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NDUSTRIAL UNDERTAKING (BLOCK LETTERS) Name of the Industrial undertaking Name of the promoter/MD/Managing Partner with surname first 2. Address for communication Tel: Pin Code Fax: E-mail 3. Constitution of the Firm/company: 4. Proprietorship/Partnership/Pvt. Ltd./Public Ltd./others if any Location : Place/Town Tehsil District: State: 5. Main items of manufacture/activity. Sr. No. 1. 2. 3. 4. 5. Products/Services Installed capacity (per annum) 2 6. Investment in Fixed assets.

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