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