Government of Tamil Nadu

Department of Industries and Commerce

Entrepreneurs Memorandum for setting up Micro, Small or Medium Enterprise

Form No.2017/33/012/36854/JHNK
ACKNOWLEDGEMENT PART - I
M/S THENDRAL STUDIO HAS FILED MEMORANDUM EXPRESSING ITS INTENT TO SET UP A SERVICING ENTERPRISE AT
THE ADDRESS 17/6-105A1, KATTU PILLAIYAR KOVIL THERU, NANGAVALLI MAIN ROAD, THARAMANGALAM, SALEM
DISTRICT TAMIL NADU PIN CODE: 636502 FOR THE ITEM/ITEMS INDICATED BELOW AND THE ACTIVITY IS PROPOSED TO
COMMENCE FROM MARCH-2017 AS STATED IN FORM NO 2017 /33/012/36854/JHNK AND ALLOCATED ENTREPRENEURS
MEMORANDUM NO 2017 /33/012/36854/JHNK/E AS BELOW:

Sl.No TYPE OF SERVICE TO BE RENDERED

1 STUDIO (SERVICES)

NOTE: THE ISSUE OF THIS ACKNOWLEDGEMENT DOES NOT BESTOW ANY LEGAL RIGHT. THE ENTERPRISE IS REQUIRED TO SEEK REQUISITE
CLEARANCE / LICENCE / PERMIT REQUIRED UNDER STATUTORY OBLIGATIONS STIPULATED UNDER THE LAWS OF CENTRAL GOVERNMENT / STATE
GOVERNMENT / UT ADMINISTRATION / COURT ORDERS.

DD MM YYYY

DATE OF ISSUE 05 03 2017

NATURE OF ACTIVITY 2 SERVICES

(MANUFACTURING-1,SERVICES-2)

CATEGORY OF THE ENTERPRISE 1 MICRO

(MICRO-1,SMALL-2,MEDIUM-3)

3 3 0 1 2 2 1 76980
ENTREPRENEURS MEMORANDUM NUMBER E PART

DATE: 05/03/2017
PLACE:
COIMBATORE

SIGNATURE
(R.Ekambaram)
Additional Director of
Industries & Commerce (DIC)
Note: (1) The concerned Financial Institutions/Agencies who provide Loan/Clearance/Assistance, shall verify this Entrepreneur Memorandum Form
Part I in the website http://www.msmeonline.tn.gov.in, to ascertain the genuineness / validity / cancellation using the above EM PART I Number
(2) The concerned Financial Institution/Agencies who provide Loan/Clearance/Assistance shall ascertain the eligibility of subsidies and
incentives given by the Government, from the General Manager, District Industries Centre, COIMBATORE.

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 Application Id : 2017/33/012/36854/JHNK
Application Date : 05-03-2017
1.Name of the Applicant : VENKATACHALAM

2.
(a) Address of Communication
17/6-105A1, KATTU PILLAIYAR KOVIL
THERU,NANGAVALLI MAIN
ROAD,THARAMANGALAM,SALEM
PIN Code : 636502
Phone :
Phone :
Phone :-
Phone :-

(b) Permanent Residential Address

17/6-105A1, KATTU PILLAIYAR KOVIL THERU,NANGAVALLI MAIN
ROAD,THARAMANGALAM,SALEM
PIN Code : 636502
Phone :
Phone :
Phone :-

Phone :-

3.Name of The Proposed Enterprise (if decided) : THENDRAL STUDIO

4.Proposed Location of Enterprise

(i). S.F.No / Door No: 636502

(ii). Street : KATTU PILLAIYAR

KOVIL THERU
(iii). State : Tamil Nadu
(iv). District : SALEM
(v). Taluk : SALEM
(vi). Rural/Urban : Urban

(vii). Block : SALEM

(viii).Town/Village : SALEM
(ix). PIN Code : 636502

5.Category of Enterprise : MICRO

6.Nature of Activity : Service

7.Nature of Operation : Casual

8.Whether Unit will be an Ancillary Unit : No

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9. Proposed Schedule of Installation of : MARCH-2017
Plant & Machinery
10. Type of Organization : Proprietary
11. (a) Main Manufacturing/Service Activity
No Service Service Code
1 SERVICES 97130/97132

12. Proposed Investment In Fixed Assets (Rs in lakh)

Item Owned/Leased/Rented Approximate Value

(i). Land Rented 10

(ii). Building Rented 10
(iii). Plant & Machinery Value -
(iv). Equipment -
(v). Foreign Equity,If Any -

13. Installed Capacity per annum :0

14. Power Load (Anticipated) : H.P : 1.00 K.W : 2.00

15. (a). Other Source of Energy

Item Quantity
(b) Reason if no power required -
16. Expected Employment

(i). Management & Office Staff 1

(ii). Supervisory -
(iii). Workers 2

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17. Expected Schedule of Commencement of
Production/Activity : MARCH -2017

18. Entrepreneurs Profile

(a). Name : VENKATACHALAM
(c). Community:
(b). Gender : MALE(M) Others (4)
(d). Knowledge Level : Under Graduate
(e). Equity Participation : 300000 (f). Equity % : 100
(g). Stake in other Manufacturing Enterprises: No
(h). Physically Challenged: No
Date:
Place :

[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

NAME OF THE PROPRIETOR/PARTNER/MANAGING DIRECTOR

(a) Send a self-certified copy of this application along with a self-certified copy of Power of Attorney/Board Resolution/Society Resolution wherever
applicable, while signing as Partner/Managing Director or Authorized Person to GENERAL MANAGER , DISTRICT INDUSTRIES CENTRE,
HEADQUARTERS, SALEM– 636502
(b) Send a certificate/notarized copy of the Partnership Deed/Memorandum of association/Articles of Association to General Manager, District
Industries Centre, SALEM
(c) In case, self certified copy of the generated application is not received by the General Manager, District Industries Centre, S A L E M within one
month from the date of generation of the application, the acknowledgement issued for EM(PART I)will be cancelled and displayed in the website.
(d) In respect of those who furnish wrong information and do manipulations in the online Application Form, penal action will be taken by the
Department and simultaneously the acknowledgement issued for online EM PART I will be automatically cancelled and displayed in the website.

Undertaking
This is to certify that the information furnished in the Memorandum in FORM No: 2017 /33/012/36854/JHNK is true and
correct to the best of my knowledge and belief.

Date:
Place:

[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

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