ONLINE APPLICATION PROFORMA FOR ALLOTMENT OF LAND / MODULE AT MALDA FOOD PARK
Declaration of Intent
 
1. Name of the Unit/Firm/Company*  
2. Address of Registered Office/Head Office*  
3. Contact details
A. Chief Promoter
Name*  
Telephone*  
Mobile*  
Fax*  
E-mail Id*  
Website  
B. Chief Executive
Name*  
Telephone*  
Mobile*  
Fax*  
E-mail Id*  
Website  
4. A. Names of group companies with list of projects, in West Bengal if any  
B. Names of group companies with list of projects, elsewhere in India or abroad, if any  
5. Brief description of project  
6. Name and quantity of products/services(proposed unit)at full capacity  
7. Foreign collaboration if any with brief description  
8. Plan of investment (Rs. lakh) from date of possession of land/module
1st Year*  
2nd Year*  
3rd Year*  
9. Investment in
Land/ module*  
Land development*  
Buildings/ interior and workshops*  
Plant & Machineries*  
Others  
10. Source of funds(Rs. lakh):
Equity*  
Promoter's equity*  
Strategic investor*  
Borrowing*  
11. Foreign Investment (Rs. lakh)
Equity*  
In other form  
12. Employment(at start of commercial production)
Direct  
Permanent  
Contractual  
Indirect  
13. Annual turnover (Rs. lakh)
1st year of production*  
2nd year of production*  
At full capacity*  
14. Projected dates: After receipt possession of land(DATE-PICKER)
Start of construction*  
Commissioning of plant*  
Start of commercial production*  
15. Requirement of raw materials and source of availability
A. Requirement of land (acres)/ module*  
B. Choice of Plot/ Module*  
16. Finished products and mode of marketing*  
17. Is brief project profile ready, with back ground of the promoters, latest profit and loss account / balance sheet/ estimated project cost, linkage for raw materials / availability of raw materials and marketing of the finished products for the purpose of the commercial viability. It is mandatory to submit the same with registration fees within 15 days. *  
18. Is DPR ready*  
19. Name of consultant, if any, for project profile, and /or , DPR  
20. Mode of presentation of the brief project profile / DPR*  
21. Registration fees of Rs. 5000 [To be submitted along with the other documents]  
22. Is a PowerPoint presentation of the project ready for explaining to selection Committee  
Type the code here: Reload
 
 The above information is true to my belief and knowledge.
Note:  Information regarding price available on the website of www.ipshabengal.com subject to revision time to time. For details WBSFP&HDCL may be contacted over phone : 033-23343942.
The application is liable to be rejected if any of the following requirements are not met within 15 days.
i. Submission of Project profile [point no. 17].
ii. Submission of registration fees [point no. 21].
iii. Submission of Power point presentation. [Point no. 22].