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Industry

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0% found this document useful (0 votes)
19 views4 pages

Industry

Industry knowledge on industry

Uploaded by

oneplus7max
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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THE NATIONAL SMALL INDUSTRIES CORPORATION LIMITED

APPLICATION FORM FOR RAW MATERIAL ASSISTANCE AGAINST BG

To,

The National Small Industries Corporation Ltd.


…………………………………………………
…………………………………………………

Dear Sir,

I/We desire to avail of the benefits of your Scheme under "Raw Material
Assistance (RMA) against BG" as per your terms and conditions, for my/our
business enterprise.

I/We certify that the details given in this application are true and correct and no
material fact has been concealed or withheld.

I/We have understood and agree to abide by the terms and condition of your above
scheme(s) including the amendments thereto made from time to time.

In case any information / details furnished by me / us found to be incorrect, I / we


shall liable for the consequences and damages to the Corporation.

Yours faithfully

( )

Signature with Official Stamp of


Authorized Signatory

Name of the Signatory…………………………….


(In Capital Letters)
Date :………….. Designation of the
Signatory…………………...… Place :………….. Units name
and address……………………….…..
Residential Address of the Signatory:
….…………………………………………………
…………………………………………………….
Telephone………………..Fax:…………………...

NOTE:
1. The complete application should be submitted in duplicate by the borrower, one copy of which will be
returned for giving acknowledgement of receipt of application form.
2. No field / column in the application form is to be left blank.
APPLICATION FORM FOR RAW MATERIAL ASSISTANCE AGAINST BG

1. Name of the applicant unit :

2. Amount of assistance sought (Rs.) :

3. Particulars of the applicant unit


Constitution Year of Address & Tel. No.
Establishment Factory Regd. Office

4. Udyog Aadhar/Udyam Registration No. ____________________


date____________

5. No. & date of GST Registration :

1. Details of PAN: _______________

2. e-filing acknowledgement No._________________ A/Y_______


(from the acknowledgement receipt on filing Company’s ITR each year)
3. Names, addresses, Telephone No. of Bankers & Accounts No(s) of Applicant
unit

Name of bank Address Account No. Telephone No.

4. Whether unit is located in a backward Area/ : Backward/Hilly


Hilly Region (Please Tick Mark) Region/None

5. Tick Mark: Whether unit belongs to SC/ST/ Women entrepreneur/Physically


Handicapped/ Ex- Servicemen/Technocrat.

6. Name & addresses of Sister / Associate / Group Account Concerns:

Name of the unit Address Names of common Proprietor / Partners/


Directors/society office bearers
7. Particulars of Proprietor / Partners/Directors/society office bearers:

Internet
Name Father’s/ Address Age Qualifi- Business PAN Aadh Tele- E-mail Net Protocol e-filing
Husband’s cation Exp. No. arNo. phone & Address Worth (IP) acknowledgement
name (yrs.) Mobile (Rs.in address of No for last ITR filed
No. lacs) ITR filed

# Details of all Partners / Directors are to be given.


(Use separate sheet if required)

8. Line of Activity:
Nature of Project Name of Products being
manufactured/manufacturing

9. Annual Requirement of Raw Materials:


Name of the
Name of the Material Quantity Value (Rs.)
Manufacturer / Supplier

10. Particulars of financial assistance already received or likely to be received


from Banks/FI's:
Name of Amount of Reference No. Repay- Amount of default/
Financial assistance and date of ment Overdues,
Institutions & sanction letter position if any
Banks

11. B1. Have you (including any of your sister / associate concern) availed /
availing assistance from any of NSIC offices under RMA against BG /: -
B2. If yes, give complete details.
Name Name of unit Scheme under Sanctioned Date of Present status
of NSIC (with address in which limit sanction w.r.t. outstanding
office case of sister assistance dues.
concern) availed /availing
12. Details of Security proposed:
a) Bank Guarantee

S. Value of the BG Name of the bank Address & telephone No. of the
No proposed (Rs.) issuing BG Bank

b) Details of Personal Guarantees:

Name & Addresses of Net worth / e-filing acknowledgement No


Guarantors Means (Rs.) for last ITR filed

13. Employment generated by the unit (Total nos. of person)

Existing Employment Additional Employment Total

14. Any other information:

Declaration

I ____________________, s/o ___________________ being authorized signatory


of M/s ____________________________ hereby certify that the details given
in this application are true and correct and no material fact has been concealed or
withheld. In case any information / details furnished by me found to be
incorrect, I shall be liable for the consequences and damages to the
Corporation.

Place:
Signature of Authorized Person
Date: With official
stamp

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