FORM - FC/IL

                  SIA

 

COMPOSITE  FORM FOR FOREIGN COLLABORATION

AND INDUSTRIAL LICENCE

 

Please fill up the attached supplementary sheets

 

Part A:  For only FC / Part B:  For only IL / Both Part A and Part B for FC+IL

 

GENERAL  INFORMATION

 

1.         Type of Application (Please Ö  the Appropriate Boxes)

 

a.         Foreign Collaboration (FC)

            For Foreign Investment                    For Foreign Technology Agreements

 

b.         Industrial Licence (IL)

 

           

2.

                                                            (For Office Use Only)

                       

                        Application No.   

                       

                        Application Date  

 

 

 

3.         Payment Details (For FC  Application No Fee is Payable. For Industrial Licences Rs.  

            2500,  * is Payable)

 

            Draft No.                    ___________________________________

 

 

            Amount (Rs.)               

 

            Draft Date

 

           

            Drawn on                     ____________________ Payable at   _________________

                                                (Name of the Bank)

 

__________________________________________________________________________

*Demand Draft should be made in favour of Pay & Accounts Officer, Deptt. of Industrial Development, to be payable at State Bank of India, Nirman Bhawan Branch, New Delhi


I.          Name and Address of the Promoter / Industrial Undertaking (Indian/foreign) in full (BLOCK LETTERS) for  Correspondence.

 

Name of the Promoter/Indl.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

            

Undertaking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Pin Code

 

 

 

 

 

 

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

Telex

 

 

 

 

 

 

 

 

 

 

 

 

Fax

 

 

 

 

 

 

 

 

 

 

 

 

 

Cable

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II.         Registrar  of Companies Regisration No.          

            (If Registered)

 

III.       Status of the Promoter/Industrial Undertaking

 

            III (1)   Status of the Promoter / Promoter Undertaking

 


                        1. Central Government Undertaking                  5. Joint Sector Undertaking

           

                        2. State Government Undertaking                     6. Private Sector Undertaking

           

                        3. State Industrial Government  Corpn.          7.  Individual  Promoter   

 


                        4. Co-operative Undertaking                             8. Foreign/NRI/OCB Company

                                                                           

                                                                                                  9. Foreign/NRI Individual

 

            III (2)  Indicate whether this proposal is for (Please Ö  the Appropriate Box)

           

                             1. Establisnment of New Undertaking / Setting up a New Company 

 


                                     2. Effecting Substantial Expansion

               

                                     3 Manufacture of New Articles

                         

                            4. Amendments in existing Foreign Collaboration APproval  

                            5. Inducting Foreign / NRI equity in existing Indian Company                             

 

 IV(1)   Location of the Factory/Proposed Activities

 

Address