FORM FOR OBTAINING THE APPROVAL FOR UNDERTAKING THE SUBSTANTIAL EXPANSION BY AN EXISTING UNIT FOR CLAIMING THE SUBSIDY UNDER CENTRAL CAPITAL INVESTMENT SUBSIDY SCHEME-2003. 1. Name of the existing unit: 2. Existing location of the unit: 3. i) Permanent Registration No in case of existing SSI/ SSSBE unit. ii) Detail of commencement of commercial production in case of medium/large scale unit. 4. Items of manufacture/ industrial activities of the existing unit. 5. Detail of existing plant & machinery installed and the original cost: 1. Production of the unit over last three financial years from date of filing application for expansion of existing unit (e.g. If the application is filed during financial year 2003-2004 production of the unit over financial years 2000-2001, 2001-2002, & 2002-2003 is to be given by the promoter) 2. Nature of proposed substantial expansion (with reference to 5(d) of notification F. No 1(10)/2001-NER dated 8th January, 2003 of Government of India, Ministry of Commerce & Industry, Department of Industrial Policy & Promotion): - Sl. No Description of the plant & machinery Installed capacity Original purchase price of plant & machinery Year of purchase Name & address of the supplier of the installed plant & machinery Any other information 1 2 3 4 5 6 7 Sl. No Name of the product. Year Quantity produced (In M.T. or in Installed capacity for manufacturing Sales turnover in Rs. other standard unit of measurement) the product 1 2 3 4 5 6 a) Whether it is expansion of Capacity in the existing installed capacity, if yes then anticipated increase in the installed capacity be indicated both in figure and percentage over the original installed capacity. b) Whether it is moderanisation of the existing set up? c) Whether it is diversification in the existing industrial activities? 8. Detail of the additional Plant & Machinery proposed to be installed for undertaking substantial expansion (expansion of capacity/modernization/diversification): 9. Extent in terms of percentage of the proposed additional investment on the original investment in plant & machinery. 10. Means of finance to undertake the proposed Substantial Sl. No Description of plant & machinery proposed to be purchased Tentative cost of plant & machinery proposed to be purchased Proposed source of the purchase of plant & machinery 1 2 3 4 expansion programme. i) Term Loan ii) Promoters contribution. iii) Central Capital Investment Subsidy. iv) Others. Signature of Promoter(s) Date: (Name in Block Capital) (Designation of the Promoter) Note: Brief project profile of proposed substantial expansion be enclosed herewith