Form IPS-I:Application form for setting up industrial model town/industrial park

Company Name(s): 
Documents: 

Application form for setting up industrial model town/industrial park

1.Type of application (please tick the appropriate boxes)
Automatic Non-automatic
(a) For industrial model town
(b) For industrial park
(c) For Growth centre
2.(For office use only)
Application No.
Application date :
3.Payment details :
Draft No. :
.
Amount (Rs.) :
Draft Date :
Drawn on :
(Name of the bank)
Payable at :
.
I.
Name and address of the undertaking (Indian/Foreign) in
full (block letters)
(a) Registeres address
Name of the undertaking
.
Postal address :
.
Pin Code :
.
Tel. No.
.
Telex No.
.
Fax No.
.
Cable
.
E
-
mail
.
(b) Address for correspondence (if different from (a) above)
Name of the undertaking
.
Postal address :
.
Pin Code :
.
Tel. No.
.
Telex No.
.
Fax No.
.
Cable
.
E
-
mail
.
II.
Registrar of Companies Registration No.
(if registered)
.
III.
Status of the undertaking :
q
(1) Central Government undertaking
q
(2) State Government undertaking
q
(3) State Industrial Government Corporation
q
(4) Co
-
operative undertaking
q
(5) Joint sector u
ndertaking
q
(6) Private sector undertaking
q
(7) Individual promoter
q
(8) Foreign/NRI/OCB company
q
(9) Foreign/NRI individual
q
(10)Partnership firm
q
(11)Registered societies
q
(12)Any other (please specify)
[IPS99;1,1]
Printed from Taxmann’s Income
-
tax R
ules on CD
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IV.
Particula
rs of persons proposed for holding more than 20% equity investment in the scheme :
Name of the undertaking :
.
Postal address :
.
Pin Code :
.
Tel. No.
.
Telex No.
.
Fax No.
.
Cable
.
E
-
mail
.
Permanent Account No.
.
Percentage of proposed equity investment
4.
I.
Proposed location of the
industrial model town/industrial park/Growth centre
Address :
.
District :
.
State :
.
Pin Code :
.
Telephone
.
Fax :
.
E
-
mail
.
II.
Proposed area of industrial model town/industrial park/Growth centre(in acres/sq. mtrs. specify)
.
III.
Proposed allocable area
of industrial model town/industrial park/Growth centre(in acres/sq. mtrs. specify)
.
IV.
Proposed activities(please specify item codes as defined under the National
Industrial Classification of all Economic Activity (NIC)1987).
V
.
Proposed percentage of allocable area earmarked for industrial use
VI.
Proposed percentage of allocable area earmarked for commercial
use
VII.
Proposed number of industrial units
VIII.
(
a
) Total investment proposed (Amount in Rupees)
(
b
) Proposed investment on built up space for Industrial use (if
applicable) (Amount in Rupees)
(
c
) Proposed investment on Infrastructure Development
[including (
b
)] (Amount in Rupees)
(
d
) Percentage of (
c
) to (
a
)
IX.
Total for
eign equity proposed (Amount in Rupees)
X.
Expected/Actual Date of commencement of Industrial Model
Town/Industrial Park/Growth Centre
DECLARATION
I/We hereby undertake to continue to operate the industrial model town/industrial par
k during the period in
which the benefits under sub
-
section (4)(
iii
) of section 80
-
IA of the Income
-
tax Act are to be availed of.
I/We hereby certify that no single unit shall occupy more than fifty per cent of the allocable industrial area of an
industria
l model town or industrial park or Growth centre.
I/We hereby certify that the above statements are true and cor
rect to the best of my/our knowledge and belief.
(Signature of the applicant)
Place :
.
Date :
.
(Name in block letters)
(Designation of the signatory)
List of enclosures
[IPS99;1,1]
Printed from Taxmann’s Income
-
tax R
ules on CD
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of
4
GENERAL INSTRUCTIONS
(
This part contains information for the guidance of entrepreneurs and may be
retained by them; it need not accompany the app
lica
tion
)
1. All applications for industrial model town/industrial park/Growth centre under the scheme notified by the
Ministry of Commerce & Industry are to be submitted in Form IPS
-
1 to the Entrepreneurial Assistance Unit
(EAU) of the Secretariat for In
dustrial Assistance (SIA), Depart
ment of Industrial Policy and Promotion, Udyog
Bhavan, New Delhi
-
110 011, along with an affidavit certifying the details given in the application. Application
for automatic approval is to be submitted in duplicate and for
non
-
automatic approval in six sets.
2. Application shall be necessarily accompanied by a demand draft for Rs. 6,000 (Rupees six thousand only)
drawn in favour of “Pay and Accounts Officer, Department of Industrial Development” payable at State Bank of
Indi
a, Nirman Bhawan Branch, New Delhi.
3. To be eligible for automatic approval, the following condi
tions apply :
(
i
) The minimum area required to be developed for an indus
trial model town shall be 1,000 acres, however, no
such minimum acreage is specified
for industrial park or Growth centre, the size of which will depend on the
nature of the activity.
(
ii
) The project shall have provision for the location of minimum number of industrial units as follows :
Type
Minimum No. of units to be
provided for
(
1
)
I
ndustrial model town
50
(
2
)
Industrial park
30
(
3
)
Growth centre
30
(
iii
) The minimum percentage of the area to be allocated for industrial use shall not be less than 66% of the total
al
locable area. The allocable area will mean

(a)in case of an industrial park referred to in sub-paragraph (b) of paragraph 4 and making available built-up space, the net floor area available for allocation which excludes the built-up space used for providing common facilities;
(b) in any other case, the net area available for allocation for industrial, commercial or residentialpurpose which excludes the areas used for providing common facilities.
(iv) Industrial use shall include any activity defined in the National Industrial Classification, 1987 Code exceptthe following :
Section 0
Section 1
Section 5
Section 7 excluding Division 75
Section 8 excluding Groups 892, 893, 894, 895
Section 9
Section X
Section XI.
(v) The percentage of land, to be earmarked for commercial use shall not exceed more than
10% of the allocable area.
(vi) In case of an industrial model town and industrial park, the minimum investment on infrastructure
development shall not be less than 50% of the total project cost. In case of a project of industrial park which
provides built-up space for industrial use, the minimum expenditure on infrastructure devel
opment including cost of construction of industrial space, shall not be less than 60% of the total project cost.
(vii) Infrastructure development means airconditioning, roads (including approach roads), water supply and sewerage, common effluent treatment facility, telecom network, generation and distribution of power and such other facilities as are for common use for industrial activity which are identifiable and are provided on
[IPS99;1,1]

commercial terms.
(viii) No single unit in any project shall occupy more than 50% of the allocable industrial area of an industrial
model town/industrial park/Growth centre. For this purpose a unit means a separate taxable entity.
(ix) Approval of the Foreign Investment Promotion Board/Reserve Bank of India for Foreign Direct Investment/Non-Resident Indian Investment, wherever necessary, shall be taken separately as per the policy and procedures in force.