MSME PCI Nav Udhyami (नव उद्यमी) Saral Form
Preference for Nav udhyami (नव उद्यमी) project to Bank:
*
Rural
Urban
TSP
To:
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Name of the applicant/ Institution Name:
*
Date of Birth:
*
Sex:
*
Male
Female
Other
Father’s Name/Spouse’s Name/Contact Person Name (if Institution):
*
Communication Address:
*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
Address of proposed location of unit:
*
Rural
Urban
TSP
Select your State or UT
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
Your Nearest Bank (if Available) :
*
Select your State or UT
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kenmore
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Narora
Natwar
Odisha
Paschim Medinipur
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
Vaishali
West Bengal
Qualification:
*
Whether Entrepreneur Development Programme (EDP) undergone:
*
Yes
No
Training From:
Training To:
Certificate Issue Date:
Whether the applicant belongs to:
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SC
ST
OBC
PHC
Ex-Serviceman
Minority
Hill Boarder Area
General
Project Type:
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MSMEPCI Nano Unit
Manufacturing Unit/Processing Unit
Business/Service Unit
Name of project/business activity proposed:
*
Placement
Amount of loan required (in Rs.):
Have you availed any earlier or current Loan/Grant/Subsidy from Govt. schemes?
*
Yes
No
Details of earlier or current Loan/Grant/Subsidy availed from Central/State Govt. Scheme or any other similar scheme:
Date:
*
Signature of the Applicant:
*
NOTE:
Own contribution must be
5%
for SC/ST/OBC/PHC/Women/Ex-Servicemen/North East Region/Hill Border Area, and
10%
for General.
Applicant will not be entitled for additional Margin Money (Subsidy) in case of own contribution over and above the prescribed limit.
Minimum qualification:
8th pass
for Manufacturing Unit above ₹10 lakhs project cost, and Service Sector above ₹5 lakhs.
Application must be complete and submitted with attested copies of the following:
Academic and technical qualification certificate (if project cost is above ₹5 lakhs for service/business or above ₹10 lakhs for manufacturing).
Relevant certificate for SC/ST/OBC/Minority/Ex-Servicemen/PHC.
EDP training certificate (minimum two weeks, if applicable).
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