Application Form For Implementation of Bar Coding Organization 1. Promoter/Organization (Name/Address/Tel., Fax No.) 2. Type of Organization (NGO/Cooperative/Institution/ Govt. Body etc. (enclose copy of Registration Certificate) 3. Background/Experience of Promoters 4. Financial Status (Enclose copy of Audited Balance sheet of the last three years) 5. Existing Industries/activities Proposed Project Description 1. Name of the Project/Activity 2. Location/Area 3. Products/By-products (Their specifications & use) 4. Process (With flow chart) 5. Technology (Source: indigenous/imported) 6. Capacity of Plant/Manufacturing unit (Per day/per year) 51 52 7. Whether applied for/or obtained Registration of EAN India Project cost 1. Fees charged by EAN India For registration. 2. Cost of capital equipments (for the purpose of bar coding) Means of Finance 1. Equity (Promoter/Foreign/Other) 2. Loan (Term/Working Capital) 3. Subsidy 4. Fund requirement from Ministry (MFPI) Implementation schedule Items of work Date of implementation (Bar charts/Milestone charts may be enclosed) Effect of implementation of proposed activity/project on overall Performance of the Company Place: Authorised Signatory Date: Name (block letters) (with seal of organization/ individual)
