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COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2 Have you signed MoU with the Punjab Government? No 1.3 Policy Chapter: Incentives for Large Manufacturing Sector Units 2.1 Name of Applicant: Ramkumar Lakshminarayanan 2.2 Father's Name: LAKSHMINARAYANAN S 2.3 Date of Birth: 09-Apr-1956 3. CORRESPONDENCE ADDRESS: 3.1 Country: India 3.2 State: Punjab 3.3 City: MOHALI 3.4 PIN Code/ZIP Code: 160055 3.5 Address Line 1: A 16/17 3.6 Address Line 2: PHASE 6 3.7 Address Line 3: INDUSTRIAL AREA 3.8 Phone Number: 0172-4009300 3.9 Mobile Number: 9914777916 3.10 Fax Number: 01722271375 3.11 Email Address: [email protected] 3.12 Alternate Email: [email protected] 4. FIRM DETAILS: 4.1 Name of Promoter / MD: L Ramkumar 4.2 Designation: Managing Director 4.3 Name of Business Entity: TUBE INVESTMENTS OF INDIA LTD UNIT- TUBE PRODUCTS OF INDIA 4.4 Firm Registered with in India: Yes 4.5 Type of Business Entity: Public Limited 4.6 Number of Directors: NA 4.7 PAN Number: AAACT1249H (Enclosed Annexure) 4.8 TIN / VAT Number: 03091006718 (Enclosed Annexure) 4.9 CST Numbers: 03091006718 (Enclosed Annexure) 4.10 MOA / Partnership Deed: Yes (Enclosed Annexure) 4.11 Certificate of Incorporation / Registration: Yes (Enclosed Annexure) 4.12 ROC Number : 71 of 1949-50 4.13 ROC Date : 09-Sep-1949 5. PROPOSED SITE DETAIL: 5.1 Site Address: Village Sandharsi Sub Tehsil -Ghanaur Tehsil -Rajpura, Distt. Patiala 5.2 Zone: Zone2 5.3 District: Patiala 5.4 Village/Town/City: Sandharsi Multiple Villages Involved: No 5.5/5.6 Tehsil: 5.7 Hadbast Number: 378 5.8 Khasra Number: (Enclosed Annexure) 5.9 Site in MC Limit: No (18 KM) 5.9.2.1 Site Located In: Approved designated zone in Master plan 5.9.2.2 Master Plan Area: Rajpura Page 1 of 5

Common Application Form - Forests Clearance · COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2

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Page 1: Common Application Form - Forests Clearance · COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2

COMMON APPLICATION FORM

1. Project Identification Number: 16103929111.1 Application For: Regulatory Approvals & Fiscal Incentives1.2 Have you signed MoU with the Punjab Government? No1.3 Policy Chapter: Incentives for Large Manufacturing Sector Units2.1 Name of Applicant: Ramkumar Lakshminarayanan2.2 Father's Name: LAKSHMINARAYANAN S2.3 Date of Birth: 09-Apr-1956

3. CORRESPONDENCE ADDRESS:

3.1 Country: India3.2 State: Punjab3.3 City: MOHALI3.4 PIN Code/ZIP Code: 1600553.5 Address Line 1: A 16/173.6 Address Line 2: PHASE 63.7 Address Line 3: INDUSTRIAL AREA3.8 Phone Number: 0172-40093003.9 Mobile Number: 99147779163.10 Fax Number: 017222713753.11 Email Address: [email protected] Alternate Email: [email protected]

4. FIRM DETAILS:

4.1 Name of Promoter / MD: L Ramkumar4.2 Designation: Managing Director4.3 Name of Business Entity: TUBE INVESTMENTS OF INDIA LTD UNIT- TUBE

PRODUCTS OF INDIA4.4 Firm Registered with in India: Yes4.5 Type of Business Entity: Public Limited4.6 Number of Directors: NA4.7 PAN Number: AAACT1249H (Enclosed Annexure)4.8 TIN / VAT Number: 03091006718 (Enclosed Annexure)4.9 CST Numbers: 03091006718 (Enclosed Annexure)4.10 MOA / Partnership Deed: Yes (Enclosed Annexure)4.11 Certificate of Incorporation / Registration: Yes (Enclosed Annexure)4.12 ROC Number : 71 of 1949-504.13 ROC Date : 09-Sep-1949

5. PROPOSED SITE DETAIL:

5.1 Site Address: Village SandharsiSub Tehsil -GhanaurTehsil -Rajpura, Distt. Patiala

5.2 Zone: Zone25.3 District: Patiala5.4 Village/Town/City: Sandharsi Multiple Villages Involved: No5.5/5.6 Tehsil:

5.7 Hadbast Number: 3785.8 Khasra Number: (Enclosed Annexure)5.9 Site in MC Limit: No (18 KM)5.9.2.1 Site Located In: Approved designated zone in Master plan5.9.2.2 Master Plan Area: Rajpura

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Page 2: Common Application Form - Forests Clearance · COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2

5.9.2.2 Master Plan Zone: Industrial5.10 Revenue-Plan / Shajra-Plan: (Enclosed Annexure)5.11 Jamabandi of the site area: (Enclosed Annexure)5.12 Non Encumbrance Certificate of the site: (Enclosed Annexure)5.13 Total Proposed Project Area (In Acres): 34.025.14 Total Built-Up Area (sq mt): 9900.005.15.1 Certified Copy of Ownership: Yes (Enclosed Annexure)5.16.1 Certified Copy of Lease Document: No5.17.1 Certified Copy of Land under Agreement: No (NA)5.18 Site / Layout Plan: (Enclosed Annexure)5.19 Location Plan: (Enclosed Annexure)5.20 Linear Strip Plan: (Enclosed Annexure)5.21 Connecting Road: Schedule Road5.22 Is there any building structure exists: No (NA)5.23 Conformity of Land Use: Yes5.24 Land Use Zone Classification: Industrial5.25 Project Under EIA/CSA/SAC: No

6. PROJECT DETAIL:

6.1 Sector: Large Manufacturing6.2 Project Purpose: Manufacturing of precision steel tubes6.3 Size of Industry: Large6.4 Project Type: New Project (New Site)6.5 NIC Code: 241066.6 Detailed Project Report (DPR): (Enclosed Annexure)6.7 Any Existing Regulatory Approval Granted: No (NA)6.8 Any Fiscal Incentive Availed Earlier: No (NA)6.9 Detail of EDC / SIF / CLU / License-Fee Paid: No (NA)6.10 Apportionment of Fiscal Incentive (%):

Under Policy Chapter: Incentives for Large Manufacturing Sector Units

VAT 30.00 %CST 50.00 %Stamp Duty 5.00 %Electricity Duty 5.00 %Property Tax 0.00 %Mandi Fees 0.00 %

7. PROPOSED FIXED CAPITAL INVESTMENT:

7.1 Land Cost (Rs. In Crore): Rs. 25.537.2 Building Cost (Rs. In Crore): Rs. 23.987.3 Plant & Machinery Cost (Rs. In Crore): Rs. 45.097.4 FCI (Fixed Capital Investment) (Rs. In Crore): Rs. 69.077.5 Other Cost (Rs. In Crore): Rs. 0.007.6 Total Project Cost (Rs. In Crore): Rs. 94.60

8. MEANS OF FINANCE:

8.1 Bank / Institutional Finance (Rs. In Crore): 0.008.2 Equity Contribution (Rs. In Crore): 0.008.3 FDI (Rs. In Crore): 0.008.4 Govt. of India Subsidy / Grant (Rs. In Crore): 0.008.5 Other Means (Rs. In Crore): 96.60

9. PROPOSED EMPLOYMENT:

9.1 Direct (On Unit Rolls): Male (41) Female (2)9.2 In-Direct: Male (100) Female (15)

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Page 3: Common Application Form - Forests Clearance · COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2

9.3 Total Employment: Male (141) Female (17)

10. PROJECT SCHEDULE:

10.1 Start of Project Construction: 02-Jan-201710.2 Start of Commercial Activity: 01-Jul-201710.3 Phase-wise Implementation/FCI Details:

Phase Product Category FCI (In Crore) Implementation Date

11. MANUFACTURING DATA:

11.1 MANUFACTURING Details:

Main Product Quantity: Units:

Electrically ResistanceWelded Steel Tubes (ERW)

72.00 TPD (Tons / day)

Cold Drawn ElectricallyResistance Welded SteelTubes

38.00 TPD (Tons / day)

Raw Material Quantity: Units:

Hot Rolled Steel Strips 103.00 TPD (Tons / day)Cold Rolled Steel Strips 17.00 TPD (Tons / day)

11.2 Manufacturing Process Flow: (Enclosed Annexure)

12. ENVIRONMENT IMPACT DATA:

12.1 Raw Water & Effluent Details:

12.2 Source of Water Supply: TubewellParticulars Process Cooling Domestic Other

Water Usage (m3 / day) 120 30 50 0Recycling Detail (m3 / day) 20 20 0 0Waste Water Generation (m3 / day) 80 0 50 0Waste Water Treatment Effluent

TreatmentPlant-

Recirculation-

SewageTreatmentPlant-

0

12.3 Mode of Disposal For Discharge: Onto Land for Irrigation/plantation12.4 Land Details In Case Disposal On To Land :

Land Area Detail: Status Of Land:

10 Owner12.5 EMISSION DATA:

EmissionType

Capacity: Type ofFuel:

Quantityof Fuel:

StackHeightAGL:

StackHeightARL:

PollutionControlDevice:

BoilerRating:

SteamPressure:

Capacityin Ltr:

ProcessEmission

0.00 Electricity 600.00 14.00 6.00 AdequateStackHeightOnly

NA NA 0.00

DG Set 600.00 HSD 3.00 21.00 5.00 AdequateStackHeightOnly

NA NA NA

Boiler 25.00 Electricity 25.00 33.00 10.00 AdequateStackHeightOnly

0.00 0.00 0.00

Furnace 3.00 Other -LPG

3.00 33.00 18.00 AdequateStackHeightOnly

0.00 0.00 0.00

12.6 SOLID WASTE GENERATION DETAILS:

Source of Generation Nature or Type: Quantity (Tons per day): Mode of Disposal:

Chemical Sludge fromwaste water treatment

Hazardous 0.16 Sold to RegisteredRecycler

Phosphate Sludge Hazardous 0.13 Sold to RegisteredRecycler

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Page 4: Common Application Form - Forests Clearance · COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2

Spent Acid residues Hazardous 3.28 Sold to RegisteredRecycler

Used Spent oil Hazardous 0.01 Sold to RegisteredRecycler

Oil Soaked waste rags Non-Hazardous 0.04 Sold to RegisteredRecycler

13. ELECTRIC POWER REQUIREMENT:

13.1 Temporary Connection Load Required YesDuring Construction Existing Connection No

Account Number NALoad Demand (in KW) 99.00Load Demand (in KVA) 99.00Existing Load (in KW) 0.00Existing Load (in KVA) 0.00Demand Date 02-Jan-2017

13.2 Regular Connection Load Required YesDuring Commercial Activity Existing Connection No

Customer Type General IndustryAccount Number NAExisting Load (in KW) 0.00Existing Load (in KVA) 0.00New Load (in KW) 2205.00New Load (in KVA) 2450.00Demand Date 01-Jul-2017

TERMS AND CONDITIONS:

I/We Ramkumar Lakshminarayanan, Proprietor/Partner/Director/Vice President/Auth. Signatory of M/s. TUBEINVESTMENTS OF INDIA LTD UNIT- TUBE PRODUCTS OF INDIA, do hereby undertake as under:1. I/We hereby certify that all the facts and figures are true to my knowledge. There has been no default in EquityParticipation/Term Loan availed from PSIDC/PFC/PAIC/Other Financial Institution by this company or any sisterconcern of the company. And I hereby agree to contribute a sum equal to 0.25% of the verified Fixed CapitalInvestment (FCI) before the issuance of Eligibility Certificate, in equal proportion to the Punjab State Cancer &Drug Addiction Treatment Infrastructure Fund Act, 2013 and to the Punjab Ancient, Historical Monuments,Archeological Sites and Cultural Heritage Maintenance Board Fund, constituted under Section 5(2)(v) of thePunjab Ancient, Historical Monuments, Archeological Sites and Cultural Heritage Maintenance Board, 2013.

2. That I/We have filed an application with the Punjab Bureau of Investment Promotion seeking RegulatoryApprovals and so also Fiscal Incentives under FIIP 2013 [R] and all the information contained in the prescribedapplication are true and correct to the best of my/our knowledge and belief and nothing has been concealed thereupon.

3. That I/We have read carefully all the Clauses of Fiscal Incentive for Industrial Promotion 2013 (FIIP 2013 [R])issued vide Notification No. CC/FIIP/2013/5343 dated 5.12.2013.

4. That in the event of any information found to be false / incorrect or concealed there upon at any point of time,the beneficiary concern/company shall be liable to refund the incentives so availed from the date of availment ofsuch incentives as per Clause 5.1.13 under FIIP 2013 [R].

5. That further in the event of non-commencement of production / operations or non fulfillment of any of theconditions as laid down in FIIP 2013 [R], the beneficiary concern/company shall be liable to refund the incentivesso availed as per Clause 5.1.14 under FIIP 2013 [R].

6. That I/We further undertake to abide by the Clauses laid down in FIIP 2013 [R].

7. That I/We have not filed CAF previously to this office for the same purpose with same set of details.

8. That I/We have declared information to this office, in the case of any statutory/regulatory approvaldeclined/rejected/objection raised by other Authority/es.

Place: Sas Nagar (Mohali) Application Date: 24-Oct-2016 Applicant Name: RamkumarLakshminarayanan

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Page 5: Common Application Form - Forests Clearance · COMMON APPLICATION FORM 1. Project Identification Number: 1610392911 1.1 Application For: Regulatory Approvals & Fiscal Incentives 1.2

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