APPLICATION FORM FOR EXEMPTION FROM PAYMENT OF ELECTRICITY DUTY ON GRIDCO POWER 1. Name and address of the unit : 2. District and zone where located : 3. Status of the Industrial unit : (Small/Medium/Large/Heavy and Poor intensive) 4. Name and address of the Proprietor/Executive :5. Registration No. and Authority License No. : 6. Main item of manufacture :7. Initial capital outlay showing the capital outlay on land and building, plant and machinery separately. 8. Consumer No. of the Industry :9. Connected load/Contract demand : allowed to the industry by OSEB (A Photo copy of the agreement with OSEB should be enclosed). 10. Date of first investment in land/building/plant & M/C : 11. Date of starting production : 12. Date of supply of power by OSEB :Government of OrissaDepartment of Energy Published on National Portal of India (india.gov.in) OFFICE OF THE GENERAL MANAGER : D.I.C. Certified that the information furnished as above has been verified and found correct. The industrial unit is eligible for exemption under IPR for which application is filled. DOCUMENT REQUIRED FOR EXEMPTION (IN DUPLICATE) 1.Application form duly filled in. 2Copy of PMT/IL/LNEN 3Contracted load/contract demand allowed to the industry by GRIDCO should be enclosed). 4Consumer No. of Industry. 5Copy supporting documents regarding 6Certificate containing the date of supply of power by GRIDCO. I hereby declare that the facts stated above are true to the best of my knowledge. Date Signature of the Proprietor. reason there of. : & 1996 is applicable to the industry and 13. Whether IPR-1980, 1986, 1989, 1992 14. Extent of exemption of electricity duty and the period for which exemption applied : Published on National Portal of India (india.gov.in)
