Industry Registration
NAME AND LOCATION OF ENTERPRISE
Name of Enterprise
*
Address of Enterprise
*
State
*
Kerala
District
*
!-Select District-!
Kasaragod
Kannur
Wynadu
Kozhikode
Malappuram
Palakkad
Ernakulam
Idukky
Kottayam
Alappuzha
Pathanamthitta
Kollam
Thiruvananthapuram
Trissur
Taluk
*
!-Select Taluk-!
Block
*
!-Select Block-!
Panchayath
*
!-Select Panchayath-!
Village
!-Select Village-!
Area
*
Ward Number
*
Building Number
*
Survey Number
PIN code
Landline Number
Mobile Number
*
Email
Website
CATEGORY AND ACTIVITY
Category
*
!--select--!
>
Micro
Small
Medium
Large
Industrial facilitators
Infrastructure facilitators
Nature of activity
*
Nature of operation
*
!-Select-!
Perennial
Seasonal
Casual
Installation date
Commencement date
*
Type of Organization
*
!-Select-!
Proprietary
Co-operative
partnership
private limited company
self help group
Other
Public Limited Company
Limited Liability Partnership
Public Sector Undertaking
If Other Specify
Cluster Name
Personal Data
Name of Entrepreneur
*
Gender
*
!-Select-!
Male
Female
Social Category
*
!-Select-!
OBC
GEN
Minority
PH
SC
ST
Age(As on current Date)
*
Communication Address
*
Permanent Address (same as above)
*
Special category
!-Select-!
NRI
Ex-Service
Others
Special category Other
Aadhar
PAN Card Number
PARTNERS/DIRECTORS DETAILS
Name
Gender
Equity Participation (%)
Select
male
female
INVESTMENT DETAILS
Land
*
!-Select-!
Leased
Owned
Rented
Extent in cents
*
investment (Rs Lakhs)
*
Building
*
!-Select-!
Leased
Owned
Rented
Area in sqft
*
investment(Rs Lakhs
*
)
Investment in P&M(Rs in Lakhs
*
)
Other Equip value (Rs Lakhs)
*
Foreign equity as percentage
*
Total Investment(Rs Lakhs)
*
RAW MATERIAL AND UTILITIES
Details of Raw materials
Quantity of Raw materials needed/ year
Cable
Chemicals
clay
coal
coir
Electrical spares
Food Grains
Gemstone
Gold
Jute
Mechanical Spares
Dairy Products
Paints
Plywood
Polymer
Sand
Silver
Spices
Stone
Vegetable oils
Aluminium
Cement
Bitumen
Copper
Cotton
Fabric
Foam
Iron
Leather
LED
Others
Sugar
Paper
Paraffinwax
Plastic
Limestone
Mica
PVC
Rubber
Steel
Wire Coil
Wood
Yarn
Zinc
Water Consumption (Kilo litres/ year)
Power value in KW
*
Other Sources of power
*
!-Select-!
Generator
Non-conventional
Nil
specify
!-Select-!
Solar
CNG
others
ACTIVITY AND PRODUCTS
NIC 2 Digit Code
*
!-Select-!
01-Agriculture, Hunting and Related Service Activities
02-Forestry, Logging and Related Service Activities
05-Fishing, Aquaculture and Service Activities Incidental to Fishing
10-Mining of Coal and Lignite, Extraction of Peat
11-Extraction of Crude Petroeum and Natual Gas , Service Activities Incidental to Oil and Gas Extraction, Excluding Surveying
12-Mining of Uranium and Thorium Ores
13-Mining of Metal ores
14-other Mining and Quarrying
15-Manufacturing of Food Products and Beverages
16-Manufacturing of Tobacco Products
17-Manufacturing of Textiles
18-Manufacturing of Wearing Apparel , Dressing and Dyeing of Fur
19-Manufacturing of Leather and Leather product
20-Manufacturing of Wood and wood products
21-Manufacturing of Paper and Paper Products
22-Publishing, Printing and Reproduction of Recorded Media
23-Manufacturing of Coke and Refined Petroleum Products and Nuclear Fuel
24-Manufacturing of Chemicals and Chemical Products
25-Manufacturing of Rubber and Plastics Products
26-Manufacturing of Other Non-Metallic Mineral Products
27-Manufacturing of Basic Metals
28-Manufacturing of Fabricated Metal Products
29-Manufacturing of Machinery and Equipment n.e.c
30-Manufacturing of Office, Accounting and Computing Machinery
31-Manufacturing of Electrical Machinery and Apparatus n.e.c
32-Manufacturing of Radio, Television and Communication Equipment and Apparatus
33-Manufacturing of Medical, Precision and Optical Instruments, Watches and Clocks
34-Manufacturing of Motor Vehicles, Trailers and Semi-Trailers
35-Manufacturing of Other Transport Equipment
36-Manufacturing of Furniture, Manufacturing n.e.c
37-Recycling
40-Electricity, Gas, Steam and Hot Water Supply
41-Collection, Purification and Distribution of Water
45-Construction
50-Repair and Maintenance of Motor Vehicle, Retail Sale of Automotive Fuel
51-Wholesale of Trade and Commission Trade
52-Repair and Maintenance of Personal and Household Goods, Retail Trade
55-Hotels and Restaurants
60-Land Transport, Transport via Pipelines
61-Water Transport
62-Air Transport
63-Supporting and Auxiliary Transport and Travel Agents Activities
64-Post and Telecommunications
65-Financial Intermediation, Except Insurance and Pension Funding
66-Insurance and Pension Funding, Except Compulsory Social Security
67-Activities Auxiliary to Financial Intermediation
70-Real Estate Activities
71-Renting of Machinery and Equipment Without Operator and of Personal and Household Goods
72-Computer and Related Activities
73-Research and Development
74-Other Business Activities
75-Public Administration and Defence, Compulsory Social Security
80-Education
85-Health and Social Work
90-Sewage and Refuse Disposal, Sanitation and Similar Activities
91-Activities of Membership Organization n.e.c
92-Recreational, Cultural and Sporting Activities
93-Other Service Activities
95-Activities of Private Households as Employers of Domestic Staff
96-Undifferentiated Goods - Producing Activities of Private Households for Own Use
97-Undifferentiated Service - Producing Activities of Private Households for Own Use
99-Extra Territorial Organization and Bodies
NIC 4 Digit Code
*
!-Select-!
NIC 5 Digit Code
*
!-Select-!
Nic Code
*
Nic Desc
*
Add Product Details
*
Product Description
Product Code
Product Quantity
unit
Export of products
!-Select-!
Yes
No
Add Export Details
Item Description
Item Quantity
unit
Country Name
Annual Turnover(Including export-Rs in Lakhs)
*
EMPLOYMENT
Employees Male
*
Employees Female
*
Non-keralite labour
*
Total Employees
*
OTHER DETAILS OF ENTERPRISE
Whether Previously Registered With Govt
!-Select-!
Yes
No
Previous Registration Type
!-Select-!
Udyog aadhar
EM Part II
Permanent SSI Regn
Previous Registration number
Previous Registration date
VAT Number
*
Whether obtained any assistance from Govt.(Yes/No)
!-Select-!
Yes
No
Agency Name
Scheme Name
Amount
!-Select-!
Industries Department
KVIC
KVIB
KFC
KSIDC
IT Mission
Others
Tax Amount paid/Year
Excise Duty
Enterprise
!-Select-!
Progressive
Declining
Reason for Declining
Details of Licences/NOC,s Received
Bank Account No
*
Bank Name
*
!-Select-!
Canara Bank
State B of Travancore
State Bank of India
Federal Bank Ltd
punjab national bank
INDIAN OVERSEAS BANK
CENTRAL BANK
UCO BANK
STATE BANK OF MYSORE
INDIAN BANK
CORPORATION BANK
SYNDICATE BANK
UNION BANK OF INDIA
BANK OF BARODA
BANK OF INDIA
VIJAYA BANK
BANK OF MAHARASHTRA
United BANK of India
Allahabad BANK
ORIENTAL BANK OF COMMERCE
ANDHRA BANK
statebankof hyderabad
PUNJAB&SIND BANK
DENA BANK
Kerala Gramin bank
NOTE!
Whether have any issues with any Agency, please specify
Issues
!-Select-!
Marketing
Finance
Electricity
License
Health Issue
Raw Material
Management Labour
Other
Issue details
Issues
!-Select-!
Marketing
Finance
Electricity
License
Health Issue
Raw Material
Management Labour
Other
Issue Details
Traditional Category
!-Select-!
Handloom
Handicraft
Bamboo
Coir
Unit Status
!-Select-!
Working
Not Working
Shifted
PCB Clasification
!-Select-!
RED
Orange
White
Green
pollution safeguards are taken
!-select-!
Yes
No
whether intrested in forign exhibition
!-select-!
Yes
No
whether intend to participate in Public Procurement
!-select-!
Yes
No
whether wish to upgrade Technology
!-select-!
Yes
No
have any other quality certification
ISO
HACCP
AGMARK
GMP
ISI
FPO
Others
Specify other qulaity cirtificate
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