Application Form

General Information
Applicant Details:

Name:

Designation:

Company Name:

Country of Origin:

Profile of the Company:

Current Annual Turnover of Group/Company

Current Employment of Group/Company

Contact Details:

Address:

Landline: Mobile:

Email: Website:

Undertaking :
I, the undersigned, on behalf of_______________________ (company's name), hereby declare that the information
provided in this application is accurate and up-to-date.

Name of Authorised Signatory : cccc

Authorised Signatory : cccc

Date:

Place:

For internal use only: BDM Customer Code

1
 For internal use only:

Existing Customer New Customer

BDM :

Customer Code :

Land Requirements
Please select one of the following zone types:

Special Economic Zone (SEZ) Domestic Tariff Zone (DTZ) RBF

Free Trade & Warehousing Zone (FTWZ) EMC Office Space Not Sure

Requirement :
Land : Acres

Ready Built Factory : Sq.m

Industry Type
Type of Industry / Sector :

Category of Industry : Please select one of the following

Green Orange Red Not Sure

1. Products Manufactured :

2. Estimated Employment in New Venture :

3. Estimated Investments in New Venture : INR USD

4. Estimated Annual Turnover(cr) in New Venture : INR USD

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Infrastructure Requirement
Power Requirement : in KVA in HP

Water Requirement (in kilolitres/day) :

1. Process KL/Day Cu.Mt

2. Domestic KL/Day Cu.Mt

3. Total KL/Day Cu.Mt

Cargo Movement :

1. By Road Avg Containers / Month

2. By Air Avg Kgs / Month

3. By Sea Avg Tu’s / Month

Fuel used in factory :

Bio Bricket Diesel Furnace Oil LPG Coal Others

Use of Boiler : Yes No

Capacity in Tons/Day Type

Use of ETP Yes No

Capacity KL/Day Type: Aeration MBR Others

Input Water KLD/Day Output Water KLD/Day

Comments:

How did you know about Sri City:

Exhibition Media Website Seminar Coal Direct mail Business Consultant Visit to Sri City

Visit to Sri City Business Council / Trade Associate Others, Please specify

www.sricity.in