Government of Karnataka

Department of Handlooms & Textiles

New Textile and Garment Policy 2019-2024

Common Application Form – B



1 Registration Number:
(As provided by DH&T & GOK)
2 Name of the Promoter:
3 Name of the Individual / SPV:
4 Registered Address of SPV:
5 Address of the Project Site:
District: Taluk:
a) City/Town: b) Postal Pin Code:
c) Phone Number:
6 Zone (Annexure 10)
7 Registration No. & Date:
(As mentioned in Entrepreneur Memorandum EM)
Number Registration Date
8 GST Registration No. and Date: (Copy Enclose)
Number Registration Date
9 Land for the Proposed Project:
10 Size of the Land (acres):
11 Utility Requirement:
(a) Total Power Requirement (KW):
(b) Total Water Requirement (MLD):
12 Name of the Term loan lending Institution / Bank / FI:
Date of Loan Sanction: Amount of Loan Sanctioned: (INR in lakhs)
13 Expected Employment:
(a) Direct/Indirect (Number)
(i) Direct Employment:
(ii) Indirect Employment:
(b) Number of Employees
(i) Shop Floor:
(ii) Managerial:
(c) Form of Declaration Regarding Employment of “Local Persons” (Annexure 9) Download the Annexure 9
14 Bank Account Details:
Name of the Holder Name of Bank:
Branch Name Account Number
IFSC Code
Note 1: Furnish the following documents (as applicable)
(a) Copy of SLPIC / HLEC Approval
(b) Copy of the Application submitted to KUM / KIADB, if any
(c) Copy of Detailed Project Report submitted
in the prescribed format
(d) Copy of Statutory Approval received, if any
Please Tick the Incentive You would like to Claim

Form 8: Application for Seeking Assistance for Common Infrastructure for Greenfield Textile Park
1 Name of Unit:
2 Address of the Unit :
3 Project Cost (INR in Number)
(a) Factory Cost:
(b) Common Infrastructure:
(i) Compound Wall & Site Development:
(ii) Roads:
(iii) Drainage System:
(iv) STP:
(v) Water Supply:
(vi)Power Supply:
(vii) CETP:
(viii) Waste Disposal Facility:
(ix) Telecommunication:
(x) External Infrastructure:
(xi) Any other need based Infrastructure:
(c) Building for Common Amenities:
(i) Testing Laboratory:
(ii) Design Centre:
(iii) Training Centre:
(iv)Trade/Exhibition Centre:
(v)Warehousing Facility:
(vi)Raw Material Depot:
(vii) Workers Facilities:
(viii) Office Building:
(ix) Others:
(d) Total Project Cost:
(i) INR in Numbers:
(ii) INR in Words:

Note: Furnish the following documents (as applicable)
(a) SPV formation documents (Copy of Certificate of Incorporation, Articles of Association)
(b) Copy of Agreement with Stakeholders – Share Subscription Agreement
(c) Clearance from Local Authority
(d) Land registration and Land Use documents
(e) Term Loan Sanction letter from Bank
(f) Copy of Approval letter from Government of India, if any
(g) Copy of documents (Receipts, Bills, Vouchers etc.) indicating the Payments towards Components for setting up Common Infrastructure for Greenfield Textile Parks / Specific Textile Zones in Backward Areas
(h) Form of Declaration regarding Employment of Local Persons (Annexure 9) Download the Annexure 9


Certificate of the District Officers

I hereby certify that the particulars given by the applicant were verified by me with reference to the documents submitted by the applicant and found to be correct and I have personally inspected the unit on Date
I further certify that the unit is New and set up in Zone and the unit is eligible for reimbursement of Rs. as power subsidy for Units for the period from to @ the rate of INR
Place:
Date:
Signature(s)
Deputy Director / Assistant Director


Certificate of the Division Officers

I hereby certify that the particulars given by the applicant were verified by me with reference to documents furnished by the applicant/inspection of the unit on Date span> were found to be true and correct
I further certify that the unit is New and set up in Zone and the unit is eligible for reimbursement of Rs.as power subsidy forUnits for the period from to @ the rate of INR
Place:
Date:
Signature(s)
Joint Director