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Entrepreneurs Memorandum for setting up Micro, Small or Medium Enterprise
Form No.2011/33/012/31795/PPNP ACKNOWLEDGEMENT PART - I
M/S P.JAYARAMACHANDRAN HAS FILED MEMORANDUM EXPRESSING ITS INTENT TO SET UP A MANUFACTURING ENTERPRISE AT THE ADDRESS 226/3, MEENKARAI ROAD,ZAMIN UTHUKULI ,POLLACHI(SOUTH) BLOCK, POLLACHI, POLLLACHI TALUK, COIMBATORE DISTRICT TAMIL NADU PIN CODE : 642004 FOR THE ITEM/ITEMS INDICATED BELOW AND THE ACTIVITY IS PROPOSED TO COMMENCE FROM OCT-2011 AS STATED IN FORM NO 2011/33/012/31795/PPNP AND ALLOCATED ENTREPRENEURS MEMORANDUM NO 2011/33/012/31795/PPNP/E AS BELOW:
Sl.No 1 ITEMS OF MANUFACTURE WELDING (ARC) CAPACITY IN CASE OF MANUFACTURE 3 KWh
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 DATE OF ISSUE NATURE OF ACTIVITY (MANUFACTURING-1,SERVICES-2) CATEGORY OF THE ENTERPRISE (MICRO-1,SMALL-2,MEDIUM-3) ENTREPRENEURS MEMORANDUM NUMBER 10
MICRO 3 0 1 2 1 1 31795 E
DATE: 10/09/2011 PLACE: Coimbatore SIGNATURE (S.A.P.Vairamani) 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 .
. S .F. Proposed Location of Enterprise (i). Nature of Activity 7. Category of Enterprise 6. (iii).Town/Village : POLLACHI (ix). AKILANDAPURAM(PO). AKILANDAPURAM(PO).NANJEGOUNDEN PUDUR. PIN Code : 642004 : MICRO : Manufacturing : Perennial 5. Name of the Applicant 2.SRIRAM ILLAM MEENKARAI ROAD. Name of The Proposed Enterprise (if decided) 4.No / Door No. Block : MEENKARAI ROAD.JAYARAMACHANDRAN (b) Permanent Residential Address 157. (a) Address of Communication 157. : 226/3 (ii).NANJEGOUNDEN PUDUR.ZAMIN UTHUKULI : Tamil Nadu : Coimbatore : Polllachi : Rural : Pollachi(South) (viii).Application Id : 2011/33/012/31795/PPNP Application Date : 10-09-2011 1. Taluk (vi).POLLACHI PIN Code Phone Mobile FAX Number EMail WEB Site : 642004 : 04259253441 : 9965430333 :::: P. State (iv).JAYARAMACHANDRAN 3.. District (v). Rural/Urban (vii). Nature of Operation Page 2 .SRIRAM ILLAM MEENKARAI ROAD. Street.POLLACHI PIN Code Phone Mobile FAX Number EMail WEB Site : 642004 : 04259253441 : 9965430333 :::: P.
Other Source of Energy Item (b) Reason if no power required Quantity - Page 3 . Plant & Machinery Value (iv).8. Power Load (Anticipated) 15. Land Owned/Leased/Rented Owned Owned Approximate Value 3 1 1 : 1 KWh : H.W : - (ii). (a).00 K.P : 5. Proposed Schedule of Installation of Plant & Machinery 10. Foreign Equity. Proposed Investment In Fixed Assets (Rs in lakh) Item (i). Building (iii).2011 : Proprietary Item Code 28920 Approximate Value 3 KWh 12. Equipment (v). Whether Unit will be an Ancillary Unit 9. Installed Capacity per annum 14.If Any 13. Type of Organisation 11. (a) Main Manufacturing/Service Activity No 1 Product/ProductCode WELDING (ARC) / 96855 : No : September .
(b) Send a certificate/notarized copy of the Partnership Deed/Memorandum of association/Articles of Association to General Manager. Expected Schedule Of Commencement of Production/Activity 18. Physically Challenged: No Date : Place : (g).614 001. District Industries Centre.2011 (ii). Workers 17. Coimbatore within one month from the date of generation of the application. Supervisory (iii). Stake in other Manufacturing Enterprises : No [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. Expected Employment (i).JAYARAMACHANDRAN (b). (d) In respect of those who furnish wrong information and do manipulations in the online Application Form. Name : P. Community : OBC (3) (f). COIMBATORE . Gender : Male (M) (c). Management & Office Staff 1 1 : October. self certified copy of the generated application is not received by the General Manager. Date : Place : [SIGNATURE OF THE APPLICANT / AUTHORISED PERSON] Page 4 . District Industries Centre. Equity Participation : 100 (h). while signing as Partner/Managing Director or Authorised Person to GENERAL MANAGER . the acknowledgement issued for EM(PART I)will be cancelled and displayed in the website. (c) In case. Equity % : 100 (d). 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 :2011/33/012/31795/PPNP is true and correct to the best of my knowledge and belief. Knowledge Level : Post Graduate (e). Coimbatore . 2 RAJA STREET. DISTRICT INDUSTRIES CENTRE.16. Entrepreneurs Profile (a).