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Memorandum for Setting up Micro Enterprise |
Andhra Pradesh has a distinct policy for Setting up Micro, Small or Medium Enterprises.
The Memorandum for Setting up Micro Small or Medium Enterprises is given here in below:-
General Instructions:
- Memorandum is to be filed with the district industries centre by a micro, small or medium enterprise, as the case may be, under sub-section (1) of section 8 of the Micro, Small and Medium Enterprises Development (MSMED) Act, 2006.
- Four copies of the memorandum should be filed.
- There is no fee for processing the memorandum.
- Existing units should fill up only part ii of the memorandum.
- In case of any change in the information, at any point of time, please inform the details within three months to district industries centre.
- Write / type in block (capital) letters
- Leave one blank box after each word.
- Fill up whichever is applicable
- All codes other than pin code shall be filled by the office.
- Form will be machine numbered by the district industries centre.
- To be filed at the District Industries Centre under whose jurisdiction the enterprise is proposed to be located.
Form No. ------------
For Office Use Only
d d m m y y y y
Date of issue
Category of enterprise
(Manufacturing-1, service-2)
(Micro-1, small –2, medium – 3)
Entrepreneurs memorandum number ………………………….
(First two boxes are for State/Union Territory code, next three boxes are for District code, sixth and seventh boxes are for category of enterprise (sixth box for indicting manufacturing or service and seventh box for indicating micro or small or medium) and last five boxes are for Entrepreneurs’ Memorandum number)
Part I
(To be filled in as expression of intent)
1. Name of applicant
2.
a. Address of communication
Pin
i. telephone number
ii. fax number
iii. cell phone number
iv. e-mail
v. web-site
b. permanent residential address (main applicant)
i. telephone number
ii. fax number
iii. cell phone number
iv. e-mail
v. web-site
3. name of proposed enterprise (if decided)
4. proposed location of enterprise
i. village / town code
pin
ii. tehsil / taluk /mandal code
iii. district code
iv. state code
v. pin code
vi. area ( rural -1 , urban –2)
5. category of enterprise
(micro-1, small –2, medium – 3)
6. nature of activity [tick appropriate box(es)]
. manufacture
i. service
ii. others
in case of others, please specify
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7. nature of operation
(perennial-1, seasonal-2, casual-3)
8. whether the unit will be an ancillary
( yes-1, no-2)
m m y y y y
9. proposed schedule of installation of plant and machinery
10. type of organization
(proprietary-1, hindu undivided family –2, partnership-3, co-operative –4, private limited company -5, public limited
company-6, self-helf group-7, others-8)
11.
a. Main Manufacturing/Service Activity
Name Code (nic 98*)
b. Products to be manufactured/service to be provided
i. Name Code (ASICC2000*)
ii. Name Code (ASICC2000*)
iii. Name Code (ASICC2000*)
iv. Name Code (ASICC2000*)
v. Name Code (ASICC2000*)
(*) Codes for activities and products/services as per classification specified from time to time by the Development Commissioner (Small Scale Industries), Government of India to be filled in by the District Industries Centre or the office where the Entrepreneurs’ Memorandum is submitted.
(Add additional sheet for more products)
12.
a. Proposed investment in fixed assets [Rupees in lakh]
i. Land (owned-01/rented-02/ leased-03)
Approximate value*
ii. Building (owned-01/rented-02/leased-03)
Approximate value*
iii. Plant and machinery value*
(In case of manufacturing enterprise)
iv. Equipment value*
(In case of service enterprise)
v. Foreign equity, if any value*
[* The value in the boxes should be filled in from the right side, e.g., if the value is Rupees10 lakhs it should be written as . This will also apply to all other items (rows) where quantity, number, etc., to be given.]
13. Installed capacity (proposed) per annum qty unit
14. Power load (anticipated) h.p / k.w.
15.
a.
i. Other source of energy/power
[if required]
(no power needed –1, coal-2, oil-3, liquid petrolium gas-4, electricity from grid-5, electricity from generator- 6, non-conventional energy –7, traditional energy / firewood-8)
ii. If no power required, specify reasons;
b. Indicate annual requirement source of energy qty unit
...........................................
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16. Expected employment (Nos.)
i. Management and office staff
ii. Supervisory
iii. Workers
17. Entrepreneurs’ profile (of all partners/directors of the organisation-use separate sheets, if needed)
. Name
i. male (m) / female (f)
ii. sc (1) / st (2) / obc (3) / others (4)
physically challenged (5)
iii. knowledge level
[technical graduate- 1, management graduate-2,post graduate-3,other graduate-4, under-graduate-5,
any other lower-6]
iv. equity participation (in rupees)
(Percentage of total equity )
v. stake in other manufacturing enterprises
(yes-1, no-2)
[add additional sheet, if needed]
18. expected schedule of commencement of production / activity
Date:
Place:
[Signature of the applicant /authorized person]
Name of the proprietor/partner/ managing director
1(a) Enclose a self-certified copy of Power of Attorney/Board Resolution/Society Resolution, wherever applicable, while signing as Partner/Managing Director or Authorized Person.
2(b) Enclose a certified/notarized copy of the Partnership Deed/Memorandum of Association/Articles of Association in case of Medium Enterprises Undertaking
This is to certify that the information furnished in the memorandum in Form No. …………………. is true and correct to the best of my knowledge and belief.
Date:
Place:
[Signature of the applicant /authorized person]
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