1 |
Name of the MSME unit with full address
and e-mail ID (if any). |
2 |
MSME registration number indicating
place of issue (copy of registration certificate is
to be enclosed). |
3 |
Membership number of FIEO/EPC (enclose proof of membership). |
4 |
Value of exports during last 3 years at FOB (CA's certificate to be enclosed). |
5 |
Title of publicity material proposed to be published (Dummy copy to be enclosed). |
6 |
Name and details of the event where publicity material is proposed to be distributed. |
7 |
Anticipated date of release. |
8 |
Number of copies of the publicity material to be printed (enclose detailed quotations from printers for production). |
9 |
Total estimated expenditure |
10 |
Whether the MSME unit has been charged/
prosecuted/debarred/blacklisted/under investigation
under Exim Policy or any other law relating to export
import business. |
11 |
Whether any MDA assistance has been availed from any source for similar activity in this financial year. |