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Plot Details
  Fields marked with (*) are mandatory.
 
 Applicant  Information
* Name :  
  Address : Upto 500 characters.        
  State :   District :
  City/Town :   PIN :
  Contact Phone : * Contact Mobile :

  Education Qualification :   Special Category  :
* Contact Email : Preference Category :
Registered Office Details
* Company Name :
  Address : Upto 500 characters.    
  State :   District :
  City / Town : PIN :
  Phone :   Fax :
  Website : * Constitution Type :

* Contact Email1 :   Contact Email3 :
  Contact Email2 :   Contact Email4 :
Note: Contacts will receive email alerts on MIDC Queries & Processing at the above email addresses.
Plot Details
Is Plot MIDC or Non-MIDC ? :
 District of present unit :
*   Industrial Area of present unit :
Note:-  Please enter plot number in the format "Block Number-Unit Number"
Use "-" as separator between the Block Number and the Unit Number.
e.g-123,In cases where there is no block number
e.g-C-123,In cases where there is a block number allotted.
In case if you have multiple adjacent Plots then please mention all the plot numbers separated by a ","
e.g.-A-1,A-2,A-3,A-4,A-5,A-6,A-7
*   Present Property No.                  (Plot/Shed/Gala) :
*   Area in m2 :
Plot/Unit Contact Information
  Unit Phone No. :   Unit Fax No. :
Unit Email Address :

* Type of Industry/Activity : Details, If others

EM Acknowledgement Number
(If Applicable)
:      
Date of Acknowledgement : Select Date      

           
  Form of Application for Letter of Intent for IT Hardware unit to be made to the Registering Agency.[Annexure-31]  
         
  1)  Name  Of  Unit/Applicant :  
  2) Addres Of Communication :  
    PIN :  
    Telephone Number :  
    Fax Number :  
    E-mail Address :  
  3) Location Of unit      
    Address  :  
    PIN :  
    Telephone Number  :  
    Fax Number :  
    E-mail Address :  
  4) Type of Organisation :  
  5) EM Acknowledgement Registration Number If granted by District Industries entre/ Joint Director of Industries, Mumbai Metropolitan Region
(Please enclose copy of EM Acknowledgement Number Registration Certificate)
:
Dated 
 
   
 
  6) *  IEM/EOU granted by SIA,Ministry of Industry,Govt.of India (Please enclose copy of IEM/EOU) :
Number
Dated Select Date
 
  7) Products manufactured :
a) Existing Information Technology Hardware products
    Annual Production
Sr. No Item Quantity Value (Rs.)
* 1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      
       
b)Existing Non-IT Products
    Annual Production
Sr. No Item Quantity Value (Rs.)
* 1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      
 
  8) Products to be Manufactured : Proposed IT Hardware Products
Sr. No Item Annual Production/Capacity
    Quantity Value(Rs.)
1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      
 
  9) *  Brief details of manufacturing process in respect of items at 7a and 8. (Enclose separate sheet if necessary) :    
  10)  Investment in Plant & Machinery :
*  a) Existing for IT Hardware :  Rs.(Lakhs)
 *  b) Existing for Non-IT products :  Rs.(Lakhs)
*  c) Proposed for IT Hardware :  Rs.(Lakhs)
 
           
           
           
           
    Date  :-   Signature of applicant  
    Place :-      
           
        Name of Prop./Partner/Director  

 

Documents

    For LOI for IT Hardware Units:

    1.	Application in the prescribed form for LOI (Annexure-I)(Printed copy of this Form)
    2.	Affidavit (Annexure II -A)
    3.	Copy of the Location clearance from Technical Advisor, MIDC 
    4.	Copy of EM-I in respect of Small / Medium Enterprises registration certificate or 
        Industrial Entrepreneur’s Memorandum (IEM part A) / Letter of Intent (LOI) 
        / Letter of permission (LOP) in respect of EOU from Govt. of India,
    5.	Undertaking in respect of employment of local persons (ELP-II Form)
            
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