Download Bakers Subsidy Scheme - Goa Handicrafts Rural and ...
Download Bakers Subsidy Scheme - Goa Handicrafts Rural and ...
Download Bakers Subsidy Scheme - Goa Handicrafts Rural and ...
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association (Enclose Proof)8 Main items produced:9 Monthly Production:10 Quantity of Maida used perday:11 Annual Turnover (EncloseProof)12 Investment in fixed assetsa. L<strong>and</strong>b. Buildingc. MachineryRupeesps
d. Others (fixedassets)13 Details of fuel consumption permonth(Electricity/firewood/gas)14 EmployeeDetails:15 Enclose photographs of production facility <strong>and</strong> attachapplicant’s photograph to this form.YN16 Remarks if any
17 M<strong>and</strong>ate for Electronic Fund Transfer Through ECS / RTGSa Name of the Grantee Organizationb Address of the GranteeOrganizationc L<strong>and</strong>line No.d Mobile No.e Email address:fPAN No.g Particulars of Bank Accounti Bank Nameii Branch Nameiii Branch Addressiv 9 digit MICR code number of branchv Type of accountvi codevii BSR Code of Bankviii Account No.ix IFSC Codex Customer IDxi Whether this branch is RTGS enabled Y NI hereby declare that the particulars given above are correct <strong>and</strong> complete. If thetransaction is delayed or not effected at all for reasons of incomplete orincorrect information I would not hold the user institution responsible.
Date: / / 2 0 1 2Signature of the GranteeCertified that the particulars furnished above are correct as per our recordsSignature of the authorizedofficial From the bankI have enclosed of the documents mentioned in the schemeI have read <strong>and</strong> understood the terms <strong>and</strong> conditions of the scheme <strong>and</strong> I agree toabide by the same.Signature of the ApplicantAnnexure IIAPPLICATION FORM FOR AVAILING QUARTERLYASSISTANCE UNDER “GOAN TRADITIONAL BAKERS(PODER)SCHEMEQUARTER 1 2 3 4 2012
Date / / 2 0 1 3Name of the Applicant:2 Address for communication:3 Telephone No: 8 3 24 Mobile No:5 Email address:6 GHRSSIDC RegistrationNo.7 Quarter for which subsidy isclaimed8 Amount of subsidy claimedfor purchase of maidaI have enclosed of the documents mentioned in the schemeI have read <strong>and</strong> understood the terms <strong>and</strong> conditions of the scheme <strong>and</strong> I agreeto abide by the same.
Signature of the ApplicantChecklist for enclosed documents1 Birth Certificate2 Address Proof3 Proof of business for 20 years4 Registration certificate of bakers association5 Affidavit of month turnover6 Applicant ‘s Photo passport size – 2 nos7 Photo of production facility8 Permanent SSI unit registration or an Acknowledgement ofEntrepreneurship Memor<strong>and</strong>um Part –II [EM] [optional]9 License from Department of Legal Metrology10 Certification from Village Panchayat certified by BDO /MunicipalCorporation that the applicant is engaged in the business for thelast 20 years or certificate from Civil Supplies Department.11 Raw material purchase bills for Maida for the previous 6 monthsi.e. from 1 st April 2012 to 30 th September 2012 procured byhim/required by him i.e. Authenticated bills of purchase of maida12 An affidavit sworn by the applicant declaring the contentsmentioned in the application are true.13 Aadhar Card copy
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