APPLICATION FOR SANCTION OF INDUSTRIAL SHED SUBSIDY FROM AMALGAMATED FUND 01. No., Rank and Name of applicant : 02. Present Address : 03. Permanent Address : 04. Age of applicant : 05. Is the Ex-serviceman employed? If employed, give details of employment, pay etc. : 06. Type of Industry for which the shed is proposed to be constructed : 07. Is the application for subsidy on the cost of Industrial Shed from SIDCO or for construction of a Shed? : 08. If the application is for purchase of a Shed. (a) Location of the Shed : (b) Measurements of the Shed : (c) Cost of the Shed : 09. If for construction of Shed (a) Name of the land owner and address : (b) Measurements of the Plot : (c) Survey No. and Location : (d) Encumbrance Certificate : 10. (a) Proposed cost of construction : (b) Name of licensed building Surveyor who estimated the cost of construction : (c) His licence Number : 11. (a) Whether the plan is approved by appropriate authority? : (b) Designation of the appropriate authority approving the plan : (c) Date of approval : 12. Whether proper licence has been obtained for conducting the business and their details : 13. Source from which the difference between the estimated cost of construction and the subsidy will be met : 14. Service Details. : 1. Regimental No. : 2. Rank : 3. Name : 4. Unit : 5. Date of Enrolment : 6. Date of Discharge : 7. Age on Enrolment / Discharge : 8. Cause of Discharge : 9. Character : 10. State from which enrolled : 11. Pension details : 12. Assistances received from Tamil Nadu Ex-Services Personnel Benevolent Fund and Amalgamated Fund : 13 Employment after discharge : DECLARATION I ...................... .. hereby declare that the particulars furnished above are true to the best of my knowledge and belief. I undertake to repay the amount of subsidy sanctioned to me, if any of the above information is found to be incorrect at a later date. Place: Signature of the applicant Date : Enclosures: 1. Copy of land documents. 2. Copy of allotment order of SIDCO 3. Encumbrance Certificate. 4. Copy of approved plan of the Industrial Shed. 5. Copy of cost estimate. 6. Copy of licence to conduct the business. 7. Photo copy of the Discharge Certificate. 8. Verification report of the Deputy / Assistant Director of Ex-Servicemen's Welfare. DEED OF AGREEMENT This DEED OF AGREEMENT is executed at .......... .. on this the .......... day of ......... 200 between the COMMITTEE FOR ADMINISTRATION OF THE AMALGAMATED FUND, TAMIL NADU FOR REHABILITATION OF EX-SERVICEMEN (hereinafter called the COMMITTEE) which expression shall wherever the context so admits include its successor and assigns the one Part and Thiru ................. son of ............. residing at ............................... (hereinafter called "THE BENEFICIARY' which expression shall wherever the context so admits include his heirs, executors, administrators, legal heirs) on the other Part. 2nd Whereas the Party of the Party has been granted a loan of ................................... for starting ................ ................ . Whereas the beneficiary has applied for a grant from the Amalgamated Fund, Tamil Nadu for Reconstruction and Rehabilitation of Ex-Servicemen as incentive to run the abovesaid Industries. Whereas the Committee sanctioned a sum of Rs. ....... . being the grant given as an incentive to Ex-servicemen to establish industrial complex. The beneficiary hereby covenants with the committee as follows: 1. The beneficiary shall not hypothecate, hire-out assign partially or fully, temporarily or permanently or change or alienate or create any encumbrance whatsoever on the property. 2. The beneficiary shall not make any material alterations in the building or shift the building without prior written consent from the Secretary, Amalgamated Funds. 3. The beneficiary shall insure the property against loss due to strike, riot, civil commotions etc. 4. The Committee shall release first part of the grant only after the completion of 50% of the construction of the Industrial Shed and the 2nd instalment the balance of Rs. .... .. shall be released after the completion of the construction. 5. The beneficiary shall produce the necessary document to prove to the satisfaction of the Committee before receiving the grant at the stages referred to above. The beneficiary hereby agrees that in the event of violation of any of the covenants stipulated in this agreement, the grant amount sanctioned and received by the beneficiary shall be treated as loan and the Committee is entitled to recover the full amount together with interest by initiating the Revenue Recovery Proceedings, etc. Agreeing on the above covenants, the parties to the agreement sign This Deed of Agreement on the date, month and year first above written. Witnesses with Full Address SIGNATURE OF THE EX-SERVICEMAN 1. 2. FOR AND ON BEHALF OF THE COMMITTEE SIGNATURE OF THE SECRETARY