_____________ GOVERNMENT
DIRECTORATE OF INDUSTRIES
APPLICATION FOR PERMANENT REGISTRATION AS
SMALL SCALE INDUSTRIES
(TO BE FILLED IN TRIPLICATE)
1. Write/type in block (capital) letters.
2. Fill up whichever is applicable.
3. Use English alphabets/Arabic numbers while filling up blocks (to help computerisation).
4. Leave one blank after each word.
5. While filling the form, use the following procedure. i) Name of the unit e.g. KAMAL ENTERPRISES/G.K ENTERPRISES
| K | A | M | A | L | E | N | T | E | R | P | R | I | S | E | S |
| G | K | E | N | T | E | R | P | R | I | S | E | S |
| ii) | Pin Code: e.g. 110041 | 1 | 1 | 0 | 0 | 4 | 1 |
| iii) | Date: e.g. 23rd June 1959 | 2 | 3 | 0 | 6 | 5 | 9 |
| iv) | Quantity (kg) e.g. 90 Kg. | 0 | 0 | 0 | 0 | 9 | 0 |
| v) | Amount (Rs in thousands) e.g. Rs. 5000/- | 0 | 0 | 0 | 0 | 5 |
vi) Fill up appropriate codes in the blocks wherever applicable
| Example 1: Yes-1, No-2, NA-3 | 3 | ||||||
if NA fill up-3
Example 2: Category: SSI-1, Anc-2,
Tiny-3, SSSBE-4,
| EOU-5. | 3 | ||||||
If Tiny fill up-3 5. Block/boxes marked (*) are to be filled by office. 6. Applicant should sign all copies. Abbreviations used:
SSI : Small Scale Industries, ANC : Ancillary Industrial Undertaking, SSSBE : Small Scale Service and business enterprise, TINY : Tiny enterprise, EOU : Export Oriented Unit, NA : Not applicable.
