APPLICATION FOR LAND ALLOTMENT

AUTHORITY ASSAM INDUSTRIAL DEVELOPtvfENl

CORPORATION LTD.
Name of the Industrial Area
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1. Location of Land/ applied for (Actual name of
Industrial Property as mentioned) - -
2. Actual area applied for (In sq mt)
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3. Name of the Industrial Unit
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4. Address for Communication Street Name: _f-l-t<~tf/4-ir /J(]O
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Village/Town: t7}-nn/;,~{/(_(/ ;U~ FtA/#D- -rJ /b
District~ NA/(Lt,,/IYI i2_ 60-C/
Pin code: rl"1Sll~Jlt
=f- &-61 zs-
5. Contact Number and Email ID
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6. Constitution of the Industrial unit

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7. Name of Proprietor/ Partners/ Board of
Directors J-JlfRSHIT /J-ff /MN/JL

•8. (a} Udyam /EM-I /IBM/ Industrial License- no-. if

any
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. (b) License date No
9. Name of items of Manufacture
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10. Proposed Annual Installed Capacity of
Production (In MT) I
b L,J(lv.J 't 'i_,,IZJ'
11. Proposed Export of Product (In MT)
12. Proposed total investment (In Rs.) 3. ~- e,u0cr&:J.
(a) Civil Works ~&-k~
(b) Plant & Machinery 3 •0-0 Cr" r-t/.J
(c ) Other Fixed Assets :?L~<M•
(d) Proposed means of finance rin,4m (,/ A/ '3.sft~-
13. Other Amenities
. (a) Requirement of Power (KW) 3 Ott I< hi
. (b) Annual requirement of Water (In KL) 6 L,J<h lth-~
14. Is there any effluent problem N tJ
15. Proposed Employment to be generated (In
nos) ~o f?arso?v--:>
. 16. Proposed date o( commissioning ~4t.-iv7.J- -?o 2 l1

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Date : :Z2/ 12./ 2.62..::E

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Place: 1 1NS IJkll:J Signature of Applicant