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1 |
Name of the SSI unit with full address and e-mail ID (if any). |
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2 |
SSI registration number indicating place of issue (copy of registration certificate is to be enclosed). |
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3 |
Membership number of FIEO/EPC (enclose proof of membership). |
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4 |
Value of exports during last 3 years at FOB (CA's certificate to be enclosed). |
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5 |
Title of publicity material proposed to be published (Dummy copy to be enclosed). |
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6 |
Name and details of the event where publicity material is proposed to be distributed. |
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7 |
Anticipated date of release. |
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8 |
Number of copies of the publicity material to be printed (enclose detailed quotations from printers for production). |
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9 |
Total estimated expenditure |
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10 |
Whether the SSI unit has been charged/ prosecuted/debarred/blacklisted/under investigation under Exim Policy or any other law relating to export import business. |
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11 |
Whether any MDA assistance has been availed from any source for similar activity in this financial year. |