APPLICATION PROFORMA FOR APPROVAL OF AMUSEMENT PARKS/ RECREATION CENTRES/EXECLUSIVE HANDICRAFTS EMPORIA DEPARTMENT OF TOURISM, GOVERNMENT OF KERALA. (Strike out whichever is not applicable) 1. Name of the Centre ...................... 2. Name of promoters..................... ( A note giving details of business antecedents may be enclosed) 3. Complete postal address of the promoters ............. 4. Status of owners/promoters: Whether. a. Company (if so, a copy of the Memorandum & Articles furnished ) or b. Partnership firm (if so, a copy of partnership deed and certificate of registration under the Partnership Act may be furnished) or c. Proprietory concern (give name and address of the properietor); ... 5. Location of the site .................. 6. Details of the site a. Area ............. b. Title.............. Whether outright purchase (if so, a copy of the registered sale deed should be furnished) or on lease ( if so a copy of the registered lease deed should be furnished) c. Whether the required permit for the construction of center has been obtained(if so, a copy of the certificate from the concerned local authorities should be furnished)..... d. Distance from railway station ............... e. Distance from airport ................... f. Distance from main shopping centers ............. 7. Details of the proposed Amusement park/Recreation center/Exclusive handicrafts emporium (A copy of the project/feasibility report should be furnished) a. Facilities provided ........................ b. Blue prints of the sketch plans of the project (A complete set duly signed by the promoter and the architect/engineer should be furnished including site plan, plan elevation and sections of the building) 8. Proposed capital structure ................... a. Total estimated cost.................. 1. Equity ........................ 2. Loan ........................ b. Equity capital so far raised :............... c.1. Sources from which loan is proposed to be raised ........ 3. Present position of the loan :................. 9. Application fee : A demand draft for Rs.5000/- for amusement park Rs.2000/- of recreation center; and Rs.1000/- for exclusive Handicrafts Emporium, drawn in favour of the Director, Department of Toursim, Govt of Kerala, Park view, Thiruvananthapuram, should be enclosed with the application.) Signature Full name & Designation of the applicant Place: Date: Note: The above proforma may be adopted to apply for approval. Applications may be typed in foolscap paper. The application, along with enclosures, in quadruplicate shall be sent to The Director, Department of Tourism, Park View, Thiruvananthapuram - 33.