(To be submitted through Director of Industries of State Govt.)
The Development Commissioner (SSI)
Min. of SSI&ARI,
Govt. of India,
7TH Floor, Nirman Bhawan
Sub: Grant of Central assistance for setting up of Testing Centers by Industries Associations & Modernisation/Expansion of Quality Marking Centers of State Governments and their autonomous bodies.
We intend to set up a Testing Laboratory/ Centre at
to provide facilities for testing of raw materials/ components and of finished products for the benefit of industries and hereby apply for the sanction of one time Central grant-in-aid under the above mentioned scheme. Necessary particulars of the Testing Centre as reflected in the project document are given below:
Name of Testing Centre and address, Telephone No., Fax No., E. Mail etc.
Whether registered under the Societies Registration Act, if so the Registration No. and date
(Enclose photocopy of Registration Certificate; Annual Report and Annual Accounts.)
Details of cost incurred/ to be incurred in setting up the Testing Centre
(Copies of vouchers and a Certificate from Chartered Accountant verifying the cost of fixed assets purchased, photo copies of the bills of testing machinery & equipment to be attached)
Source of financing:
Others (to be specified)
Whether any assistance in the form of grant in aid availed from State/Central Govt. If so, details thereof. Also enclose Utilisation Certificate towards the Grant-in-aid received from the Central Govt. in the GFR-19 A form.
The details of the proposed phase wise procurement of testing machines and equipment's indicating their cost.
Details of proposal for the matching contribution to be made by the applicant towards the procurement of testing equipment's and machines indicating their cost.
Amount of Central grant-in-aid claimed (50% of the cost of testing machinery & equipment restricted to Rs. 50 lakhs)
Date : Signature of Authorised signatory
We do hereby undertake that the -------------(Name of the Association)--------------- will not dispose off any of the Assets created out of the grant-in-aid received from the Central Govt., without its written permission. In case the Association fail to abide by this condition, necessary proceedings to recover the grant as land revenue will be initiated against the Association and its office bearers.
For on behalf of ---------------------(Name of the Association)
(For use in the Office of Commissioner & Director of Industries, Govt. of
I have verified the facts stated in the application above, and recommend release of grant in-aid.
Director of Industries
Ministry of SSI&ARI,
Govt. of India,
7TH Floor , Nirman Bhawan,
Fax No. 3017277.