Dahej-SEZ

Note: * indicates mandatory fields. View Terms and Conditions

Name of Applicant (Company/Firm/Person etc. as applicable) :

*

Registered Office Address : Include(Village,Tahesil / Taluka,District,State,PIN Code)

*

Communication Address : Include(Village,Tahesil / Taluka,District,State,PIN Code)

*

Name of Contact Person :

*

Designation :

*

Mobile No. with Country Code :

*

Phone No. :

*

Fax No. :

Email Address :

*

Alternate Email Address :

*

Website Address :

Name & email address , contact numbers of each Directors /Partners with share holding details :

*

Constitution of the Applicant Company:

* Public Limited Company
Private Limited Company
Limited Liability Partnership
One Person Company
Partnership Firm
Proprietorship Firm
HUF/Karta
AOP (Association of Persons)- Chairman
Other(Please Specify)

CIN No. of Company / Registration no. of applicant (As applicable) :

*

PAN No. of Company/Firm/Person :

*

GST No. of Company/Firm/Person :

*

Whether MSME If Yes, please provide details :

* YesNo

IEM No. if applicable :

Whether application for :

* DOMESTIC INDUSTRIAL PARK-TOWNSHIPSEZ

Plot size required :

* Square Meter

Types of Industries :

*

Items of manufacture :

*

Raw material details :

*

Details of Machinery to be used :

*

Water requirement (in MLD) :

*

Year 2024 : MLD

Year 2025 : MLD

Year 2026 : MLD

Year 2027 : MLD

Year 2028 : MLD

For Domestic use (in MLD) :

*

Year 2024 : MLD

Year 2025 : MLD

Year 2026 : MLD

Year 2027 : MLD

Year 2028 : MLD

For Industrial use (in MLD) :

*

Year 2024 : MLD

Year 2025 : MLD

Year 2026 : MLD

Year 2027 : MLD

Year 2028 : MLD

Quantity of Treated Effluents (in MLD) :

*

Year 2024 : MLD

Year 2025 : MLD

Year 2026 : MLD

Year 2027 : MLD

Year 2028 : MLD

Quantity of Treated Effluents (Must be as per GPCB) :

*

Ph :

BOD :

COD :

Temperature :

Colour :

Odour :

Solid Waste details ( In KG per day) :

*

Power requirement in KVA :

*

Year 2024 : KVA

Year 2025 : KVA

Year 2026 : KVA

Year 2027 : KVA

Year 2028 : KVA

Gas Requirement (in SCM) :

*

Per day : SCM

Annual : SCM

Proposed Investment :

*

Components	Rs. in Crore
Land
Building
Plant & Machinery
Others
Total

Source of Finance :

*

Sr. No.	Source	Name	Rs. in Crore
1	Self
2	Director / Partner
3	Bank Loan
4	FDI
5	FDI (% of total investment)
6	Other (If any)
	Total

Land utilization pattern :

*

Sr. No.	Usage	Area in Sq. Mtr.
0	Area applied for
1	Built up Area
2	Plinth Area
3	Manufacturing
4	Warehouse
5	Stores
6	Administrative Office
7	Open storage
8	Green Belt
9	COP
10	Other
	Total

Proposed Employment (In Numbers) :

*

Direct	Man
Direct	Women
Indirect	Man
Indirect	Women
Total	Man
Total	Women

Types of proposed employment (In No.) :

*

Skilled Employees	Male	Women
Unskilled Employees
Supervisory Employees

Tentative Month and year to commence commercial production :

*

Whether registered as Manufacturer- Exporter. If so, please submit a copy of IEC registration :

* YesNo

IEC No. :

Date of issue :

RCMC (Registration cum Membership Certificate number) details if available :

RCMC number :

Date of issue :

Valid up to date :

Enter EPCG details if available :

Enter D&B number details if available :

Export of products during the last three years. Performance as Merchant Exporter will not be considered. Please give documentary proof, wherever possible :

Year	Type	No. (In Metric ton)	Rs. in Crores
2021-22
2022-23
2023-24

Name of counties where export is being made last three year :

Year	Country A	Country B	Country C
2021-22
2022-23
2023-24

Details of all existing manufacturing plant in India & Abroad of Applicant :

*

Turnover of applicant for last 5 years :

*

Year 2019 : Rs. In Crores

Year 2020 : Rs. In Crores

Year 2021 : Rs. In Crores

Year 2022 : Rs. In Crores

Year 2023 : Rs. In Crores

Experience / Company profile (min. 150 words):

Payment Details :

* ChequeDemand Draft

No. :

Amount. :

Date :

Any other Information :

I / we hereby undertake that by submitting the application to Dahej SEZ Limited(DSL)., it does not create any right, obligation, priority and claims for allotment of the plot. I / we also understand that allotment of the land shall be at Dahej SEZ Limited’s sole discretion.\ I / we shall not create any dispute for any claim / objection / correction and decision of Dahej SEZ Limited on allotment of the land shall be binding to me / us. Above mention, facts are synopses of respective policies only. Any allottee / applicant shall have to abide the policy / Procedure, Terms and Conditions of Dahej SEZ Limited(DSL)., which may be amended /decided from time to time.

Registered Office :

Reach to Us :

CIN NO :

U45209GJ2004PLC044779

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