DIRECTORATE OF INDUSTRIES
APPLICATION FORM FOR PROVISIONAL REGISTRATION AS
SMALL SCALE INDUSTRIES
(TO BE FILLED IN DUPLICATE)
INSTRUCTIONS
- Write/type in block (capital) letters.
- Fill up whichever is applicable.
- Use English alphabets/Arabic numbers while filling up blocks (to help computerisation). Leave one blank after each word.
- While filling the form, use the following procedure.
| 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.
Click Here for form of Provisional Regitration

