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package of incentives and concessions under karnataka ...

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Annexure-IA F F I D A V I TI, ……………… S/o. Sri. .……………………………………, aged……years, Inventor / Managing Director/Director / Proprietor / Partner,* M/s .................................................................. with their Regd. Officeat ........................................... & Factory located at .................................………………withE.M. No:................................................. dated:....................... do hereby solemnly affirm <strong>and</strong> declareas <strong>under</strong>:The Company / Firm / Establishment has been a Ancillary /Micro/ Small Enterprise* as per the Govt. <strong>of</strong>India definition; <strong>and</strong> has been functional & in production at the time <strong>of</strong> adopting the Energy ConservationMeasures <strong>and</strong> Use <strong>of</strong> Non-Conventional Energy Sources.The Company/Firm/Establishment continues to be a Ancillary /Micro/ Small Enterprise* <strong>and</strong> functional &in production as on date.As per books <strong>of</strong> accounts, the total investment (original purchase value) on plant <strong>and</strong> machinery in theCompany / Firm / Establishment* as on .......................... is Rs.................................. (As per CharteredAccountant Certificate dated: ....................... to this effect is attached).(i) That the aforesaid Company/Firm/Establishment(s)* have not availed reimbursement /subsidy /grant/incentive* for adopting the Energy Conservation Measures <strong>and</strong> Use <strong>of</strong> Non-Conventional Energy Sources<strong>under</strong> any Scheme operated by Central Govt. / State Govt. / Financial Institution* etc.or(ii) That the aforesaid Company/Firm/Establishment(s)* have claimed & received reimbursement/subsidy/grant/incentive for adopting the Energy Conservation Measures <strong>and</strong> Use <strong>of</strong> Non-Conventional Energy Sources to Rs (Rupees from (Name <strong>of</strong>the Central Govt. /State Govt. Dept./Financial Institution* vide Draft/Cheque* No:—————Date: ————— <strong>of</strong> ——————(Name <strong>of</strong> Bank).(i) That the aforesaid Company / Firm / Establishment(s)* have already applied to ———— (Name <strong>of</strong> theCentral Govt / State Govt/ Financial Institution)* vide application dated: ————for reimbursement/subsidy/ grant /incentive* for adopting the Energy Conservation Measures <strong>and</strong> Use <strong>of</strong> Non-ConventionalEnergy Sources.or(ii) That the aforesaid Company/Firm/Establishment(s)* have not applied to any Central Govt./State Govt./ Financial Institution, for reimbursement / subsidy /grant / incentive*, for adopting the EnergyConservation Measures <strong>and</strong> Use <strong>of</strong> Non-Conventional Energy Sources.That after availing reimbursement for adopting the Energy Conservation Measures <strong>and</strong> Use <strong>of</strong>Non-Conventional Energy Sources in respect <strong>of</strong> the said Company /Firm /Establishment(s)*,I shall disclose this fact on behalf <strong>of</strong> the said Company /Firm /Establishment(s)* at the time <strong>of</strong> claiming/receiving reimbursement/ subsidy/grant/incentive*, if any, <strong>under</strong> any other similar scheme run by CentralGovt./State Govt. /Financial Institutions* etc.Signed on this day <strong>of</strong> ————————————— Date: ———————————DEPONENT136

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