Scribd Logo
Upload

Welcome to Scribd!

  • 66 views

    Application Form MPSSIRS 2014

    Uploaded by

    Ar Raj Yamgar
    This document outlines an application format for small scale industries in Madhya Pradesh seeking registration and relief under the state's revival scheme. The application requests information on the unit name, address, leadership, date of establishment, annual production capacity, financial performance for the past three years, and current statutory liabilities. It also asks units to provide details on their proposed expansion, diversification, or modernization plans as part of seeking revival assistance from banks, financial institutions, or government departments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form MPSSIRS 2014

    Uploaded by

    Ar Raj Yamgar
    66 views5 pages
    This document outlines an application format for small scale industries in Madhya Pradesh seeking registration and relief under the state's revival scheme. The application requests information on the unit name, address, leadership, date of establishment, annual production capacity, financial performance for the past three years, and current statutory liabilities. It also asks units to provide details on their proposed expansion, diversification, or modernization plans as part of seeking revival assistance from banks, financial institutions, or government departments.

    Original Description:

    11

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document outlines an application format for small scale industries in Madhya Pradesh seeking registration and relief under the state's revival scheme. The application requests information on the unit name, address, leadership, date of establishment, annual production capacity, financial performance for the past three years, and current statutory liabilities. It also asks units to provide details on their proposed expansion, diversification, or modernization plans as part of seeking revival assistance from banks, financial institutions, or government departments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    66 views5 pages

    Application Form MPSSIRS 2014

    Uploaded by

    Ar Raj Yamgar
    This document outlines an application format for small scale industries in Madhya Pradesh seeking registration and relief under the state's revival scheme. The application requests information on the unit name, address, leadership, date of establishment, annual production capacity, financial performance for the past three years, and current statutory liabilities. It also asks units to provide details on their proposed expansion, diversification, or modernization plans as part of seeking revival assistance from banks, financial institutions, or government departments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    -1-

    Application format for Registration as a Sick Unit and for availing


    Relief and concessions under Scheme known as
    ''M.P. Small Scale Industries Revival Scheme 2014''
    (To be submitted in 3 copies)

    1. Name of the unit ___________________________________


    Address of the Unit ___________________________________
    Address for correspondence ___________________________________
    ___________________________________
    ___________________________________
    Chief Executive
    Name ___________________________________
    Address ___________________________________
    ___________________________________
    ___________________________________
    Phone No. (O)__________(R)___________
    E-mail _____________________________

    2. (i) Date of establishment ___________________________________


    (Relevant certified copies to
    be enclosed)
    (ii) Date of Commencement of __________________________________
    Commercial production

    3. Entrepreneurs Memorandum No., _______________________________


    date (Under MSMED Act 2006)
    and issuing Authority _______________________________
    (Relevant certified copies to
    be enclosed)

    4. Application Fee of `1000.00 (Rupees One thousand only), receipt should be


    attached : MPTC/Treasury Challan No. _____________, Date ______________

    ......... 2
    -2-

    5.1 (i) Product manufactured and its annual capacity (Please mention No. of shifts)
    Name of the product : __________________________________________
    Capacity per annum : __________________________________________
    5.2 Performance of the unit for last three years (as certified by CA/Auditor)
    (Year) (Year) (Year)
    ( ________ ) ( ________ ) ( ________ )
    (i) Production :
    (During last 3 years)
    Quantity : __________ _________ __________
    Value : __________ _________ __________
    (ii) Sales :
    (During last 3 years)
    Quantity : __________ _________ __________
    Value : __________ _________ __________
    (iii) Gross Profit/Loss ______________________________
    (iv) Net Profit/Loss ______________________________
    (after deduction and taxation)
    (v) Accumulated loss ______________________________

    6.1.1 Balance Sheet (As approved by the Chartered Accountant /Statutory Authority)
    Sources of Funds
    Paid up capital _____________________________________
    Reserve and Surplus _____________________________________
    Term Loan _____________________________________
    Deposits _____________________________________
    Any other loan/ _____________________________________
    unsecured loan
    Total _____________________________________
    6.1.2 Less
    Liabilities _____________________________________
    Provisions _____________________________________
    Net current assets _____________________________________
    Investment if any _____________________________________

    ......... 3
    -3-

    Loss _____________________________________
    Total _____________________________________
    6.2 Net worth
    (Year) (Year) (Year)
    ( _______ ) ( _______ ) ( _______ )
    Paid up capital _________ ________ _________
    Reserve and Surplus _________ ________ _________ excluding revaluation
    Total _________ ________ _________

    7. Whether any legal actions are initiated ______________________


    by any creditor
    If yes, please give details __________________________________________
    __________________________________________

    8. Investments, if any please provide details :


    In companies __________________________________
    Fixed Deposits __________________________________
    In others __________________________________

    9. Statutory Liabilities :
    (a) Commercial Tax __________________________
    (b) Electricity Duty __________________________
    (c) Excise Duty as on __________________________
    (d) Provident fund as on __________________________
    (e) ESI __________________________
    (f) Any other liability __________________________
    (Please specify)
    10. (a) If unit is in production please give __________________________
    month-wise production and power
    consumption of last one year and
    copy of last power bill

    (b) Whether the unit holder is willing __________________________


    to pay the cost of study report to
    the Appraisal agency

    (c) Promoters share towards revival __________________________


    purpose should be indicated

    ......... 4
    -4-

    11. (a) If unit is closed, please give the __________________________


    date of closure and reason to close __________________________
    down the unit __________________________

    (b) Whether power connection is __________________________


    disconnected

    (c) Whether labour/workers are __________________________


    retrenched, if not

    (d) How the unit can be revived __________________________


    Arrangement for requirement of __________________________
    funds to restart the production __________________________

    (e) Is it proposed to include new __________________________


    promoters to revive the unit,
    if yes, on what conditions __________________________

    (f) Arrangement for marketing of __________________________


    the product

    12. Assistance/ relief proposed from banks/financial institutions/Govt. Departments

    S. Name of Bank/Financial institution/ Assistance/ relief proposed


    No. Govt. Department

    1. Bank/MPFC _____________
    (Financial institutions)

    2. Commercial Tax Department _____________

    3. M.P. Electricity Distribution Company _____________

    4. Any Other _____________

    13. Details of proposed Expansion/Diversification/Modernization as part of the revival


    (i) Whether it is for Expansion/ __________________________
    Diversification/Modernization
    (ii) Name of item __________________________
    (iii) Project cost __________________________
    (iv) Means of Finances __________________________

    ......... 5
    -5-

    (v) Registration of items, if any __________________________


    (vi) Manufacturing process __________________________
    (vii) Detailed list of proposed __________________________
    machinery with value
    (viii) Proposed increase in production __________________________
    and profitability

    NOTE :-

    Application should be accompanied by the audited accounts for the preceding two years.
    The auditors remarks accompanying the accounts have to be fully dealt and complied
    with. Application should be accompanied by a proposed rehabilitation scheme that
    envisages full repayment of loans and interest to the banks/financial institutions as well
    as dues of the State Govt./ Commercial Tax for which, separate sheet should be attached.

    Date :
    Signature of the Authorized Person
    (Seal)

    DECLARATION

    I, ____________________________________ do solemnly hereby declare that to the


    best of my knowledge and belief, what is stated above is correct, complete and is truly
    stated by me.

    Place : Signature of the Authorized Person


    Date : (Seal)

    Authorized Signatory :
    Name of the person making Declaration _____________________________
    Position held ________________________________________________
    Name of the unit ________________________________________________
    Office Address ________________________________________________
    ________________________________________________
    (TO be certified by CA/Auditor/BM)

    Note : Filled in application should be submitted to concerning District Trade &


    Industries Centre of Madhya Pradesh.

    You might also like