FORM IPS-I
[See Paragraphs 5 and 7]

Application form for setting up industrial model town/industrial park

 

1. Type of application (please tick [b] 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 undertaking
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)

IV. Particulars 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 foreign 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 park 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 industrial model town or industrial park or Growth centre.
I/We hereby certify that the above statements are true and cor­rect 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

General Instructions
(This part contains information for the guidance of entrepreneurs and may be
retained by them; it need not accompany the applica­tion)
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 Industrial Assistance (SIA), Depart­ment 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 India, Nirman Bhawan Branch, New Delhi.
3. To be eligible for automatic approval, the following condi­tions apply :
(i) The minimum area required to be developed for an indus­trial 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) Industrial 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 al­locable 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 residential purpose which excludes the areas used for providing common facilities.
(iv) Industrial use shall include any activity defined in the National Industrial Classification, 1987 Code except the 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 devel­opment 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 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.