ServicePlus- Intent to Invest Application Form

Enclosure Required to be uploaded: Project Summary Report- max 20 MB

Please note that the information once provided in this form cannot be edited or changed. Kindly ensure that all information is updated and correct.

Company Details

Name of Company *

PAN *

Registered Office Address

Address Line - 1 *

Country *

State *

District *

Taluka

City/Town/Village

Phone No

Pin/Zip Code *

Email ID

Fax No

Website

Contact Details

Name *

Designation

Email ID *

Mobile No *

Project Details

Project Proposal *

New

Expansion

Have you signed the MoU/Investment Intention in previous events *

Yes

No

Project Category *

Micro

Small

Medium

Large

Sectors *

Sector(Others) *

Proposed Investment (Rs. in Crore) *

Proposed Employment *

Proposed Project Location

Expected Year of Commencement of Production *

Expectation/Support required from the State Govt

Declaration

I Agree *

I agree that all the information provided above are true to the best of my knowledge and belief and if anything is found not true, I shall be liable for prosecution under law.

Additional Details

Applied to the Office*

Insert title here

Word verification

Please enter the characters shown above