Form- 8
[See rule 11 (1)]

Application for submission of claim for Power Subsidy under Assam Industrial Policy 2014

Name of the Unit and PAN

1. Name of the Unit *

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PAN *

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Select Office to apply *

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Select Office (AIDC) *

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Select Office (AIIDC) *

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Select Office (ASIDC) *

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Address of the Factory and Office

a) Factory

Street Name 1

Street Name 2

Village/Town

Country

State

District

Postal / Zip Code

Mobile Number

b) Office

Street Name 1

Street Name 2

Village/Town

Country

State

District

Postal / Zip Code

Mobile Number

Section

2. Period of Claim

From

3. Name & Address of the promoter(s)

(a) Name

(b) Address

Street Name 1 *

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Street Name 2

Village/Town

Country

State

District

Postal / Zip Code

Mobile Number

Section

4. Items of production/service rendered:

(a) Date of commencement of commercial production/ service ( initial)

(b) Date of commencement of production or service after substantial expansion/declaring

6. No and date of Eligibility certificate

No:

Date:

7. Period of eligibility for availing power subsidy as per EC

From:

To:

Details of power connection in case of New unit

(a) Total Electrical power sanctioned and date of sanctioned

Sanction:

Date:

(b) Total electrical load connected

(d) Initial energy meter reading

Details of power connection in case of existing unit undertaking substantial expansion/sick unit

(a) Additional electrical power sanctioned by ASEB , if any

(b) Additional electrical load connected

(d) Sl no of energy meter(s) allotted by ASEB for additional Power connection provided

(e) Initial meter reading of the new energy meter provided

(f) Last meter reading prior to substantial expansion/declaring as a sick etc

Section

10. Statement showing the monthly electricity consumption: ( to be submitted separately as per guidelines mentioned earlier)

11. Percentage of Increase in fixed capital investment as per EC

12. Declaration

I/We hereby declare that the information furnished along with the above application for power subsidy is true to the best of my/our knowledge.

Date

Upload Signature