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SWC Plot Registration application form
Fields marked with (*) are mandatory.
Applicant Information
* Name :
* Role :
*
Download Letter of Authority Template : Download
Upload Letter of Authority for Property Registration on company’s letter head Upload
(File format: PDF,JPG, JPEG, File size upto 3 MB)
Note: Please do not use any of these & ,* % . @ : \ / ( ) special characters in the Letter of Authority
Attachment 		Download
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.
Property Details
Is Plot MIDC or Non-MIDC ? :
District of present unit :
* Industrial Area of present unit :
* Property Form :
* Type of Property :
* Present Property No. (Plot/Shed/Gala) :
* Plot Area in m2 :
Plot/Unit Contact Information
Unit Phone No. :
Unit Fax No. :
Unit Email Address :
* Type of Industry/Activity :
Description of Selected Activity :
EM Acknowledgement Number
(If Applicable) 		:
Date of Acknowledgement : Select Date
Application form for LOI/Registration to IT Parks
   
ANNEXURE – 2
Specimen Application for Letter of Intent for proposed Private IT Park / Registration of Existing IT Park / conversion of Letter of Intent to Registration of Private IT Park
  Directoarte OF Industries Information Tecnology Branch
(To be submitted along with application fee Rs. 1000/- by way of RBI Chalan. Copy of the challan. Copy of the challan should be enclosed along with application) 		 
 
1 Name & Address of the Applicant
       [(Office & Factory Location (s)] 		:
2. Constitution of the Applicant
(Please enclosed registration certificate i.e. registration of firm, Certificate of Incorporation and Article of Association & Memorandum of Articles, etc. 		:
3. Name of IT Park :
4. Location
    (i) Survey Nos. / Plot Nos. :
    (ii) Village / Town / City :
    (iii) Taluka / District :
    (iv) Total Plot Area :
    (v) Area under ownership :
    (vi) Area under Lease :
(Please enclose copies of Conveyance / title deed / 7/12 Extract / property card / lease deed etc) :  
5. Details of N.A. permission is issued by the concerned collector for the Information Technology Park :
6. Details of Zone
(Confirmation certificate issued by the competent authority from the Municipal Council/Town Planning Department/Other concerned local authority) 		:
7. Details of exemption certificate obtained under u/s 20 ULC Act from the competent authority.
(Please enclosed copy, if applicable) 		:
8. Whether Letter of Intent / Registration as Private IT Park obtained previous from
 the Directorate of Industries  (If so, please enclosed copy) 		:
9. Details of NOC under Industrial Location Policy if obtained from the Directory of Industries.
(If so, please enclosed copy) 		:  
10. Details of building plan approved by the competent authority :  
11. Details of Intimation of disapproval (IOD) / Commencement Certificate/Occupation
Certificate issued by the competent authority 		:  
12. Details of proposed utilization of the built up area. (As certified by Chartered Architect :
Total Area of Plot / Built up Area in Sq. meter Built up area for IT unit in Sq. meter Open plot area for IT unit in Sq. meter Built up area for support services in Sq. meter Open Plot area for support services in Sq. meter No. of Parking slots
13. Details of arrangements in respect Minimum 2 Mbps
connectivity provided / proposed to be provided. 		:
14. Details of arrangements for supply of power @ 20 watts per sq. ft. on the total built up area, provision of an independent sub-station in the premises of the Park and a dedicated power feeder from the nearest source of the power supplying Company. :
15. Details of arrangement in respect of standby power generation of 30% of the total requirement of power at point No. 14 above. :
16. Detail of the modality and plans for availing the benefit of 100% additional FSI on this proposed Park, if envisaged. :
17. Details in respect of management of the Park after completion of construction and allotment of space to IT units and Support services, and developer’s responsibility towards in day to day management of the Park :
18. It units and support services and developers responsibility towards in day to day management of the park :

UNDERTAKING
I hereby declare that the documentary evidence in support of the information/ particulars given by me in this application from is true and correct to the best of my knowledge and belief. I further undertake to use and ensure the use of the premises (including land and built up area) this Information Technology Park exclusively for Information Technology unit and support services and infrastructure.
   
   
Place :

Date :

Name & Signature of applicant 		 
   
     

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