FORM NO.

2014/32/010/20543

Government of Tamil Nadu

Department of Industries and Commerce
ACKNOWLEDGEMENT PART - II
1.M/s.RAJARAM STITCHING CONTRACTOR HAS FILED MEMORANDUM FOR A (SERVICE) ENTERPRISE AT THE ADDRESS Door.No: 1/206F,
ARIVOLI NAGAR,GM NAGAR TIRUPUR -640603 FOR THE ITEMS INDICATED BELOW AS PER THE FACTS STATED IN FORM NO:
2014/32/010/20543/SSCK AND ALLOCATED ENTERPRENEUR MEMORANDUM NUMBER AS BELOW:
2. DETAILS OF ITEMS SERVICES RENDERED :
Sl.No TYPE OF SERVICE TO BE RENDERED
1 Wholesale trade services
2 Retail trade services- others
3. DETAILS OF PLANT & MACHINERY :
INVESTMENT IN PLANT & MACHINERY / EQIPMENT (IN LAKHS) DATE OF COMMENCEMENT
3 12-03-2014

4.NOTE:THEISSUEOFTHISACKNOWLEDGEMENTDOESNOTBESTOWANYLEGALRIGHT.THEENTERPRISEISREQUIREDTOSEEKREQUISITE

CLEARANCE/LICENSE/PERMITREQUIREDUNDERSTATUTORYOBLIGATIONSTIPULATEDUNDERTHELAWSOFTHELAWSOFCENTRAL/STATE

GOVERNMENT/COURT ORDERS.

5. DATE OF CHANGE OF CATEGORY FROM NO CHANGE IN CATEGORY

MICRO/SMALL TO SMALL/MEDIUM OR VICE VERSA

6. DATE OF ISSUE 12-03-2014

7. NATURE OF ACTIVITY 2 SERVICE

(MANUFACTURING-1, SERVICE-2)

8. CATEGORY OF THE ENTERPRISE 1 MICRO

(MICRO-1, SMALL-2, MEDIUM-3)

ENTERPRENEUR MEMORANDUM NUMBER 3 2 0 1 0 2 1 20543 PART II

(FIRSTTWOBOXESAREFORSTATE/UNIONTERRITORYCODE,NEXTTHREEBOXESAREFORDISTRICTCODE,SIXTHANDSEVENTHBOXESAREFORCATEGORYOFENTERPRISE(SIXTH

BOXFORINDICATINGMANUFACTURINGORSERVICEANDSEVENTHBOXFORINDICATINGMICROORSMALLORMEDIUM)ANDLASTFIVEDIGITSAREENTERPRENEURS' MEMORANDUM

NUMBER)

DATE : 12-03-2014

PLACE: TIRUPUR

SIGNATURE
(S.A.P.Vairamani)
Additional Director of Industries & Commerce (DIC)
Note:(1)TheconcernedFinancialInstitutions/AgencieswhoprovideLoan/Clearance/Assistance,shallverifythisEntrepreneurMemorandumFormPartIIinthewebsitehttp://www.msmeonline.tn.gov.in,toascertain the
genuineness / validity / cancellation using the above EM PART II Number

(2) TheconcernedFinancialInstitution/AgencieswhoprovideLoan/Clearance/Assistance,shallascertaintheeligibilityofsubsidiesandincentivesgivenby theGovernment,fromtheGeneralManager, District Industries

Centre, Coimbatore .

(3) This EM Part II is issued relying upon the details furnished by the applicant (self certification) and is liable to be cancelled, if any details are found to be incorrect at a later date.

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 Application Id : 2014/32/010/20543/SSCK
Application Date : 12-03-2014
PART - II
I. EM Part I Application No :
II. EM Part I Application Date :
III. Commencement of Production / Activity :
1. Name of the Applicant : V.RAJARAM

2. (a) Address of Communication

NO.1/206F, ARIVOLI NAGAR,

GM NAGAR TIRUPUR.
PIN Code ;- 641603

Phone :-
Mobile : 9043375868

FAX Number :-
EMail :-
WEB Site :-

(b) Permanent Residential Address

NO.1/206F, ARIVOLI NAGAR,

GM NAGAR TIRUPUR.

PIN Code : 641603

Phone :-
Mobile : 9043375868

FAX Number :-
EMail :-
WEB Site :-

3. Name of The Enterprise : RAJARAM STITCHING CONTRACTOR

4. Location of Enterprise

(i). Door.No : 1/206F,

(ii). Street : ARIVOLI NAGAR,GM NAGAR

(iii). State : TAMILNADU

(iv). District : TIRUPUR

(v).Taluk : TIRUPUR

(vi).Rural/Urban : Urban
(v).Town/Village : TIRUPUR

(vi).PIN Code : 641603.

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5. Category of Enterprise : Micro

6. Nature of Activity : Service

7. Nature of Operation : Casual

8. Whether Unit is an Ancillary Unit : No

9.Installation of Plant & Machinery : Mar-2014

10. Whether Unit is Registered Under Factory : Yes
Act

11. Type of Organisation : Proprietary

12. (a) Main Manufacturing/Service Activity
Sl.No SERVICE SERVICE CODE
1 Wholesale trade services 97151
2 Retail trade services- others 97149

13.Investment In Fixed Assets (Rs in lakh)

Item Owned/Leased/Rented Approximate Value

(i). Land Rented 4

(ii). Building Rented 3
(iii). Plant & Machinery Value -
(iv). Equipment 1
(v). Foreign Equity,If Any -

14. Installed Capacity per annum :

SERVICE SERVICE CODE

Whole sale trade services 97151
Retail trade services- others 97149

15. Power Load : H.P : 1.00 K.W : 1.00

16. (a). Other Source of Energy

Item Quantity
(b) Reason if no power required --

17. Employment

(i). Management & Office Staff 1

(ii). Supervisory 1
(iii). Workers 12
18. Commencement of Production/Activity : 12-03-2014

19. Yearly Turn Over : Rs.1000000

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20. Export : NIL

21. Enterpreneurs Profile

Sl No Name Gender Community Knowledge Level Equity Equity (%) Stake in other Physically

Participation Manufacturing Challenged

Enterprises

1 V.RAJARAM MALE (M) Others (4) Any Other Level 100000 100 No No

Date :
Place :

[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

NAME OF THE PROPRIETOR/PARTNER/MANAGING DIRECTOR

(a) Sendaself-certifiedcopyofthisapplicationalongwithaself-certifiedcopyofPowerofAttorney/BoardResolution/SocietyResolutionwherever
applicable,whilesigningasPartner/ManagingDirectororAuthorisedPersontoGENERALMANAGER,DISTRICTINDUSTRIESCENTRE,SIDCO I.E.,
CAMPUS COIMBATORE-641001.
(b) Sendacertificate/notarizedcopyofthePartnershipDeed/Memorandumofassociation/ArticlesofAssociationtoGeneralManager,District Industries
Centre, Coimbatore.
(c) Incase,selfcertifiedcopyofthegeneratedapplicationisnotreceivedbytheGeneralManager,DistrictIndustriesCentre,Coimbatorewithinone month
from the date of generation of the application, the acknowledgement issued for EM(PART I)will be cancelled and displayed in the website.
(d) InrespectofthosewhofurnishwronginformationanddomanipulationsintheonlineApplicationForm,penalactionwillbetakenbythe Department and
simultaneously the acknowledgement issued for online EM PART I will be automatically cancelled and displayed in the website.

Undertaking
ThisistocertifythattheinformationfurnishedintheMemoranduminFORMNo:2014/32/010/20543/SSCKistrueand correct to
the best of my knowledge and belief.

Date :
Place :

[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

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