:
mŠryf F¿p£L v©

d. Entrepreneur Memorandum (Part I) No obtained from District Industries Centre

khtl;l bjhHpy; ikaj;jpy; ,Ue;J bgwg;gl;l bjhHpy; Kidnthh; gjptwpf;if (ghfk; 1) vz;.
No. 3 3 Part I

Date of Issue

3
13. Previous experience if any. :
K‹ mDgt« VJäU¥Ã‹ mj‹ égu«
14. Project Outlay: £l KjÄL

Means of finance (In Lakh Rs)

Project ã Mjhu« (%.y£r¤Âš)
Cost
Sl.No Item (In Lakh Rs) Own Govt.
contrib Bank Subsidy
t.v© égu«
Total
£l bjhif -ution Loan @ 25%
(%.y£r¤Âš) t§» bkh¤j«
brhªj muR
KjÄL fl‹ khåa«
Land
1.
ãy«
Building
2.
f£ol«
Machinery or Equipment
3.
ÏaªÂu jsthl§fŸ
Margin Money for working
Capital
4. eilKiw _yjd¤Â‰fhd
éë«ò¤bjhif
Preliminary & Pre-operative
5. expenses
Mu«g f£l bryéd§fŸ
Other expenses (Technical
know-how extra)
6. ,ju bryt[fs; (bjhHpy;El;g
Mnyhrid bryt[fs; nghd;wit)
Total
bkh¤j«
15. a. Whether availed loan under any Central / State Government
subsidy linked loan schemes? Yes/ No/
Ïjw¦F Kd¦ k¤Âa / khãy muÁ‹ khåa¤Jld¦ Toa M« Ïšiy
fld¦ bgw¦wtuh?
b. If yes details of the loan obtained .
M« våy¦ mt¦thW bgw¥g£l fl‹ égu§fŸ

Name of the Loan Amount

Name of Name of Subsidy Year of
scheme received
activity Bank Branch amount Sanction
fld¦ ( in Rs)
£l¤Âd¦ t§» kw¦W« kh‹a mDk¡f¥g£l
£l¤Âd¦ bgw¥ g£l
bga® »is bga®¦ bjhif M©L
bga® fld¦ bjhif

I certify that all the informations furnished by me are true; and I have not availed any financial
assistance from banks under any subsidy linked scheme of Central/State Government for
establishing any enterprise.
nkny Tw¥g£l étu§fŸ mid¤J« c©ikahdit vdΫ eh‹ bjhêš ãWtd§fis
ãWé el¤j k¤Âa k‰W« khãy muÁd¦ khåa¤Jl‹ Toa flDjé VJ« t§» _y«
bgwéšiy vdΫ rh‹wë¡»nw‹.

Date : Signature of the applicant

ehŸ é©z¥gjhuç‹ ifba¥g«

4
 Part II
For Office Use Only

Recommendations of the General Manager, District Industries Centre

As per the information provided by the entrepreneur in the application and by

verification of the documents produced by the entrepreneur as well as by conducting personal
inspection of the residence of the entrepreneur, it has been ascertained that the entrepreneur is

i) a first Generation entrepreneur Yes/No

ii) a resident of the place mentioned in Col.10 for not less Yes/No
than 3 years.
iii) aged above 21 years and not completed 35 years for Yes/No
General Category (45 years for Special Category)
iv) He / She possess the minimum Educational Yes/No
Qualifications required
v) He / She has not availed any financial assistance Yes/No
from banks under any subsidy linked scheme of
Central / State Government

Hence he/she is tentatively considered eligible for availing assistance under NEEDS
Scheme. His/her the application is recommended for placing before the District Level Task
Force Committee.
Or
The application is rejected for the reasons mentioned below.

1.
2.
3.

Date :

Signature of the General Manager

District Industries Centre

5
 Part III
For Office Use Only
Recommendations of the Task Force Selection Committee
Name of the applicant
Application No:
Date of Task Force Selection
Committee
Name of activity
Whether Manufacturing or
Service activity
Bank
Recommended to
Branch
Project Cost

Break-up of the Recommended Project Cost

Means of finance (In Lakh Rs)
Project
Sl.No Item Cost Own Govt.
Bank Subsidy
(In Lakh Rs) contrib Total
Loan @ 25%
-ution
1. Land

2. Building

3. Machinery / Equipment

Margin Money for working

4. Capital

Preliminary & Pre-operative

5. expenses
Other expenses (Technical
6. know-how)

Total

Signature of Task Force Selection Committee members

District Employment
Lead Bank Manager
Officer
Branch Manager TIIC District Manager,
TAHDCO
Branch Manager, SIDCO Representative of
MSME-DI
Branch Manager, Representative of EDI
……………….............. Bank
Branch Manager, Representative of District
……………................. Bank MSME Association
Convenor - General Manager Chairman -
District Industries Centre District Collector

6
THE NEW ENTREPRENEUR -CUM- ENTERPRISE DEVELOPMENT SCHEME (NEEDS)
òÂa bjhêš Kidnth® k‰W« bjhêš ãWtd nk«gh£L¤ £l« (NEEDS)
Instructions to Applicants / é©z¥gjhu®fS¡fhd éÂKiwfs¦
The applicant should have completed minimum 21 years but
1. Age
should not have completed 35 years for General Category and
taJ tu«ò 45 years for Special Category of Entrepreneurs on the date of
application.
é©z¥gjhu® é©z¥Ã¡F« nj md¦W 21 taJ
Kotilªj tuhfΫ, bghJ¥Ãçédiu rh®ªjtuhf ÏU¥Ãd¦
35 taÂw¦F äfhj tuhfΫ Áw¥ò¥Ãçédiu¢ rh®ªjtuhf
ÏU¥Ãd¦ 45 taÂw¦F äfhjtuhfΫ ÏU¤jy¦ nt©L«.
Women/ SC/ST/BC/ MBC/ Minorities/ Ex-Servicemen/Trans
2. Special Category of genders/ differently abled persons.
Entrepreneurs kfë®/M Âuhél® / gH§Foæd® / Ãw¦g£l tF¥Ãd®/ äfΫ
Áw¥ò ÃçÎ bjhêy¦ Kidnth® Ãw¦g£l tF¥Ãd® / ÁWghd¦ikæd® / Kd¦dhs¦ uhQt¤Âd® /
ÂUe§ifa® /khw¦W¤ Âwdhëfs¦.

3. Academic Qualification Degree, Diploma, ITI / Vocational Training from recognized

Institutions.
fy¦é¤ jFÂ
g£l¥ go¥ò, g£la¥ go¥ò, ITI / m§Ñfç¡f¥g£l gæw¦Á
ãWtd§fs¦ _y« bgw¥g£l bjhêš gæ‰Á .

4. Place of residence The applicant should be a resident of Tamil Nadu State for not
less than 3 years.
tÁ¥Ãl«
é©z¥gjhu® jäH¦ eh£oy¦ flªj _‹W M©Lfshf
bjhl®ªJ tÁ¥gtuhf ÏU¡f nt©L«.

5. Eligible activities All economically viable manufacturing and service activities

jFÂÍs¦s bjhêy¦fs¦ (except those activities mentioned in Annexure I)
Ïyhgfukhf bray¦gL¤j¤ j¡f mid¤J cw¦g¤Â kw¦W«
nrit¤ bjhêy¦fs¦(Ïiz¥ò-1 Ïy¦ F¿¥Ãl¥g£Ls¦s
bjhêy¦fs¦ jéu)

6. Project Cost 1. Above Rs.5.00 Lakhs and not exceeding Rs.1.00 Crore.
£l kÂ¥ÕL %.5.00 y£r¤Â‰F nkš %.1.00 nfho¡F äfhky¦
£l kÂ¥ÕL ÏU¡f nt©L«.
2. The entrepreneur has to meet the cost of land,
rented/leased building, Technical know-how, Preliminary
& pre-operative expenses, Working capital margin etc.,
from his/her own funds
bjhêš Kidnth® ãy« thlif/F¤jifæy¦Ïa§¦» tU«
f£ol¤Âd¦ kÂ¥ò/ bjhêš E£g Mnyhrid¡fhd bryÎ,
eilKiw _yjd¤Â‰fhd éë«ò¤ bjhif kw¦W« Mu«g f£l
bryéd§fŸ Ïitmid¤ijÍ« jkJ brhªj bryéy¦
nk‰bfhŸs nt©L«.
3. Cost of the land may be included in the Project cost at
guideline value or market value, prevailing as on the date
of filing loan application, whichever is lower.
ãy¤Â‹ kÂ¥ò fl‹ é©z¥g« rk®¥Ã¡F« njÂæš muR
ã®za« brŒj kÂ¥ngh (m) rªij kÂ¥ngh Ïš vJ Fiwthf
cŸsnjh mij £lkÂ¥Ãy¦ nr®¤J¡ bfhŸsyh«.

10% of the Project Cost -for General Category

7. Promoters' Contribution
bghJ¥ÃçédU¡F £l kÂ¥Õ£oš 10%
bjhêy¦ Kidnthçd¦ KjÄL
5% of the Project Cost - for Special Category
Áw¥ò¥ÃçédU¡F £l kÂ¥Õ£oš 5%
8. Subsidy from Government 25% of the Project Cost subject to a ceiling of Rs.25.00 Lakhs.
muR _y« tH§f¥gL« £l kÂ¥Õ£oy¦ 25% mÂf g£rkhf %. 25.00 Ïy£r« tiu.
khåa cjé
9. Items eligible for Cost of land to be purchased anew in the name of the
subsidy Beneficiary or Enterprise , Cost of Building to be
khåa cjé bgw purchased/constructed and cost of Plant, Machinery &
jFÂÍila KjÄLfs¦ Equipments
é©z¥gjhuçd¦ bgaçnyh my¦yJ ãWtd¤Âd¦ bgaçy¦ òÂjhf
th§f¥gL« ãy¤Âd¦ kÂ¥ò, òÂjhf th§f¥glÎs¦s /f£l¥glÎs¦s
bjhêw¦Tl« kw¦W« , òÂjhf th§f¥glÎs¦s ÏaªÂu§¦fs¦
jsthl§fs¦ kw¦W« cgfuz§fëd¦ kÂ¥ò.

10. Items not eligible for The cost of rented/leased building, Technical know-how,
subsidy Preliminary & pre-operative expenses, Working capital margin
khåa cjé bgw etc., cost of second-hand machinery (except imported second-
jFÂæy¦yhj KjÄLfs¦ hand machinery directly imported by the entrepreneur)
thlif/F¤jifæy¦ Ïa§» tU« bjhêw¦Tl f£ol¤Âd¦ kÂ¥ò/
bjhêš E£g Mnyhrid¡fhd bryÎ, eilKiw _yjd¤Â‰fhd
éë«ò¤ bjhif kw¦W« Mu«g f£l bryéd§¦fŸ giHa ÏaªÂu§fs¦
(bjhêy¦ Kidnthuhy¦ neuoahf Ïw¡Fk bra¦a¥g£l giHa
ÏaªÂu§fs¦ jéu)

11. EDP Training Selected applicants have to undergo a compulsory EDP

bjhêy¦Kidnth® Training programme for one month.
nk«gh£L¥ gæw¦Á
flDjtp bgw njh;t[ bra;ag;gl;l tpz;zg;gjhuh; xU khj
bjhHpy; Kidnthh; nkk;ghl;L gapw;rp fl;lhakhf bgw ntz;Lk;.
12. Eligibility of One or more entrepreneurs can jointly establish Partnership
Partnership firms Enterprise under this scheme provided all the partners satisfy
g§Fjhu® ãWtd§fëd¦¦ the eligibility criteria. However, EDP training will be provided to
jFÂ only one of the partners authorized by other partners in such
cases.
Xd¦W¡F nkw¦g£l bjhêy¦ Kidnth® T£lhf nr®ªJ
g§Fjhu® ãWtd§fs¦ mik¡f Ϥ£l¤Âd¦ ÑH¦ cjé
bgwyh«. mt¦thW cjé bgw mid¤J¤ bjhêy¦ KidnthU«
Ϥ £l¤Âd¦ ÑH¦ cjé bgw jFÂbgw¦wtuhf ÏU¤jy¦
nt©L«. våD« Ïju g§Fjhu®fSila r«kj¤Jld¦ xU
g§FjhuU¡F k£Lnk bjhêy¦ Kidnth® nk«gh£L¥ gæw¦Á
më¡f¥gL«.

13. Ineligible Applicants The following Entrepreneurs will not be eligible under the
jFÂ bgwh scheme
é©z¥gjhu®fs¦ 1. Who have already availed assistance under PMRY, REGP,
PMEGP, UYEGP, TAHDCO or any other scheme of
Government of India or State Government.
2. Who have availed loan for economic activity
under SHG/other group activity.
3. The applicant should not be a defaulter to any Commercial
Bank / TIIC
ÑH¦¡fhQ« bjhêy¦ Kidnth® Ϥ£l¤Âd¦ ÑH¦ ãÂÍjé
bgw jFÂaw¦wtuht®.
1. k¤Âa kw¦W« khãy muR _y« bray¦ gL¤j¥g£L tU«
PMRY, REGP, PMEGP, UYEGP, TAHDCO nghd¦w
ãÂÍjé £l§fs¦ _y« gadilªjt®fs¦.
2. Racjé¡FG/ Ïju FGk £l§fs¦ _y« bghUshjhu
bray¦ghLfS¡ fhf fld¦ bgw¦wt®.
3. t§»fs¦ /jäH¦ehL bjhêy¦ KjÄ£L fHf« _y« Vw¦fdnt
flDjé bgw¦W flid ÂU¥Ã¡f£l jt¿at®fs¦.

2
14. List of documents to Application is to be submitted in Duplicate with copies of the
be enclosed with the following documents
application é©z¥g« Ïu©L efy¦fëy¦ ÑH¦¡f©l Mtz§fSld¦
é©z¥g¤Jld¦ Ïiz¡f rk®¥Ã¡f¥gl nt©L«.
nt©oa Mtz§fëd¦
1. Proof of Age-Copy of birth certificate or Transfer Certificate
g£oay¦
from School/ College.
taÂw¦fhd m¤jh£Á / Mjhu« - Ãw¥ò rhd¦¿jêd¦ efy¦
my¦yJ gs¦ë kw¦W« fy¦Yhç khw¦W rhd¦¿jH¦
2. Proof of Residence i.e., Copy of Ration Card or Residence
Certificate obtained from Tahsildar.
ÏU¥Ãl m¤jh£Á - FL«g m£il efy¦ my¦yJ
t£lh£ÁaçläUªJ bgw¥g£l ÏU¥Ãl rhd¦¿jH¦
3. Copy of Degree/Diploma/Certificate Course Completion
Certificate
g£l / g£la¥ go¥ò/ m§Ñfç¡f¥g£l gæw¦Á ãWtd§¦fs¦
_y« bgw¥g£l bjhêš gæ‰Á rhd¦¿jêd¦ efy¦
4. Community Certificate rh rhd¦¿jH¦
5. Certificate in proof Ex-servicemen, Differently-abled,
Transgender, where ever applicable.
Kd¦dhs¦ uhQt¤Âd®, khw¦W¤ Âwdhëfs¦, ÂUe§ifa®
Mf ÏU¥Ãd¦ mjw¦Fça rhd¦¿jH¦.
6. Project Report with projected sales and cash flow
statement for the next 3 years.
jpl;l mwpf;if kw;Wk; mLj;j 3 Mz;LfSf;fhd cj;njr
tpw;gid kw;Wk; gzg;gha;t[ mwpf;if.
7. Copy of land document if included in the Project cost
£l kÂ¥Õ£oy ¦ãy¤Âd¦ kÂ¥ò nr®¡f¥g£oUªjhy¦
ãy¥g£lhéd¦ efy¦
8. Estimate of Building obtained from Chartered Civil
Engineer
g£la f£Lkhd bgh¿ahsçläUªJ bgw¥g£l
f£ol¤Âw¦fhd c¤njr kÂ¥ÕL
9. Quotations for machinery or equipments .
ÏaªÂu§fs¦ my¦yJ fUéfëd¦ éiy¥g£oay¦ mry¦
kw¦W« efy¦
10. Sworn affidavit obtained from Notary Public in Rs. 20/-
Stamp Paper in (Specimen format enclosed as
Annexure II)
rhd¦WW mYtyçläUªJ %.20 /- kÂ¥Ãyhd K¤Âiu
jhëy¦ bgw¥g£l cW bkhê¥g¤Âu«.
(Ïiz¥ò 2 Ïy¦ khÂç got« ju¥g£Ls¦sJ)
11. Entrepreneur Memorandum (Part I) acknowledgment
obtained from District Industries Centre
khtl;l bjhHpy; ikaj;jpy; ,Ue;J bgwg;gl;l bjhHpy; Kidnthh;
gjptwpf;if (ghfk; 1) xg;g[ifr; rhd;W.
12. Copy of Partnership deed incase of partnership enterprise.
g=;Fjhuh; epWtdkhf ,Ug;gpd; Tl;L xg;ge;j gj;jpuj;jpd; efy;.

15. Address to which the

application are to be sent General Manager, District Industries Centre.
bghJ nkyhsh;/ khtl;l bjhHpy; ikak;.
tpz;zg;gpf;f ntz;oa
Kfthp

3
 ANNEXURE - I
,izg;g[ ? 1
Activities not be eligible for assistance under NEED scheme
Ϥ£l¤Âd¦ ÑH¦ãÂÍjé bgw jFÂæy¦yhj bjhêy¦fs¦
1. Any activity directly connected with agriculture.
ntsh©ikÍld¦ neuo bjhl®òila bjhêy¦fs¦
2. Sericulture (Cocoon rearing), Animal Husbandry like Pisci culture, Piggery, Poultry etc.,
g£L¥ ó¢Á ts®¥ò, fhy¦eil ts®¥ò,Ûd¦ ts®¥ò, gd¦¿ts®¥ò kw¦W« nfhê¥g©iz
nghd¦w bjhêy¦fs¦
3. Manufacturing of Polythene carry bags of less than 40 microns thickness and
manufacture of carry bags or containers made of recycled plastic for storing, carrying,
dispensing or packaging of food stuff
40 ik¡uhd¦fS¡F Fiwthd gUkDs¦s ghèÔd¦ igfs¦ jahç¤jy¦ kw¦W« czÎ
bghU£fis nrä¤J it¡fΫ, vL¤J¢ bry¦yΫ kw¦W« bgh£ly« f£lΫ
cgnah»¡f¥gL« kWRHw¦Á Kiwæy¦ jahç¡f¥g£l ghèÔd¦ igfŸ kw¦W«
nrk¡ fyd¦fŸ.
4. Sugar
r®¡fiu MiyfŸ
5. Distilleries, Brewery and Malt Extraction
rhuha to¥ò rh®ªj bjhêšfŸ
6. Units utilizing Molasses/rectified spirit/de-natured spirit as raw material for
manufacture of potable alcohol.
bkhyhr° / Ãç¤bjL¡f¥g£l vçrhuha« / kh‰w« brŒa¥g£l vçrhuha« Ït‰iw
_y¥bghUshf¡ bfh©L kJghd« jahç¤jš
7. Fertiliser manufacture and blending (Except bio-fertilizers)
fy¥ò cu« jahç¤jš (Ïaw¦if cu« jahç¤jy¦ jéu)
8. Mining and Quarrying Ores, minerals etc.[Excluding polishing, cutting,
crushing, etc. of mined ores/minerals]
fåk¢ Ru§f« k‰W« fåk§fŸ bt£obaL¤jš(bt£obaL¡f¥g£l fåk§fis
bkUnfw¦Wjy¦, bt£Ljy¦, cil¤jy¦ M»a bjhêy¦fs¦ jéu)
9. Aluminium, Iron and Steel Smelting [Excluding foundries]
mYäåa« k‰W« ÏU«ò cU¡fhiy (th®¥gl¤ bjhêy¦fs¦ jéu)
10. Manufacturing of intoxicant items like Beedi/Pan/Cigar/Cigarette etc.,
Õo, Áfbu£, òifæiy, RU£L, F£fh, k‰W« òifæiy rh®ªj nghijbghU£fŸ c‰g¤Â.
11. Saw Mills
ku mWit Miyfs¦
12. Cement
Ábkd¦£ cw¦g¤Â
13. Calcium Carbide
fhšÁa« fh®igL
14. Slaughter House
czΡfhf fhšeilfis bt£L« bjhêš
15. Re-packing of Drugs/Medicine/Chemical, without any processing or value addition
brŒKiw k‰W« kÂ¥ò T£Ljš VJä‹¿ kUªJ bghU£fŸ k‰W« ntÂæaš
bghU£fis kW bgh£ly« f£Ljš.

4
16. Azoic/Reactive Dyes
bra‰if k‰W« v®éid òça¡Toa rha§fŸ
17. Fire Crackers
g£lhR bjhêš.
18. Industries manufacturing and or utilizing Ozone depleting substances
th‹btëæš Xnrh‹ gly¤ij Fiw¡F« bghU£fis jahç¡F« bjhêšfŸ.
19. Industries involving hazardous activities/ classified as “Red category” by Tamil
Nadu Pollution Control Board /Central Pollution Control Board
mghafukhd bjhêy¦fs¦ kw¦W« k¤Âa /khãy khR¡f£L¥ghL thça¤jhy¦
‘Át¥ò ÃçÎ’ vd tif¥gL¤j¥g£l bjhêy¦fs¦
20. Cyanide
raidL.
21. Caustic Soda
vçfhu«
22. Potassium Chloride
bgh£lhÁa« FnshiuL
23. Nylon, Rayon & Polyester Fibre manufacturing.[Excluding manufacture of
downstream products from Nylon ,Rayon & Polyester Fibre]
ieyh‹, nuah‹ kw¦W« ghèa°l® ÏiH jahç¤jy¦ (ieyh‹ , nuah‹ kw¦W« ghèa°l®
ÏiHfis _y¥bghUs¦fshf¡ bfh©L cw¦g¤Â bra¦a¥L« bgh U£fs¦ jéu)
24. Real Estate
ãy éw¦gid rh®ªj bjhêy¦
25. All types of Business activities
mid¤J éahghu« rh®ªj bj®êy¦fs¦

5
 ANNEXURE II

AFFIDAVIT

I…………………….....…................S/o or D/o or W/o…...........................…………….....…

residing at ………………………………...................................................................................

...........................………..........… (address) do hereby solemnly affirm and declare us under:

1) That I am a permanent resident of

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

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

since the past ..................... years.

2) That I am a first generation entrepreneur and no one in my family is self employed and

running any self employed manufacturing or Service Enterprise.

3) That I have not borrowed any money under any subsidy linked scheme of
Central/State Government for establishing any enterprise.

4) That I have not defaulted in repayment of any loan from any Commercial Bank / TIIC.

5) That I shall abide by the rules framed under the scheme of NEEDS.

DEPONENT

VERIFICATION

Verified that the above contents are true and correct to the best of my knowledge and belief
and nothing has been concealed therein.

Date…………………….

NOTARY PUBLIC

Note: This affidavit should be furnished in Rs.20/- non judicial stamp paper duly attested by
Oath Commissioner (Notary Public) along with the application.