Amendment status not verified — confirm the current text below against the official source.
I do hereby affirm that the particulars given in the application are correct. In case any of the statement/information furnished in the application/documents later found to be wrong or incorrect or misleading, I do hereby undertake to refund the entire amount of benefit granted to me along with compound rate of interest @12% per annum, besides facing legal action in case facts contained in this application are proved to be wrong at the time of verification/checking or otherwise at any stage. Place: Name & signature of the authorized person Date: Seal of the company 236 Form 2:CA Certificate regarding Fixed Capital Investment Certificate from Chartered Accountant regarding Fixed Capital Investment (on a CA letter head) in accordance with the rules prescribed under Industrial and Business Development Policy 2022. To whom it may concern The records of M/s............................................. with the regd. office at ....................... and factory located at ............................... in respect of investment in new Fixed Capital Investment (original purchase value) of the company has been verified in accordance with criteria mentioned under clause ____ of the scheme. It is certified that the investment in new Fixed Capital Investment as on date of commencement of production............... stands as Rs................... as per detail given below: a) Land cost b) Building cost c) Plant& Machinery/ equipments d) Total In case of expansion/diversification, indicate Fixed Capital Investment of additional new investment and existing investment (Original Value) separately. Name & signature of the Chartered Accountant with stamps& CA membership number Dated: 237 Form 3: Certificate from Financial Institution regarding Fixed Capital Investment Certificate from Financial Institution/ Scheduled commercial Bank regarding Fixed Capital Investment (on Bank letter head) in accordance with the rules prescribed under Industrial and Business Development Policy 2022 To whom it may concern It is certified m/s ____________________________, Address______________ having its manufacturing/Service enterprises has been sanctioned a Term Loan of Rs _______ vide sanction letter no ______ dated _____ and working Capital of Rs ________ vide sanction letter no _______ dated________ for the Manufacturing/ service of products namely ____________________. It is further certified that the investment in new Fixed Capital Investment as on date of commencement of production............... stands as Rs................... as per detail given below: a) Land cost b) Building cost c) Plant& Machinery/ equipments d) Total It is certified that Plant & Machinery is new and unit is working. In case of expansion/diversification, indicate Fixed Capital Investment of additional new investment and existing investment (Original Value) separately. Name & signature of the bank Branch manager with stamps& Employee code Dated: 238 Form 4: Item wise, Bill wise details of expenditure on land, building and Plantand Machinery Sr.No. Name of item, Land, Building, Plant & Machinery/equipment s Name of the Supplier Bill No. Date of Purchase Value(in Rs.) Dated: Signature of the applicant (with seal) Certified by the Chartered Accountant Name &signature of the Chartered Accountant with stamps& CA membership number Dated: 239 Form 5: Certificate from Financial Institution/ Scheduled commercial Bank regarding Loan Certificate from Financial Institution/ Scheduled commercial Bank regarding Loan Sanctioned (on Bank letter head) in accordance with the rules prescribed under Industrial and Business Development Policy 2022 This is to certify that M/s............................................... has been sanctioned term loan of Rs ............................... for the project located at .................... @ ...........% interest. The unit has been disbursed term loan of Rs............... upto .............. The first instalment of the term loan of Rs.......................... was disbursed on dated .................. The unit had made repayment for the last financial year dated 01/04/20 .... to dated 31/03/20.... as under: - Against Term loan Rs. ..................................... As interest Rs. .....................................Total Rs....................................... On the disbursement amount of term loan mentioned above, the interest amount for the above period comes to Rs................................... at .... (5% or 8% whichever is applicable). This is to certify that: i) The unit is presently regular in repayment of the term loan instalments. ii) No penal interest has been charged. iii) The above interest has been charged/ calculated on the original term loan sanctioned to the unit. iv) No enhancement of term loan has been made. Whether Unit has claimed Credit Linked Capital Subsidy Scheme of Govt. of India, if yes, give detail. Place: Date: Signature Branch Manager Name of Bank Seal of the Bank 240 Form 6: Certificate from Financial Institution/ Scheduled commercial Bank regarding Loan Certificate from Financial Institution/ Scheduled commercial Bank (on Bank letter head) in accordance with rules prescribed under Industrial and Business Development Policy 2022 This is to certify that M/s............................................... has been sanctioned term loan of Rs ............................... for the project located at....................@...........% interest. The unit has been disbursed term loan of Rs ............... upto .............. The first instalment of the term loan of Rs ..........................was disbursed on dated .................. The unit had made repayment for the last financial year dated 01/04/20.... to dated 31/03/20.... as under:- Against Term loan Rs. ..................................... As interest Rs. .....................................Total Rs....................................... On the disbursement amount of term loan mentioned above, the interest amount @5% for the above period comes to Rs. ........................ This is to certify that: i) The unit is presently regular in repayment of the term loan instalments. ii) No penal interest has been charged. iii) The unit has financed and claimed subsidy under Credit Linked Capital Subsidy Scheme of Government of India. Place: Date: Signature Branch Manager Name of Bank Seal of the Bank 241 Form 7:CA Certificate regarding expenditure for raising fund at NSE Certificate from Chartered Accountant (on CA letter head) regarding expenditure for availing assistance for raising fund at NSE in accordance with the Detailed Schemes and Operational Guidelines for availing Fiscal Incentives under Industrial and Business Development Policy 2022 To whom it may concern The document & records of M/s....................................with their regd. Office at .............. and factory located at...................................................... in respect of the expenditure incurred for raising Funds at NSE SME Exchange have been verified, and it is certified that the said industrial unit have incurred a total expenditure of Rs .................... (Rupees ....................................................) towards raisi ng Funds fr om NSE as per the following details of payments. Details of expenditure and amount paid (in rupees) are certified asunder: a) Registration expenses................................................ b) Fully paid up Value of Direct Public issue.............. Name &signature of the Chartered Accountant with stamps& CA membership number Dated ...................... Payment at (a), (b) above should be supported by copies of bills issued by Merchant Broker 242 Form 8: CA Certificate from Merchant Broker regarding expenditure for raising fund at NSE Certificate from Merchant Broker (on letter head) regarding expenditure for availing assistance for raising fund at NSE in accordance with the procedure for availing Fiscal Incentives under Industrial and Business Development Policy 2022 No.__________ Date_____________. It is Certified that M/s_____________________________________________ has engaged us as a Merchant Broker for raising funds at NSE SME exchange on dated________ vide our agreement dated ____________. The process of Raising Funds has been completed On____________. An amount of Rs ____________ has been collected by us against our invoice no _________ dated____________ as expenses for raising funds at NSE. It is further certified that Fully Paid up Value of the Direct Public issue is Rs.___________________. Authorised signatory Stamp and Name With registration no with stock exchange of india Mumbai 243 Form 9: CA Certificate for the Expenditure incurred in technology acquisition Certificate from Chartered Accountant in respect of Proof of Expenditure incurred in technology acquisition and about investment in plant & machinery (on a CA letter head) To whom it may concern The document & records of M/s ......................... with their regd. Office ............ and factory located at ........... and Udyam Registration no. dated ........ ) in respect of the expenditure incurred in technology acquisition (or its equivalent) have been verified, and it is certified that the said company have incurred a total expenditure of Rs............... (Rupees ...........................) towards technology acquisition from the institutes/agency namely................ as per the following details of payments. a. b. c. AND Verified from the books of accounts of above firm that the total investment in plant and machinery (original purchase value) of the unit as on date............. stands as Rs.................. (Rupees ................) Name & signature of the Chartered Accountant with stamps & CA membership Number Dated ...................... Payment at above should be supported by copies of receipts of payments made to the certification agency duly attested. The payment receipts must indicate the purpose for which the payments have been made to the certification agency. 244 Form 9A: CA Certificate for the Expenditure incurred in on boarding on e- commerce plateform Certificate from Chartered Accountant in respect of Proof of Expenditure incurred in on boarding e- commerce platform (on a CA letter head) To whom it may concern The document & records of M/s ......................... with their regd. Office ............ and factory located at ........... and Udyam Registration no. dated ........ ) in respect of the expenditure incurred in on boarding e- commerce platform have been verified, and it is certified that the said company have incurred a total expenditure of Rs............... (Rupees ...........................) towards on boarding e- commerce platform of NSIC as per the following details of payments. a. b. c. AND Verified from the books of accounts of above firm that the total investment in plant and machinery (original purchase value) of the unit as on date............. stands as Rs.................. (Rupees ................) Name & signature of the Chartered Accountant with stamps & CA membership Number Dated ...................... Payment at above should be supported by copies of receipts of payments made to the certification agency duly attested. The payment receipts must indicate the purpose for which the payments have been made to the certification agency. 245 Form 10: CA Certificate of Expenditure incurred on energy/water /safety audit Certificate from Chartered Accountant in respect of Proof of Expenditure incurred for conducting energy audit/water audit/safety audit and about investment in plant& machinery (on a CA letter head) To whom it may concern The document & records of M/s....................with their regd. office at ..........and factory located at...............and EM no...............dated .......... ) in respect of the expenditure incurred in conducting energy audit have been verified, and it is certified that the said company have incurred a total expenditure of Rs...........(Rupees..........)towards, Application fee,assessment/auditfee,annualfee/licencefee,training,calibration and technical consultancy etc.(excluding hotel & travel expenses& surveillance charges)in conducting energy audit/water audit/safety audit from the certification agency namely...........as per the following details of payments. Details of payments (Name of certification agency/org.) amount paid (in rupees) a) Application fee paid to ................................................ b) Assessment/audit fee paid to..................................... c) Annual fee/ licence fee paid to................................... d) Calibration charges paid to .......................................... e) Technical consultancy charges paid to ......................... f) Training expenses paid to ............................................Total .......................................... AND Verified from the books of accounts & records of above firm that the cost of capital equipments installed for energy/ water conservation/ safety is Rs.............. AND Verified from the books of accounts of above firm that the total investment in plant and machinery (original purchase value) of the unit as on date.............stands as Rs..................(Rupees ................) Name & signature of the Chartered Accountant with stamps & CA membership number Dated ...................... Payment at (a) to (f) above should be supported by copies of receipts of payments made to the certification agency duly attested. The payment receipts must indicate the purpose for which the payments have been made to the certification agency. 246 Form 11: Certificate from Regional Officer of State Pollution Control Board No.__________ Date_____________. Certified that the Effluent Treatment Plant /Water pollution control devices (whichever is applicable) has been installed on ____________in accordance with the scheme approved by the Punjab State Pollution Control Board under the Water Act,1974. Regional Officer Punjab State Pollution Control Board District------------- 247 Form 12: CA Certificate for claiming Assistance for Environment Compliance To whom it may concern The document & records of M/s....................................with their regd. office at .......................and factory located at ...................................................... in respect of the expenditure incurred for installation of Effluent Treatment Plant /Air pollution control devices and equipment have been verified, and it is certified that the said industrial unit have incurred a total expenditure of Rs.................... (Rupees....................................................) towards purchase and installation of effluent treatment plant/air pollution control devices as per the following details of payments. Details of expenditure and amount paid (in rupees) is certified asunder: a) Civil Works................................................ b) Effluent Treatment Plant....................................... c)Air Pollution Control Devices...................................... Total .......................................... AND Verified from the books of accounts of above firm the total investment in plant and machinery (original purchase value) of the company as on date ............................ stands as Rs. ...................................(Rupees ............................................................................................) Name & signature of the Chartered Accountant with stamps & CA membership number Dated ...................... Payment at (a), (b) &(c) above should be supported by copies of bills. 248 Form 13:CA Certificate of Expenditure incurred for acquiring Patent Registration Certificate from Chartered Accountant in respect of Proof of Expenditure incurred for acquiring Patent Registration and about investment in plant & machinery (on a CA letter head) To whom it may concern The document & records of M/s ................... with their regd. Office at......... and factory located at ...........and Udyam Registration no. ............ dated ............. ) in respect of the expenditure incurred by acquiring Patent Registration (or its equivalent) have been verified, and it is certified that the said company have incurred a total expenditure of Rs.............. (Rupees......................) towards, (including filing fees, consultancy fees, search fees and maintenance fees etc.) in obtaining Patent Registration (Domestic/ International) from the certification agency namely..................... as per the following details of payments. Details of payments (Name of certification agency/ org.) amount paid (in rupees) a) Application fee................................................ b) Consultancy fees ..................................... c) Search fees................................... d) Maintenance fees.......................................... e) Others, if any..................................... Total .......................................... AND Verified from the books of accounts of above firm that the total investment in plant and machinery (original purchase value) of the unit as on date............. stands as Rs.................. (Rupees ................) Name & signature of the Chartered Accountant with stamps & CA membership number Dated ...................... Payment at (a) to (e) above should be supported by copies of receipts of payments made to the certification agency duly attested. The payment receipts must indicate the purpose for which the payments have been made to the certification agency. 249 Form 14:CA Certificate of Expenditure incurred for acquiring Credit Rating Certificate from Chartered Accountant in respect of Proof of Expenditure incurred for acquiring Credit Rating Certificate and about investment in plant & machinery (on a CA letter head) To whom it may concern The document & records of M/s ....................................with their regd. Office at ............................... and factory located at................ and UDYAM REGISTRATION no.............................. dated ..............................) in respect of the expenditure incurred by acquiring Credit Rating certificate (or its equivalent) have been verified, and it is certified that the said industrial unit have paid a sum of Rs. ................... (Rupees .............................) towards credit rating fees in obtaining Credit Rating Certificate from the certification agency namely........................................... The 25% of the credit rating fees amounts to Rs ____________________. AND Verified from the books of accounts of above firm the total investment in plant and machinery (original purchase value) of the industrial unit as on date ............................ stands as Rs. ................................... (Rupees ............................................................................................) Name & signature of the Chartered Accountant with stamps & CA membership number Dated ...................... Payment at (a), (b) & (c) above should be supported by copies of receipts of payments made to the certification agency duly attested. The payment receipts must indicate the purpose for which the payments have been made to the certification agency. 250 Form 15:CA Certificate in respect of Expenditure incurred for acquiring ZED Certification Certificate from Chartered Accountant in respect of Proof of Expenditure incurred for acquiring ZED Certification and about investment in plant & machinery (on a CA letter head) To whom it may concern The documents & records of M/s....................................with their regd. Office at......................... and factory located at ....................................in respect of the expenditure incurred for acquiring ZED certification have been verified, and it is certified that the said industrial unit have incurred a total expenditure of Rs....................(Rupees....................................................) towards, Application fee, assessment fee, (excluding hotel & travel expenses & surveillance charges) in obtaining ZED certification from the certification agency namely..........................................as per the following details of payments. Details of payments (Name of certification agency/ org.) amount paid (in rupees) a) Application fee paid to................................................ b) Assessment fee paid to........................................ Total.......................................... AND Verified from the books of accounts of above firm the total investment in plant and machinery (original purchase value) of the company as on date ................ stands as Rs.................................... (Rupees ..............................) Name & signature of the Chartered Accountant with stamps & CA membership number Dated ...................... Payment at (a) to (f) above should be supported by copies of bills/receipts of payments made to the certification agency duly attested. The payment receipts must indicate the purpose for which the payments have been made to the certification agency. 251 Form 16: CA Certificate regarding FOB value of goods exporters Certified that the shipping bills (whose lading date is during FY 2017-__ duly certified by Custom and Central Excise, bank realization certificates, Form H and related accounts produced by the Exporting units namely M/s._________________ have been verified and the total FOB value of the goods exported (excluding the FOB value of shipping bills other than state of origin Punjab.) comes to Rs. _____________ during the financial year 2017-__, which is eligible for consideration of Freight Assistance. It is further certified that the transportation bills pertaining to goods exported in respect of above eligible shipping bills from place of manufacture to the sea/Airport and related accounts have been verified and the actual freight charges of Rs. _____________ have been paid by the exporting unit against the goods exported after excluding the charges on account of fees and taxes during the financial year 2017- and the same is eligible for consideration of Freight Assistance. Name of the Signatory (Chartered Accountant) Seal of the Company and Registration No. 252 Form: 17: Details of Exports DETAILS OF EXPORTS: Sr. Shipping Bill No. & FOB value certified 1% of FOB value Bill of lading No. no. date by custom & date Total --- --- Note: Attach copies of shipping bills (EP Copy). Signature of Applicant (with seal) 253 Form 18: Certificate from District Mandi officer Certificate from District Mandi officer regarding Market Fee, Rural Development Fee and other State taxes paid for purchase of raw material for food processing unit No __________ Dated To whom it may concern It is certified that M/s....................................with their regd. Office at.........................and factory located at ………………………………….. is liable to pay following taxes for the purchase of raw material for food processing unit during the year ____________as per the following details: -