| 1. | Name
& Address of the Unit: | ---------------------------------------------------------
|
| 2. | Name
of Contact person: |
--------------------------------------------------------- |
| 3. | Tel.
No. & FAX, Mobile No. If any. |
--------------------------------------------------------- |
| 4. | Year
of establishment/Registration with DICC |
--------------------------------------------------------- |
| 5. | List
of equipments/machinery & Measuring Instruments Sl.No. Description Make Capacity/size
Qty. | ---------------------------------------------------------
|
| 6. | Employment
details: | ---------------------------------------------------------
|
| 7. | Items
manufactured with specifications: |
--------------------------------------------------------- |
| 8. | List
of valued Customers: |
--------------------------------------------------------- |
| 9. | Registration/certification
with: Government/other Agencies DIC/NSIC/Excise/ISI/ISO-9000/Others |
--------------------------------------------------------- |
| 10. | Export
activities if any: |
--------------------------------------------------------- |
| 11. | Spare
capacity available onmanufacturing/processing: |
--------------------------------------------------------- |
| 12. | Any
entrepreneurship award received: |
--------------------------------------------------------- |
| 13. | Any
other information: |
--------------------------------------------------------- |
| | | |
| | Date
: |
(Authorized Signature) (Name & Seal) |
| |
| IMPORTANT
(PLEASE ENCLOSE) |
| |
| (1) | List
of Machines & testing Equipments. | | (2) | Copy
of DICC/SSI registration certificate. | | (3) | Your
product catalogues. | | (4) | Regn
Fee Rs. 100/- in Cash or Draft in favour of Accounts Officer, PAO (SSI), Kolkata.
| |