APPLICATION FOR SOFT LOAN / INVESTMENT PROMOTIO SUBSIDY / (WAIVER) / CAPITAL SUBSIDY UNDER STRUCTURED PACKAGE OF ASSISTANCE
1. Name & Address of the unit :
i. Regd. Office
ii. Principal Office
iii. Location
a. Village / Town
b. Block
c. Taluk
2. Constitution of the unit :
3. Name of the Directors / Partners :
4. Type of Industry & Product
Name of the Product
Existing capacity (prior to expansion :
Scheme
5. Cost of the Project :
i. Land
ii. Building
iii.Plant & Machinery including electrical :
installation
iv. Other Assets
a. Tools, Jigs, Dies & Moulds
b. Goods, Carriers
v. Prel. & Pre Op. Expenses :
vi. Margin Money for working capital :
Total :
6. Means of Finance
a. Share Capital :
b. Internal Generation
c. Term Loan
Name of the institution :
Amount (Rs.)
Date of Sanction
d. State Subsidy
e. Debenture
f. Unsecured loan / Deposit for others :
g. Deferred payment guarantee :
h. Hire Purchase :
i. Leasing :
j. Others :
Total :
7. Whether all the plant and machinery
Envisaged in the proposed project
Are new. If not, give list and value of :
Second hand plant and machinery
8. Details of Preliminary and Pre.Op :
Expenses Capitalised
a. Building
b. Plant & Machinery
9. Employment created
i. Managerial
ii. Supervisory / Technical
iii. Non-Technical
iv. Workers
Skilled
Semiskilled
Unskilled
v. Total No. of employees
10. Actual date of commencement of :
Commercial Production
(First Sale invoice Copy to be enclosed
along with SA Certificate for the date
of commencement of commercial
production)
11. Details of charges created on the :
Existing assets of the unit
12. Details of Guarantors
(Personal ) for the Soft Loan /
Investment Promotion Subsidy :
13. Copy of Annual Report for the last 3 years for :
Existing company
14. Designation and Address of :
Assessing Officer of Commercial Taxes
We hereby declared that the information given above and the statements and other documents enclosed are true and correct.
Place : AUTHORISED SIGNATORY
Date : Designation
List of enclosures to be submitted :
1. Memorandum and Articles of Association
2. Copy of sale deed / lease deed of land
3. Annual Report for the last 3 years in case of an existing company
4. Project Report copy
5. Copies of TL /other loans sanction letter from Banks / Fis.
6. Copies of Government approvals like
a. SIA Acknowledgement for the proposed project.
b. TNPCB clearance / renewal orders for the project
7. Copies of Machinery invoices.
8. Statutory Auditor and Chartered Engineer certificate in the
prescribed format
9. Payment details of investigation fees.
10.Copy of MoU signed with Government of Tamilnadu.
11.Copy of G.O. issued by the Govt. for Structured Assistance
Package
12.First sale invoice copy and Statutory Auditor Certificate for the
date of Commencement of commercial Production.
***
CHARTERED ACCOUNTANT’S CERTIFICATE
We hereby certify that M/s. (Name of the company) ……………………………………………………………………… .having its factory at (location of the factory) …………………………………………………….. ……. have created the following Fixed Assets upto ………………………. for their project under implementation, for the manufacture of …………………………..
Sl.No. / ITEMS OF FIXED ASSETS / VALUESRs. in lakhs
1. / Lease – hold / Free – hold Land
2. / Cost of development of the Land
3. / Buildings under construction
a. Amount spent towards building
b. Architect’s fees.
c. Advance Payments
4. / Electrical installations
5. / Plant & Machinery
a. Value paid for items at site
b. Advance payments to machinery suppliers
6. / Loading, Unloading, Transportation, octroi, duties, Erection expenses, etc.
7. / Pre-operative expenses to be capitalized
8. / Preliminary expenses to be capitalized
9. / Miscellaneous Fixed Assets.
1. Furniture & Fittings
2. Vehicle Equipments
3. Rent Advance
4. Cash & Bank Balanace
5. Technical consultancy charges
6. Know how fees
10. / Others ( Working Capital Margin)
Total
1. We have checked the books of Accounts of the unt, the invoices, etc., and certify that the aforesaid information is verified and certified that the aforesaid information is verified and certified to be true. We also certify that all the aforesaid items have been duly paid for and no credit is raised there against in the books of the unit.
2. A) We certify that a sum of Rs………..- has been capitalized by way pre-operative expenses upto the date of this certificate as under:
//Rs. in lakhs //
1. Total Prel. & Pre-operative expenses :
upto the date of this certificate
2. Amount so far capitalized as under :
a. Buildings
b. Plant & Machinery (including Electical)
c. Miscellaneous assets
d. Others
Total
OR
B) We certify that no amount has been capitalized by way of pre-operative expenses upto the date of this certificate (strike off A or B whichever is not applicable)
We also certify that all the machines indicated in this certificate are brand new except the following second-hand machineries :
Sl.No. / Description / No. of Machines / Cost / Year of makePlace : Chennai SEAL & SIGN
Date : CHARTERED ACCOUNTANT
(STATUTORY AUDITOR)
SOURCES AND APPLICATION OF FUNDS
Name of the Company :
Sources and Application of funds as on ………………………………
SOURCES
1. Share Capital :
2. Term Loans : Sanctioned availed
Name of the Financial
Institutions / Bank
a.
b.
b.
3. Unsecured Loan :
4. Others :
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Total
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APPLICATIONS Assets Assets Advance Total
Estimated created paid
1. Land :
2. Buildings :
3. Plant & Machinery :
4. Other Assets :
5. Contingencies :
6. Preliminary & Pre- :
Operative Expenses
7. Working Capital :
Margin
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Total
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Place : Chennai SEAL & SIGN
Date : CHARTERED ACCOUNTANT
(STATUTORY AUDITOR)
FIXED ASSETS CERTIFICATE
1. LAND :
Date of No. of acres Value of purchases
Purchase (Rs. in lakhs)
a. Leasehold Land / :
Freehold Land
b. Development Cost :
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Total
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2. BUILDINGS :
Date of Completion Value as per Amount spent on
of building or part Engineer’s buildings upto
thereof Certrificate (Rs. in lakhs)
Place : Chennai SEAL & SIGN
Date : CHARTERED ACCOUNTANT
(STATUTORY AUDITOR)
ENGINEER’S CERTIFICATE
1. Date of inspection :
2. Name of the company :
3. Location of the plant :
I hereby certify that as against the estimated cost of Rs……………… ………………………………… of the building and civil works for M/s. (Name of the company) ……………………………………………. for their proposed project at the above location has so far completed the civil works as under :
1. Value of completed civil works as per the details given below :
Sl.No. / Description of Building * / Type of Buildings ACC/RCC / Area (Sft)Constructed / Cost per Sq.ft.
(Rs.) / Total Value
(Rs.)
* (Factory Building, Store Building, Toilet, Generator Room, Electrical Room, Canteen etc.)
2. Value of material at site :
3. Amount certified for payment :
to the building (Civil and structural )
contractors
4.Retention money (from civil Contractors) :
Place : Chennai SEAL & SIGN
Date : CHARTERED ACCOUNTANT
(STATUTORY AUDITOR)
FIRST SALE INVOICE CERTIFICATE
This is to certify that M/s …………………………………..having its plant located at ……………………………. have commenced production on …………………. and raised first sale invoice on………………………..bearing no………………….dt………………..for a total invoice value of Rs…………………
Place : Chennai SEAL & SIGN
Date : CHARTERED ACCOUNTANT
(STATUTORY AUDITOR)
LIST OF PLANT AND MACHINERIES
Sl.No. / Description of the Machineries / Machinery Supplier’s Name / Invoice No. / Invoice date / Quantity in No. / CostTotal Cost / ------
CHARTERED ACCOUNTANT’S CERTIFICATE FOR ETP
This is to certify that M/s…………………………………. (Name of the company) having its factory at…………………………. (location of the factory), have installed an Effluent Treatment Plant of ……………….. capacity to treat …………………. Effluents. The company had spent a sum of Rs ……………… Lakhs for the above said Effluent Treatment Plant as given under.
1.Civil works :
2. Plant and equipment :
3.Transport and erection expenses :
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Total ------
Place : Chennai SEAL & SIGN
Date : CHARTERED ACCOUNTANT
(STATUTORY AUDITOR)
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