Infrastructure Development >> Land Allotment >> Application

Form

Details of Plot

Plot Number 2 C SECTOR C MP MSME Industrial Industrial Area -

Area Name Budani

Total Plot Area (in 8400.0 Location Budni

SQM)

Premium Charges 630450.00 Development 1260000.00

(Rs.) Charges(Rs.)

Maintenance 84000.00 Lease Rent(Rs.) 12609.00

Charges(Rs.)

Total Charges(Rs.) 2024886.00 Advance Premium 157612.50

(25% of Premium)
(Rs.)

Booking Start Date 28/11/2022 10:00 Booking End Date 31/03/2023 17:00

Note: Advance Premium (25% of the Premium Charges) is to be paid during applying.
 

Application Form

Applicant Details (In case of proprietary concern, full name with Father's Name and
Surname should be given).
 
Name of Applicant / Authorized Person

Title* First Name* Middle Last Name*

Name
Mr. Moolchand Khilwani

Father's Or Husband's Name

Title* First Name* Middle Last Name*

Name
Mr. Pratap Khilwani
Date of Birth (DD/MM/YYYY)* Age (In Years)

29/06/1988 34

Category* Gender*

GENERAL Male

Are you Domicile of M.P?* Do you belong to the minority category?*

Yes No Yes No

Are you physically disabled?*

Yes No

Any land/ built up space if already allotted/occupied by the applicant or a firm/company in

which applicant is a Partner/Director in any Industrial Area/Growth Centre managed by
District Trade & Industries Centre.*

Yes No

Present Address

Address line 1* Address line 2

City/ Town* State*

Select State

District*

Select District

Tehsil Block

Select Tehsil Select Block

Phone Number (With STD Code) Mobile Number*

Pin code* Fax

Website Contact (Email Id)

 Permanent Address
Same As Above

Address line 1* Address line 2

City/ Town* State*

Select State

District*

Select District

Tehsil Block

Select Tehsil Select Block

Phone Number (With STD Code) Mobile Number*

Pin code* Fax

Website Contact (Email Id)

Items to be manufactured (in case of phased program,

please indicate phase wise)

S.No.* Name of Item(s)* Present/First Present/First Expansion Expansion

Phase Phase / /
Annual Proposed Subsequent Subsequent
capacity* year of Phase Phase
implementation*
Annual Proposed
capacity* year of
implementation*

0.00 0 0.00 0 +
Details of Proposed Employment (No.)*

Managerial 0

Supervisory 0
 Technical 0

Administrative 0

Skilled Workers 0

Semi-Skilled Workers 0

Unskilled Workers 0

Others 0

Total 0

Details of Proposed Investment as per Project Report (Rs.)

Description Investment Amount (Rs.)*

Land/ Land Development 0.00

Sheds and Building Development 0.00

Plant and machinery 0.00

Administrative 0.00

Misc. Fixed Assets 0.00

Semi-Skilled Workers 0.00

Working Capital 0.00

Others 0.00

Total 0.00

Means of Finance as per Project Report (Rs.)*

Own Fund 0.00

Institutional Fund/ Loan 0.00

Other 0.00

Total 0.00
 Project Information

Constitution of the Applicant*

Select Constitution

Nature of Proposed Activity Venture Type*

Manufacturing Select Venture Type

Type of Proposed Venture

Details and Area of Land required/ envisaged for the

project with justification (Covered Area should be minimum
40 % and maximum 60% of Total Plot Area)

S.No.* Phase* Area Purpose* Dimensions Area Approx.

Type* in in Cost
Meters* Sq. (Rs.
Mts.* in
Lacs)*

Select Pha Sel 0 x 0 0 +

0

Total Present/First Phase (Open 0 0

+ Covered Area) :

Total Second/Subsequent Phase 0 0

(Open + Covered Area) :

Grand Total : 0 0

Maximum time for implementation of the

project (In Years)

Requirement of Water (in

thousand Liters)*

Power Details
 Requirement of Power* For the Present/First Phase* For the expansion/Other
Phase*

Connected Load (in KW)*

Maximum Demand (in KVA)*

Back Next

Copyright © 2017. Government of Madhya Pradesh. Department of Micro, Small & Medium Enterprises. All rights
reserved.
Designed & developed by Center of Excellence (CoE), MAP_IT.