APPENDIX 14-I-A

APPLICATION FOR SETTING UP EOU

(Please see Para 6.2.1 of HBP Vol. I)

Note:
1. Please see Para 6.2.1 to 6.2.3 of the Chapter 6 of the Handbook of Procedures (Vol.-I).

2. Please read the general instructions given in EOU scheme before filling this application and also some
important guidelines given at the end of this application.

3. The application may be sent electronically or otherwise. But the same will be treated as incomplete without
its own permanent e-mail and will not be considered.

Indicate Whether The Application Is For

AUTOMATIC APPROVAL OR BOARD OF APPROVAL

The application should be submitted to the Development Commissioner of the concerned Special Economic Zone
(for setting up EOUs in 3 copies alongwith a crossed Demand Draft of Rs. 5,000/- drawn in favour of the Pay &
Accounts Officer, Ministry of Commerce & Industry, Department of Commerce, payable at the Central Bank of
India, Udyog Bhavan, New Delhi. (NO FEE SHALL BE CHARGED FOR RENEWAL/ EXTENSION OF LOP/
BROAD BANDING ETC.)

For Official Use only

Application No. ______________________________

Date : ______________________________

Date__________Month____________Year __________

Details of Bank Draft

Amount Rs. ___________________

Draft No. ___________________

Draft date ___________________

Drawn on ___________________
(Name of the Bank)

Payable at ____________________

I. NAME AND ADDRESS OF THE

UNDERTAKING IN FULL (Block Letters)

Name of the Applicant Firm _________________________________

Full Address _________________________________

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 (Regd.Office in case of limited _________________________________
companies & Head Office for _________________________________
others _________________________________

Pin Code _________________________________

Tel. No. _________________________________

Fax No. _________________________________

Permanent E-Mail Address _________________________________

Web-Site, if any _________________________________

Passport No., if any _________________________________

Name of Bank with Address & A/c No. _________________________________

Digital Signature _________________________________

Income Tax PAN _________________________________

The name and address of each _________________________________

of the Director/Partner

II. NATURE OF THE APPLICANT FIRM:

[Please tick (√ ) the appropriate entry]

Government Undertaking/Public Limited Company/Private Limited Company/

Proprietor ship/Partnership/Others (please specify)

Note:- Copy of certificate of incorporation alongwith Article of Association and Memorandum in case of
companies and partnership deed in case of partnership firms may please be attached.

III. INDICATE WHETHER THIS PROPOSAL IS FOR

[Please tick (√) the appropriate entry].

Establishment of a New Undertaking

- Manufacturing [ ]
- Services [ ]

Effecting Substantial Expansion

Manufacturing of New product

Conversion of (i) existing DTA unit into EOU

(ii) existing STP/EHTP to EOU

(In case of conversion, please attach fact sheet as per Annexure)

IV. (1) Location of the proposed undertaking

Full Address __________________________

Pin code __________________________

(2) ONLY FOR PROJECTS UNDER EOU SCHEME

(In case the unit is proposed to be located on leased premises, then lease should be obtained from
Government or any undertaking / authority of Government. However in case lease is obtained from
private parties, it shall have a validity period of five years from the date of LUT and the Development
Commissioner shall satisfy himself of genuine nature of the lease.)

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(a) Please indicate if the proposed location is in a Centrally Notified Backward Area [Please tick (√) the
appropriate entry].

No. ______________Yes_________________ if yes, indicate category

(b) Indicate whether it is within 25 Kms from the periphery of the standard urban area limit of city having
population above one million according to 1991 census.

Yes_____________ No. __________________

(c) Is it located in an Industrial Area/Estate designated/set up prior to issuance of Notification No. 477(E)
dated 25th July,1991.

Yes_____________No. _____________

(d) If not, does it come under the category of non-polluting industries as notified by the Govt.

Yes ___________ No. _______________

V ITEM (S) OF MANUFACTURE/SERVICE: (Including By-product/Co-products)

(if necessary, additional sheets may be attached)

Items(s) Description Capacity (Unit =) Item Code (ITC HS code No)

(Not required for service unit)

--------------------------- -------------------------- --------------------------------------

--------------------------- -------------------------- --------------------------------------
--------------------------- -------------------------- --------------------------------------

V-A Intermediate Products, if any, which are to be taken out for job work abroad as part of production
process.

Item(s) Description Quantity Item Code(ITC HS Code No.)

(Not required for service unit)
________________ ________________ _______________________
________________ ________________ _______________________
________________ ________________ _______________________

VI. PRODUCTION (In case of more than one item, supplementary sheets may be used)
Quantity (Unit __________) (Value (In Rupees)
(Not required for service unit)

1st year ___________________ __________________

2nd year ___________________ __________________
3rd year ___________________ __________________
4th year ___________________ __________________
5th year ___________________ __________________

VII. Indigenous Requirement:

(Value in Rupees)
a) Capital Goods
b) Raw material, components, consumables,
packing material, fuel etc. during the
period of 5 years

TOTAL: ------------------------

------------------------
VIII. FOB VALUE OF EXPORTS

(1 $ = Rs. )

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 Rupees (lakhs) US $ (Thousand)
1st year
2nd year
3rd year
4th year
5th year
Total:

IX. INVESTMENT:
(RS. IN LAKHS)

(a) Land ________________________

(b) Building ________________________

(c) Plant and Machinery ________________________

(i) Indigenous ________________________

(US $ Thousand)
(ii) Import CIF value ________________________

(iii) Total (I) + ii) ________________________

(d) Details of source(s) of finance,

(both Indian as well as foreign)
for the above investments

X. WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED

(Please tick ( √ ) the appropriate entry )

Yes ____________ No_____________

(I) Name and Address of foreign collaborator ____________________

(ii) Terms of collaboration (Rupees lakhs)

(Gross of Taxes)

(a) Lumpsum payment _____________________

(b) Design & Drawing fee _____________________
(c) Payment to foreign technician _____________________
(d) Royalty (on exports) ____________________%
(e) Royalty (on DTA sales if envisaged) ____________________
(f) Duration of agreement ________________(No .of years)

XI. EQUITY INCLUDING FOREIGN INVESTMENT

(i)
($ Thousand) (Rs.lakhs)

(a) Authorized ________________ ________________

(b) Subscribed ________________ ________________

(c) Paid up Capital ________________ ________________

Note: If it is an existing company, please give the break up of the existing and proposed capital structure

(ii) Pattern of share holding in the paid-up capital (Amount in Rupees)

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 (Rs. in lakhs) (US $ Thousand)

(a) Foreign holding _____________ ___________________

(b) Non Resident Indian company / Individual holding

(i) Repatriable _____________ ___________________

(ii) Non-repatriable _____________ ___________________

(c) Resident holding _____________ ___________________

(d) Total (a+b (i+ii)+c) equity _____________ ___________________

(e) (iii) External commercial Borrowing ______________ ____________________

Foreign Exchange Balance sheet

st nd rd th th
1 2 3 4 5 (5 yrs) (5 Yrs)
Total in Total in
Rs. US $
Lakh Th.
XII. FOB value of
exports in first
five years

XIII. Foreign Exchange

outgo on

(I) Import of
machinery

(ii) Import of raw

materials and
components

(iii) Import of spares

and consumables

(iv) Repatriation of dividends

and
profits to foreign
collaborators

(v) Royalty
(vi) Lump sum know-how
fee

(vii) Design and drawing fee

(viiii) Payment of foreign
technicians

(ix) Payment on training of

Indian technicians abroad

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(x) Commission on
Export etc.

(xi) Foreign Travel

(xii) Amount of interest to be

paid on external
commercial borrowing/
deferred payment credit
(specify details)
(xiii) Any other
payments(specify details)

Total (i)to(xiii)

Net Foreign
Exchange earnings
in five years

XIV. REJECTS (Only for EOU manufacturing units.)

Generation of Rejects/Sub-standard __________ __________________

finished goods __________ __________________
(percentage of 5 yrs production)

Goods (In case rejects are more (Qty.(Unit = )

than 5% estimated percentage __________________ ________________
with justification may be given __________________ ________________
Value (Rs. Lacs)

XV. EMPLOYMENT
(All figures in number)

Existing Proposed

-------------- --------------

a) Supervisory Men_______________ _______________

Women_____________ _______________

b) Non-supervisory Men_______________ _______________

Women_____________ _______________

XVI. NET FOREIGN EXCHANGE EARNING

Average NFE on FOB value of exports in _________

Block period, as per para 6.5 of FTP.
_________

XVII. MARKETING

a) Whether marketing tie-up/Buy-back _______ ________

envisaged/finalized(Attach documents,_______ ________
if any) Yes No

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 G. C. A. R. P. A.
b) Destination of exports (in percentage) _______ ________
_______ ________

XVIII OTHER INFORMATION

i) Any special features of the project proposal _________________

which you want to highlight _________________

(please attach the project report, for new units)

_______________________
_______________________
_______________________

ii)(a) Whether the applicant has been issued any _________________

Industrial license or LOI/LOP under EOU/ _________________
STP/EHTP scheme if so, please _________________
give full particulars especially reference number,
date of issue, items of manufacture and
progress of implementation of each project.

(b) Whether the applicant has submitted any __________________

other application for LOI/LOP which is __________________
pending with the Board of Approvals.
If so, please give particulars like reference
number, name under which application
made, items of manufacture etc.

iii) Whether the applicant or any of the _________________

partners/Directors who are also partners _________________
/Directors of another company or its
associate concerns are being proceeded
against or have been debarred from
getting any License/Letter of Intent/
Letter of Permission under the Export and
Import (Control) Act, 1947/Foreign Trade
(Development and Regulation) Act, 1992 / FEMA/
Custom/Central Excise Act.

Place :_________ Signature of the Applicant ____________________

Date :________ Name in Block Letters __________________

Designation ___________________

Official Seal/Stamp_________________ Tel. No. ___________________

e-mail ___________________
Web-Site, if any ___________________
Full Residential Address_________________

UNDERTAKING

I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and
belief. I/We will abide by any other condition, which may be stipulated by the concerned Development
Commissioner. I/We fully understand that any Permission Letter granted to me/us on the basis of the
statement furnished is liable to cancellation or any other action that may be taken having regard to the
circumstances of the case if it is found that any of the statements or facts therein are incorrect or false. An
affidavit duly sworn in support of the above information is enclosed.

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Place:__________ Signature of the Applicant _________________

Date:___________ Name in Block Letters _________________

Designation _________________
Official Full Official address _________________
_________________
Seal/Stamp __________________ Tel. No. _________________
e-mail Address _________________
Web-Site _________________
Full Residential address __________________
__________________
Tel. No __________________

SOME IMPORTANT GUIDELINES

1. Additional Information may be furnished by existing domestic units seeking conversion into the
EOU Scheme as per annexure.

2. Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as
granite/marble/sandstone products where availability of raw materials is contingent upon
Government leases etc.

3. Normally lumpsum amount up to US $ 2 Million and 8% royalty (net of taxes) as amended from
time to time over a period of five years from the commencement of production is allowed as per the
current EOU Scheme on account of foreign technology agreement as per the norms of
Department of Industrial Policy and Promotion. In addition selling agency commission is permitted
as per RBI norms.

4. Cases involving high outgo of foreign exchange for capital goods and raw materials, the
Government prefers raising of funds through external commercial borrowings.

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 ANNEXURE

PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU
SCHEME

a) Whether conversion of DTA Unit into the EOU has been sought for the
full existing capacity of the unit or the proposal is for partial
conversion.(Please give details of the existing capacity etc.)
b) Whether any expansion of the DTA unit proposed to be converted into
EOU has been envisaged, if so the extent thereof.(Please give details
of the existing capacity and the enhanced capacity etc).
c) What is the level of existing exports of the unit proposed to be
converted into EOU. (Please give details of export performance item-
wise for a minimum of three previous years)
d) Whether the DTA unit is already under obligation to export, under:
i) Advance Licensing Scheme;
ii) Import of machinery under EPCG scheme;
iii) Any other Scheme.

(Give all relevant details including total E.O. imposed, the E.O.
discharged till date etc.)
e) Whether your unit is registered with the Customs or Excise authorities.
(Please give details viz. Reg. No., date etc.)
f) Are you agreeable to have your whole unit customs bonded as
required under the EOU scheme?
g) Whether you are a merchant exporter or a manufacturer
exporter.(Please give details)
h) What is the age(year of manufacture)and residual life of items/
machinery already installed in your unit, whether they are imported or
indigenous.(Please attach separate sheets giving item-wise details
with value of the new CG as well as existing value of machinery
presently installed).

Date____________ Signature________________________
Name __________________________

Place __________ Address of the Applicant ____________

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