APPLICATION FORMAT FOR ADVANCE APPROVAL REQUEST (The applicant should by tgv36994

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									                   APPLICATION FORMAT FOR ADVANCE APPROVAL REQUEST
         (The applicant should affix seal and put signature in every page of the application )

      ASSISTANCE SCHEME FOR CREATION OF BASIC FACILITIES FOR CHILLED FISH /TUNA

Sl.No                         Details
  A     General Information
  1.    Name of the applicant (in capital letters)

 2.     Address of the applicant (in capital letters) &
        contact phone number, e-mail etc.
 3.     MPEDA Registration Number as an exporter
        (Please enclose photocopy of registration
        certificate)
 a.     MPEDA Regn. No. of the processing facility
        (Please enclose photo copies of registration
        certificate)
 b.     EU or non - EU unit (Applicable for existing units).
        Mention EIA code No. Enclose photo copy of EIA
        approval letter
 c.     Total export turnover during last financial year (Rs.   Year   Qty. (ton) Value (Rs.lakh)
        Lakhs)
 d.     Of the above, total export of chilled fish                Qty. (ton)      Value (Rs.lakh

 4.     Whether the facility is new

 5      Survey No. and area ,location of the land,
        Village, Dist, (attach a copy of the land
        possession certificate)
 6      Whether the facility proposed to set up is in your
        own property or in leased property.(If the facility is
        leased, mention the lease period - enclose lease
        agreement copy)
 7      In the case of TUNA packing facility mention
        whether the facility is having direct access to fish
        landing jetties / water bodies
 8.            ITEMS TO BE PURCHASED / FACILITIES CREATED UNDER THE SCHEME

 a)     RCC Building area in Sq. feet (enclose a copy of           Quantity/No.    Cost (Rs.)
        approved plan / lay out )
 b)     Chill room area
 c)     Water purification system (Capacity)
 d)     Effluent Treatment Plant (Capacity)
 e)     Flake / chip / tube Ice machine (capacity)
 f)     SS table
 g)     Air curtains
 h)     Weighing machines
 i)     Utensils / tubs
 j)     Any other items / information
 k)
 l)
 m)
 n)     Total cost
  8.      Whether availed financial assistance for this project                   Institution     Amount
          from any other institutions/organizations including
          MOFPI?
 9.       Production capacity per day
 10.      No. of Male workers
 11.      No. of female workers
 12.      Proposed date of completion of work
 13.      Anticipated date of commissioning




I / We hereby certify that the particulars given in the application and papers appended thereto are true to
the best of my /our knowledge and belief.
I/We do hereby undertake to provide whatever additional particulars may be called for by the MPEDA in
connection with the application.
                                                          Signature           :
                                                          Name                :
                                                          Designation         :
Place :
Date :




Foot Note:
   The application should be signed by the owner viz. Proprietor/Partner/Director/ any other person duly
   authorized to sign on behalf of the firm/company.
   Application should be furnished to the concerned SRO / RO as the case may be. copy to be retained
   by the party


       DOCUMENTS REQUIRED TO BE SUBMITTED ALONG WITH ADVANCE APPROVAL
                         APPLICATION BY BENEFICIARY


  1.   Copy of MPEDA registration certificate issued to processing unit (For existing units)
  2.   Copy of EIA approval letter (For existing units)
  3.   Project proposal
  4.   Land possession certificate from village
  5.     Blue print lay out for the proposed unit / construction as approved by local Authority
  6.   Copy of Lease agreement (If applicable)
  7.   Consent from Local Authority towards construction of new unit
  8.   Estimate from chartered engineer
  9.   Power of attorney to Authorized Signatory


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