Part I

Government of Tamilnadu

Department of Industries and Commerce

jäH¦ehL muRbjhêy¦ tâf¤ Jiw

jäH¦ehL muRbjhêy¦ tâf¤ Jiw

APPLICATION FORM

FOR FINANCIAL ASSISTANCE UNDER

THE NEW ENTREPRENEUR -CUM- ENTERPRISE DEVELOPMENT SCHEME (NEEDS)

òÂa bjhêš Kidnth® k‰W« bjhêš ãWtd nk«gh£L¤ £l¤Â‹ (NEEDS)

Ñœ ãÂÍjé bgWtj‰fhd é©z¥g«

PLEASE AFFIX

LATEST PASSPORT SIZE

PHOTO

(rÛg¤Âš vL¡f¥g£l

gh°ngh®£ msÎ

òif¥gl« x£lΫ)

1.

2.

Name of the applicant in Block letters

tpz;zg;gjhuhpd; bgah; bghpa vGj;Jf;fspy;

3. Gender : ghypdk; Male / Mz; Female / bgz; Transgender / jpUe=;ifah;

Father’s / Spouse’s Name : jfg;gdhh; fztd; kidtpapd; bgah;/ /

4. a. Are you Married? / jpUkzk; Mdtuh>jh=;fs;

b. Are you a Differently Abled person?

jh=;fs; xU khw;Wj; jpwdhspah>

c. Are you an Ex-serviceman?

jh=;fs; xU Kd;dhs; uhQtj;jpduh>

Yes/ M« No/ Ïšiy

Yes/ M« No/ Ïšiy

Yes/ M« No/ Ïšiy

5. a. Date of Birth gpwe;j njjp

b. Age on the date of application: tpz;zg;gpf;Fk; ehs; md;W taJ

DD M M Y Y Y Y

Monthkhjk;

YearstaJ

6. Community / tFg;g[

SCMÂ

Âuhél®

STgH§

Foæd®

BCÃw¦g£l

tF¥Ãd®

MBCäfΫÃw¦g£l

tF¥Ãd®

MinorityÁWgh‹ik

æd®

DifferentlyAbled

kh‰W¤ÂwdhëfŸ

Ex- Service man

K‹dhŸuhQt¤Âd®

GeneralbghJ

Ãçéd®

7. Particulars of Educational Qualifications: fy;tpj; jFjp Fwpj;j tptu=;fs;

Educational Qualificationfy;tpj; jFjp

Course Details étu§fŸgo¥ò

Year of Passingnj®¢Á bgw¦w M©L

iii.

i. Graduate / Post Graduate DegreeÏs§fiy /KJfiy¥ g£l¥ go¥ò

ii. Diplomag£la¥ go¥ò

Certificate obtained from ITI / Vocational Training from recognized Institutions.IoI / m§Ñfç¡f¥g£l gæw¦Á ãWtd§fs¦ _y« bgw¥g£l bjhêš gæ‰Á rhd¦¿jH¦

8. a. Whether undergone any Entrepreneur Development Training Programme? Ïj‰F K‹ bjhêš Kidnth® nk«gh£L¥ gæ‰Á bgw¦Ws¦shuh?

b. If yes, give details. M« våš mj‹ égu«

Yes/M«

No/Ïšiy

Name of the Coursegæ‰Áæ‹ bga®

Name & Address of Training Institutegæ‰Á ãWtd¤Â‹ bga® Kftç&

Period of traininggæ‰Á fhy«

FromKjš

Totiu

Yes/M«

No/Ïšiy

9. Employment Details: ntiy égu«

a. Self: é©z¥gjhu®

i.

ii.

iii.

Whether the applicant is presently employed ?é©z¥gjhu® j‰nghJ ntiyæš ÏU¥gtuh?

If yes, give details. M« våš égu§fŸ

If No, whether registered with Employment

Exchange? (Give registration No & Date)Ïšiybaåš ntiy th ¥ò mYtyf¤ÂšŒ

Registration No.gÂÎ v©

DateehŸ

gÂÎ brŒJŸs gÂÎ v© k‰W« ehŸ

2

Yes/M«

No/Ïšiy

b.

a.

b.

c.

a.

b.

c.

d.

d.

Occupation of Father/Spousejªij/ fzt®/kidé brŒJ tU« ntiy

c. Whether any one in your family is ?self employed

j§fŸ FL«g cW¥Ãd®fëš vtnuD«

Ra bjhêš bra¦J tU»‹wh ?uh

If yes, give details. M« våš mj‹ égu«

10.

Residential

Communication Details / bjhlh;g[ tptu=;fs; :

Address: ÏU¥Ãl Kftç

Email Idä‹dŠrš Kftç

Mobile No

ifngÁ v©

11.

12.

whether residing in the above address for at least 3 years

nk‰F¿¥Ã£l Kftçæš flªj _‹W M©Lfshfbjhl®ªJ tÁ¤J tU»Ö®fsh ?

Name of the activity proposed to be established :

Jt§f c¤njÁ¤Js¦s bjhêš

Whether

Address of proposed location of Enterprise

Entrepreneur Memorandum (Part I) No obtained from District Industries Centre

bjhêš Jt§f c¤njÁ¤Js¦s Ïl¤Â‹ KG éyhr«

Manufacturing/Service activity :

:

c‰g¤Â ãWtd« my¦yJ nrit ãWtd«

Yes/M«

No/Ïšiy

D.No/Street:fjÎ v©

Village/Town:»uhk«/efu«

Block:x‹¿a«

Taluk:t£l«

District:kht£l«

Pin Code: mŠryf F¿p£L v©

D.No/Street:fjÎ v©

Village/Town:»uhk«/efu«

Block:x‹¿a«

Taluk:t£l«

District:kht£l«

Pin Code: mŠryf F¿p£L v©

3

khtl;l bjhHpy; ikaj;jpy; ,Ue;J bgwg;gl;l bjhHpy; Kidnthh; gjptwpf;if (ghfk; 1) vz;.

Part I

Date of Issue

No. 3 3

13.

14.

Previous experience if any.

Project Outlay: £l KjÄL

K‹ mDgt« VJäU¥Ã‹ mj‹ égu«:

Sl.Not.v©

Itemégu«

ProjectCost

(In Lakh Rs)

£l bjhif(%.y£r¤Âš)

Means of finance (In Lakh Rs)

Owncontrib-ution

brhªjKjÄL

BankLoan

t§»fl‹

Govt.Subsidy @ 25%

muR khåa«

Total

bkh¤j«

Landãy«

Buildingf£ol«

Machinery or EquipmentÏaªÂu jsthl§fŸMargin Money for workingCapitaleilKiw _yjd¤Â‰fhdéë«ò¤bjhif

Preliminary & Pre-operativeexpensesMu«g f£l bryéd§fŸ

Totalbkh¤j«

1.

2.

3.

4.

5.

6.

ã Mjhu« (%.y£r¤Âš)

15. a. Whether availed loan under any Central / State Government subsidy linked loan schemes? Ïjw¦F Kd¦ k¤Âa / khãy muÁ‹ khåa¤Jld¦ Toa fld¦ bgw¦wtuh?

b. If yes details of the loan obtained .

M« våy¦ mt¦thW bgw¥g£l fl‹ égu§fŸ

Yes/M«

No/Ïšiy

Name of thescheme

fld¦Â£l¤Âd¦

bga®

Name of activity

£l¤Âd¦ bga®

Loan Amount received( in Rs)

bgw¥ g£l fld¦ bjhif

Name ofBank Branch

t§» kw¦W« »is bga®¦

Subsidy amount

kh‹a bjhif

Year of Sanction

mDk¡f¥g£lM©L

I certify that all the informations furnished by me are true; and I have not availed any financial assistance from banks under any subsidy linked scheme of Central/State Government for establishing any enterprise.

nkny Tw¥g£l étu§fŸ mid¤J« c©ikahdit vdΫ eh‹ bjhêš ãWtd§fis ãWé el¤j k¤Âa k‰W« khãy muÁd¦ khåa¤Jl‹ Toa flDjé VJ« t§» _y« bgwéšiy vdΫ rh‹wë¡»nw‹.

Date :

ehŸSignature of the applicant

é©z¥gjhuç‹ ifba¥g«

Other expenses (Technicalknow-how extra),ju bryt[fs; (bjhHpy;El;g Mnyhrid bryt[fs; nghd;wit)

4

For Office Use Only

Recommendations of the General Manager, District Industries Centre

As per the information provided by the entrepreneur in the application and by

verification of the documents produced by the entrepreneur as well as by conducting personal

inspection of the residence of the entrepreneur, it has been ascertained that the entrepreneur is

i) a first Generation entrepreneur Yes/No

ii) a resident of the place mentioned in Col.10 for not less Yes/No

than 3 years.

iii) aged above 21 years and not completed 35 years for Yes/No

General Category (45 years for Special Category)

iv) He / She possess the minimum Educational Yes/No

Qualifications required

v) He / She has not availed any financial assistance Yes/No

from banks under any subsidy linked scheme of

Central / State Government

Hence he/she is tentatively considered eligible for availing assistance under NEEDS

Scheme. His/her the application is recommended for placing before the District Level Task

Force Committee.

Or

The application is rejected for the reasons mentioned below.

1.

2.

3.

Date :

Signature of the General Manager

District Industries Centre

Part II

5

Recommendations of the Task Force Selection Committee

Name of the applicant

Application No:

Date of Task Force Selection

Committee

Name of activity

Whether Manufacturing orService activity

Recommended to

Project Cost

Bank

Branch

Break-up of the Recommended Project Cost

Sl.No ItemProject

Cost(In Lakh Rs)

Means of finance (In Lakh Rs)

Owncontrib-ution

BankLoan

Govt.Subsidy @ 25%

Total

Land

Building

Machinery / Equipment

Margin Money for workingCapital

Preliminary & Pre-operativeexpenses

Other expenses (Technicalknow-how)

Total

1.

2.

3.

4.

5.

6.

Signature of Task Force Selection Committee members

Part III For Office Use Only

6

Lead Bank Manager

Branch Manager TIIC

Branch Manager, SIDCO

Branch Manager, ……………….............. BankBranch Manager, ……………................. BankConvenor - District Industries Centre

General Manager

District EmploymentOfficer

Representative of EDI

Representative ofMSME-DI

District Manager,TAHDCO

Representative of District MSME AssociationChairman -District Collector

Instructions to Applicants / é©z¥gjhu®fS¡fhd éÂKiwfs¦

Age

taJ tu«ò

The applicant should have completed minimum 21 years but should not have completed 35 years for General Category and 45 years for Special Category of Entrepreneurs on the date of application.

é©z¥gjhu® é©z¥Ã¡F« nj md¦W 21 taJ Kotilªj tuhfΫ, bghJ¥Ãçédiu rh®ªjtuhf ÏU¥Ãd¦ 35 taÂw¦F äfhj tuhfΫ Áw¥ò¥Ãçédiu¢ rh®ªjtuhf ÏU¥Ãd¦ 45 taÂw¦F äfhjtuhfΫ ÏU¤jy¦ nt©L«.

Special Category ofEntrepreneursÁw¥ò ÃçÎ bjhêy¦ Kidnth®

Women/ SC/ST/BC/ MBC/ Minorities/ Ex-Servicemen/Trans genders/ differently abled persons.kfë®/M Âuhél® / gH Fo / Ãw¦g£l tF¥Ãd®/ äfΫ Ãw¦g£l tF¥Ãd® / ÁWghd¦ikæd® / Kd¦dhs¦ uhQt¤Âd® / ÂUe§ifa® /khw¦W¤ Âwdhëfs¦.

§ æd®

Academic Qualification

fy¦é¤ jFÂ

Degree, Diploma, ITI / Vocational Training from recognized Institutions.g£l¥ go¥ò, g£la , m§Ñfç¡f¥g£l gæw¦Á ãWtd§fs¦ _y« bgw¥g£l bjhêš gæ‰Á .

¥ go¥ò ITI /

Place of residence

tÁ¥Ãl«

The applicant should be a resident of Tamil Nadu State for not less than 3 years.é©z¥gjhu® jäH¦ eh£oy¦ flªj _‹W M©Lfshf bjhl®ªJ tÁ¥gtuhf ÏU¡f nt©L«.

Eligible activities

jFÂÍs¦s bjhêy¦fs¦All economically viable manufacturing and service activities (except those activities mentioned in Annexure I)Ïyhgfukhf bray¦gL¤j¤ j¡f mid¤J cw¦g¤Â kw¦W« nrit¤ bjhêy¦fs¦(Ïiz¥ò-1 Ïy¦ F¿¥Ãl¥g£Ls¦s bjhêy¦fs¦ jéu)

10% of the Project Cost -for General CategorybghJ¥ÃçédU¡F £l kÂ¥Õ£oš 10%

5% of the Project Cost - for Special CategoryÁw¥ò¥ÃçédU¡F £l kÂ¥Õ£oš 5%

Promoters' Contributionbjhêy¦ Kidnthçd¦ KjÄL

25% of the Project Cost subject to a ceiling of Rs.25.00 Lakhs.£l kÂ¥Õ£oy¦ mÂf g£rkhf %. 25.00 Ïy£r« tiu.25%

Subsidy from GovernmentmuR _y« tH§f¥gL« khåa cjé

Project Cost

£l kÂ¥ÕL

1. Above Rs.5.00 Lakhs and not exceeding Rs.1.00 Crore.£l kÂ¥ÕL %.5.00 y£r¤Â‰F nkš %.1.00 nfho¡F äfhky¦ ÏU¡f nt©L«.

2. The entrepreneur has to meet the cost of land,

rented/leased building, Technical know-how, Preliminary & pre-operative expenses, Working capital margin etc., from his/her own fundsbjhêš Kidnth® ãy« thlif/F¤jifæy¦Ïa§¦» tU« f£ol¤Âd¦ kÂ¥ò/ bjhêš E£g Mnyhrid¡fhd bryÎ, eilKiw _yjd¤Â‰fhd éë«ò¤ bjhif kw¦W« Mu«g f£l bryéd§fŸ Ïitmid¤ijÍ« jkJ brhªj bryéy¦ nk‰bfhŸs nt©L«.

3. Cost of the land may be included in the Project cost at guideline value or market value, prevailing as on the date of filing loan application, whichever is lower.ãy¤Â‹ kÂ¥ò fl‹ é©z¥g« rk®¥Ã¡F« njÂæš muR ã®za« brŒj kÂ¥ngh (m) rªij kÂ¥ngh Ïš vJ Fiwthf cŸsnjh mij £lkÂ¥Ãy¦ nr®¤J¡ bfhŸsyh«.

THE NEW ENTREPRENEUR -CUM- ENTERPRISE DEVELOPMENT SCHEME (NEEDS)

òÂa bjhêš Kidnth® k‰W« bjhêš ãWtd nk«gh£L¤ £l « (NEEDS)

1.

2.

3.

4.

5.

6.

7.

8.

Items eligible for subsidy

khåa cjé bgw jFÂÍila KjÄLfs¦

Cost of land to be purchased anew in the name of the Beneficiary or Enterprise , Cost of Building to be purchased/constructed and cost of Plant, Machinery & Equipmentsé©z¥gjhuçd¦ bgaçnyh my¦yJ ãWtd¤Âd¦ bgaçy¦ òÂjhf th§f¥gL« ãy¤Âd¦ kÂ¥ò, òÂjhf th§f¥glÎs¦s /f£l¥glÎs¦s bjhêw¦Tl« kw¦W« , òÂjhf th§f¥glÎs¦s ÏaªÂu§¦fs¦ jsthl§fs¦ kw¦W« cgfuz§fëd¦ kÂ¥ò.

Items not eligible for subsidy

khåa cjé bgw jFÂæy¦yhj KjÄLfs¦

The cost of rented/leased building, Technical know-how, Preliminary & pre-operative expenses, Working capital margin etc., cost of second-hand machinery (except imported second-hand machinery directly imported by the entrepreneur)thlif/F¤jifæy¦ Ïa§» tU« bjhêw¦Tl f£ol¤Âd¦ kÂ¥ò/ bjhêš E£g Mnyhrid¡fhd bryÎ, eilKiw _yjd¤Â‰fhd éë«ò¤ bjhif kw¦W« Mu«g f£l bryéd§¦fŸ giHa ÏaªÂu§fs¦ (bjhêy¦ Kidnthuhy¦ neuoahf Ïw¡Fk bra¦a¥g£l giHa ÏaªÂu§fs¦ jéu)

Selected applicants have to undergo a compulsory EDP Training programme for one month.

flDjtp bgw njh;t[ bra;ag;gl;l tpz;zg;gjhuh; xU khj bjhHpy; Kidnthh; nkk;ghl;L gapw;rp fl;lhakhf bgw ntz;Lk;.

EDP Trainingbjhêy¦Kidnth® nk«gh£L¥ gæw¦Á

The following Entrepreneurs will not be eligible under the scheme

1. Who have already availed assistance under PMRY, REGP,

PMEGP, UYEGP, TAHDCO or any other scheme of

Government of India or State Government.

2. Who have availed loan for economic activity

under SHG/other group activity.

3. The applicant should not be a defaulter to any Commercial

Bank / TIIC

ÑH¦¡fhQ« bjhêy¦ Kidnth® Ϥ£l¤Âd¦ ÑH¦ ãÂÍjé

bgw jFÂaw¦wtuht®.

1. k¤Âa kw¦W« khãy muR _y« bray¦ gL¤j¥g£L tU«

PMRY, REGP, PMEGP, UYEGP, TAHDCO nghd¦w ãÂÍjé £l§fs¦ _y« gadilªjt®fs¦.

2. Racjé¡FG/ Ïju FGk £l§fs¦ _y« bghUshjhu

bray¦ghLfS¡ fhf fld¦ bgw¦wt®.

3. t§»fs¦ /jäH¦ehL bjhêy¦ KjÄ£L fHf« _y« Vw¦fdnt flDjé bgw¦W flid ÂU¥Ã¡f£l jt¿at®fs¦.

Ineligible Applicants

jFÂ bgwh é©z¥gjhu®fs¦

One or more entrepreneurs can jointly establish Partnership Enterprise under this scheme provided all the partners satisfy the eligibility criteria. However, EDP training will be provided to only one of the partners authorized by other partners in such cases.

Xd¦W¡F nkw¦g£l bjhêy¦ Kidnth® T£lhf nr®ªJ g§Fjhu® ãWtd§fs¦ mik¡f Ϥ£l¤Âd¦ ÑH¦ cjé bgwyh«. mt¦thW cjé bgw mid¤J¤ bjhêy¦ KidnthU« Ϥ £l¤Âd¦ ÑH¦ cjé bgw jFÂbgw¦wtuhf ÏU¤jy¦ nt©L«. våD« Ïju g§Fjhu®fSila r«kj¤Jld¦ xU g§FjhuU¡F k£Lnk bjhêy¦ Kidnth® nk«gh£L¥ gæw¦Á më¡f¥gL«.

Eligibility of Partnership firms

g§Fjhu® ãWtd§fëd¦¦ jFÂ

2

9.

10.

11.

12.

13.

List of documents tobe enclosed with the application é©z¥g¤Jld¦ Ïiz¡f nt©oa Mtz§fëd¦g£oay¦

Application is to be submitted in Duplicate with copies of the following documentsé©z¥g« Ïu©L efy¦fëy¦ ÑH¦¡f©l Mtz§fSld¦ rk®¥Ã¡f¥gl nt©L«.

1. Proof of Age-Copy of birth certificate or Transfer Certificate from School/ College.taÂw¦fhd m¤jh£Á / Mjhu« - Ãw¥ò rhd¦¿jêd¦ efy¦ my¦yJ gs¦ë kw¦W« fy¦Yhç khw¦W rhd¦¿jH¦

2. Proof of Residence i.e., Copy of Ration Card or Residence Certificate obtained from Tahsildar.ÏU¥Ãl m¤jh£Á - FL«g m£il efy¦ my¦yJ t£lh£ÁaçläUªJ bgw¥g£l ÏU¥Ãl rhd¦¿jH¦

3. Copy of Degree/Diploma/Certificate Course Completion Certificateg£l / g£la¥ go¥ò/ m§Ñfç¡f¥g£l gæw¦Á ãWtd§¦fs¦ _y« bgw¥g£l bjhêš gæ‰Á rhd¦¿jêd¦ efy¦

4. Community Certificate rh rhd¦¿jH¦

5. Certificate in proof Ex-servicemen, Differently-abled, Transgender, where ever applicable.Kd¦dhs¦ uhQt¤Âd®, khw¦W¤ Âwdhëfs¦, ÂUe§ifa® Mf ÏU¥Ãd¦ mjw¦Fça rhd¦¿jH¦.

6. Project Report with projected sales and cash flow statement for the next 3 years. jpl;l mwpf;if kw;Wk; mLj;j 3 Mz;LfSf;fhd cj;njr tpw;gid kw;Wk; gzg;gha;t[ mwpf;if.

7. Copy of land document if included in the Project cost

£l kÂ¥Õ£oy ¦ãy¤Âd¦ kÂ¥ò nr®¡f¥g£oUªjhy¦ ãy¥g£lhéd¦ efy¦

8. Estimate of Building obtained from Chartered Civil Engineer g£la f£Lkhd bgh¿ahsçläUªJ bgw¥g£l f£ol¤Âw¦fhd c¤njr kÂ¥ÕL

9. Quotations for machinery or equipments .

ÏaªÂu§fs¦ my¦yJ fUéfëd¦ éiy¥g£oay¦ mry¦ kw¦W« efy¦

10. Sworn affidavit obtained from Notary Public in Rs. 20/-Stamp Paper in (Specimen format enclosed as

Annexure II)rhd¦WW mYtyçläUªJ %.20 /- kÂ¥Ãyhd K¤Âiu jhëy¦ bgw¥g£l cW bkhê¥g¤Âu«.(Ïiz¥ò 2 Ïy¦ khÂç got« ju¥g£Ls¦sJ)

11.Entrepreneur Memorandum (Part I) acknowledgment obtained from District Industries Centrekhtl;l bjhHpy; ikaj;jpy; ,Ue;J bgwg;gl;l bjhHpy; Kidnthh; gjptwpf;if (ghfk; 1) xg;g[ifr; rhd;W.

12. Copy of Partnership deed incase of partnership enterprise.g=;Fjhuh; epWtdkhf ,Ug;gpd; Tl;L xg;ge;j gj;jpuj;jpd; efy;.

3

General Manager, District Industries Centre.bghJ nkyhsh;/ khtl;l bjhHpy; ikak;.

14.

Address to which the application are to be sent

tpz;zg;gpf;f ntz;oaKfthp

15.

ANNEXURE - I

Activities not be eligible for assistance under NEED scheme

Ϥ£l¤Âd¦ ÑH¦ãÂÍjé bgw jFÂæy¦yhj bjhêy¦fs¦

1. Any activity directly connected with agriculture.

ntsh©ikÍld¦ neuo bjhl®òila bjhêy¦fs¦

2. Sericulture (Cocoon rearing), Animal Husbandry like Pisci culture, Piggery, Poultry etc.,

g£L¥ ó¢Á ts®¥ò, fhy¦eil ts®¥ò,Ûd¦ ts®¥ò, gd¦¿ts®¥ò kw¦W« nfhê¥g©iz

nghd¦w bjhêy¦fs¦

3. Manufacturing of Polythene carry bags of less than 40 microns thickness and

manufacture of carry bags or containers made of recycled plastic for storing, carrying,

dispensing or packaging of food stuff

40 ik¡uhd¦fS¡F Fiwthd gUkDs¦s ghèÔd¦ igfs¦ jahç¤jy¦ kw¦W« czÎ

bghU£fis nrä¤J it¡fΫ, vL¤J¢ bry¦yΫ kw¦W« bgh£ly« f£lΫ

cgnah»¡f¥gL« kWRHw¦Á Kiwæy¦ jahç¡f¥g£l ghèÔd¦ igfŸ kw¦W«

nrk¡ fyd¦fŸ.

4. Sugar

r®¡fiu MiyfŸ

5. Distilleries, Brewery and Malt Extraction

rhuha to¥ò rh®ªj bjhêšfŸ

6. Units utilizing Molasses/rectified spirit/de-natured spirit as raw material for

manufacture of potable alcohol.

bkhyhr° / Ãç¤bjL¡f¥g£l vçrhuha« / kh‰w« brŒa¥g£l vçrhuha« Ït‰iw

_y¥bghUshf¡ bfh©L kJghd« jahç¤jš

7. Fertiliser manufacture and blending (Except bio-fertilizers)

fy¥ò cu« jahç¤jš (Ïaw¦if cu« jahç¤jy¦ jéu)

8. Mining and Quarrying Ores, minerals etc.[Excluding polishing, cutting,

crushing, etc. of mined ores/minerals]

fåk¢ Ru§f« k‰W« fåk§fŸ bt£obaL¤jš(bt£obaL¡f¥g£l fåk§fis

bkUnfw¦Wjy¦, bt£Ljy¦, cil¤jy¦ M»a bjhêy¦fs¦ jéu)

9. Aluminium, Iron and Steel Smelting [Excluding foundries]

mYäåa« k‰W« ÏU«ò cU¡fhiy (th®¥gl¤ bjhêy¦fs¦ jéu)

10. Manufacturing of intoxicant items like Beedi/Pan/Cigar/Cigarette etc.,

Õo, Áfbu£, òifæiy, RU£L, F£fh, k‰W« òifæiy rh®ªj nghijbghU£fŸ c‰g¤Â.

11. Saw Mills

ku mWit Miyfs¦

12. Cement

Ábkd¦£ cw¦g¤Â

13. Calcium Carbide

fhšÁa« fh®igL

14. Slaughter House

czΡfhf fhšeilfis bt£L« bjhêš

15. Re-packing of Drugs/Medicine/Chemical, without any processing or value addition

brŒKiw k‰W« kÂ¥ò T£Ljš VJä‹¿ kUªJ bghU£fŸ k‰W« ntÂæaš

bghU£fis kW bgh£ly« f£Ljš.

4

,izg;g[ ? 1

16. Azoic/Reactive Dyes

bra‰if k‰W« v®éid òça¡Toa rha§fŸ

17. Fire Crackers

g£lhR bjhêš.

18. Industries manufacturing and or utilizing Ozone depleting substances

th‹btëæš Xnrh‹ gly¤ij Fiw¡F« bghU£fis jahç¡F« bjhêšfŸ.

19. Industries involving hazardous activities/ classified as “Red category” by Tamil

Nadu Pollution Control Board /Central Pollution Control Board

mghafukhd bjhêy¦fs¦ kw¦W« k¤Âa /khãy khR¡f£L¥ghL thça¤jhy¦

‘Át¥ò ÃçÎ’ vd tif¥gL¤j¥g£l bjhêy¦fs¦

20. Cyanide

raidL.

21. Caustic Soda

vçfhu«

22. Potassium Chloride bgh£lhÁa« FnshiuL

23. Nylon, Rayon & Polyester Fibre manufacturing.[Excluding manufacture of

downstream products from Nylon ,Rayon & Polyester Fibre]

ieyh‹, nuah‹ kw¦W« ghèa°l® ÏiH jahç¤jy¦ (ieyh‹ , nuah‹ kw¦W« ghèa°l®

ÏiHfis _y¥bghUs¦fshf¡ bfh©L cw¦g¤Â bra¦a¥L« bgh U£fs¦ jéu)

24. Real Estate

ãy éw¦gid rh®ªj bjhêy¦

25. All types of Business activities

mid¤J éahghu« rh®ªj bj®êy¦fs¦

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ANNEXURE II

AFFIDAVIT

I…………………….....…................S/o or D/o or W/o…...........................…………….....…

residing at ………………………………...................................................................................

...........................………..........… (address) do hereby solemnly affirm and declare us under:

1) That I am a permanent resident of

...........................................................................................................................................

..........................................................................................................................................

since the past ..................... years.

2) That I am a first generation entrepreneur and no one in my family is self employed and

running any self employed manufacturing or Service Enterprise.

3) That I have not borrowed any money under any subsidy linked scheme of

Central/State Government for establishing any enterprise.

4) That I have not defaulted in repayment of any loan from any Commercial Bank / TIIC.

5) That I shall abide by the rules framed under the scheme of NEEDS.

DEPONENT

VERIFICATION

Verified that the above contents are true and correct to the best of my knowledge and belief

and nothing has been concealed therein.

Date…………………….

NOTARY PUBLIC

Note: This affidavit should be furnished in Rs.20/- non judicial stamp paper duly attested by

Oath Commissioner (Notary Public) along with the application.

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