Government of Tamil Nadu

Department of Industries and CommerceEntrepreneurs Memorandum for setting up Micro, Small or Medium Enterprise

Form No.2015/33/004/26191/SAHTACKNOWLEDGEMENT PART - I

M/S AKSHEYA TECH HAS FILED MEMORANDUM EXPRESSING ITS INTENT TO SET UP A SERVICING ENTERPRISE AT

THE ADDRESS 33, SANNADHI STREET, BLOCK, THIRUVALAM, TALUK, VELLORE DISTRICT TAMIL NADU PIN CODE :

632515 FOR THE ITEM/ITEMS INDICATED BELOW AND THE ACTIVITY IS PROPOSED TO COMMENCE FROM MAY-2015 AS

STATED IN FORM NO 2015/33/004/26191/SAHT AND ALLOCATED ENTREPRENEURS MEMORANDUM NO

2015/33/004/26191/SAHT/E AS BELOW:

Sl.No TYPE OF SERVICE TO BE RENDERED

1 DATA PROCESSING

2 DESK TOP PUBLISHING

3 MEDICAL / LEGAL TRANSCRIPTION USING VOICE/ DATA COMMUNICATION LINKS

4 Retail trade services- others

5 SOFTWARE CONSULTANCY

NOTE: THE ISSUE OF THIS ACKNOWLEDGEMENT DOES NOT BESTOW ANY LEGAL RIGHT. THE ENTERPRISE IS REQUIRED TO SEEK REQUISITECLEARANCE / LICENCE / PERMIT REQUIRED UNDER STATUTORY OBLIGATIONS STIPULATED UNDER THE LAWS OF CENTRAL GOVERNMENT / STATEGOVERNMENT / UT ADMINISTRATION / COURT ORDERS .

DD MM YYYY

DATE OF ISSUE10 02 2015

NATURE OF ACTIVITY (MANUFACTURING-1,SERVICES-2)

2 SERVICING

CATEGORY OF THE ENTERPRISE (MICRO-1,SMALL-2,MEDIUM-3)

1 MICRO

ENTREPRENEURS MEMORANDUM NUMBER3 3 0 0 4 2 1 26191 E PART I

DATE: 10/02/2015

PLACE: Vellore

SIGNATURE

(S.A.P.Vairamani)

Additional Director of

Industries & Commerce (DIC)

Note : (1) The concerned Financial Institutions/Agencies who provide Loan/Clearance/Assistance, shall verify this Entrepreneur Memorandum FormPart I in the website http://www.msmeonline.tn.gov.in, to ascertain the genuineness / validity / cancellation using the above EM PART I Number

(2) The concerned Financial Institution/Agencies who provide Loan/Clearance/Assistance, shall ascertain the eligibility of subsidies andincentives given by the Government, from the General Manager, District Industries Centre, VELLORE .

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Application Id : 2015/33/004/26191/SAHTApplication Date : 10-02-2015

1. Name of the Applicant : S. HARIHARAN

2.(a) Address of Communication

33, FIRST FLOOR

SANNADHI STREET, THIRUVALAM, KATPADI TALUK, VELLORE DISTRICT

PIN Code : 632515

Phone : -

Phone : -

Phone : -

Phone : -

(b) Permanent Residential Address

33, FIRST FLOOR

SANNADHI STREET, THIRUVALAM, KATPADI TALUK, VELLORE DISTRICT

PIN Code : 632515

Phone : -

Phone : -

Phone : -

Phone : -

3. Name of The Proposed Enterprise (if decided) : AKSHEYA TECH

4. Proposed Location of Enterprise

(i). S .F.No / Door No.: 33

(ii). Street. : SANNADHI STREET

(iii). State : Tamil Nadu

(iv). District : Vellore

(v). Taluk :

(vi). Rural/Urban : Rural

(viii).Town/Village : THIRUVALAM

(ix). PIN Code : 632515

5. Category of Enterprise : MICRO

6. Nature of Activity : Service

7. Nature of Operation : Casual

8. Whether Unit will be an Ancillary Unit : No

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9. Proposed Schedule of Installation of : March - 2015

Plant & Machinery

10. Type of Organisation : Proprietary

11. (a) Main Manufacturing/Service Activity

No Service ServiceCode

1 DATA PROCESSING 97707 2 DESK TOP PUBLISHING 97926 3 MEDICAL / LEGAL TRANSCRIPTION USING VOICE/ DATA

COMMUNICATION LINKS97720

4 Retail trade services- others 97149 5 SOFTWARE CONSULTANCY 97712

12. Proposed Investment In Fixed Assets (Rs in lakh)

Item Owned/Leased/Rented Approximate Value

(i). Land Rented 2

(ii). Building Rented 2

(iii). Plant & Machinery Value 0

(iv). Equipment 5

(v). Foreign Equity,If Any -

13. Installed Capacity per annum : 0

14. Power Load (Anticipated) : H.P : - K.W : 5.00

15. (a). Other Source of Energy

Item Quantity

Electricity From Grid 5 KWh

Electricity From Generator 5 KWh

(b) Reason if no power required -

16. Expected Employment

(i). Management & Office Staff 2

(ii). Supervisory 3

(iii). Workers 5

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17. Expected Schedule Of Commencement of Production/Activity : May- 2015

18. Entrepreneurs Profile(a). Name : S. HARIHARAN

(b). Gender : Male (M) (c). Community : Others (4)

(d). Knowledge Level : Management Graduate

(e). Equity Participation : 5 (f). Equity % : 50

(g). Stake in other Manufacturing Enterprises : No

(h). Physically Challenged: NoDate :

Place :

[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

NAME OF THE PROPRIETOR/PARTNER/MANAGING DIRECTOR

(a) Send a self-certified copy of this application along with a self-certified copy of Power of Attorney/Board Resolution/Society Resolution whereverapplicable, while signing as Partner/Managing Director or Authorised Person to GENERAL MANAGER , DISTRICT INDUSTRIESCENTRE,GANDHI NAGAR I.E.,VELLORE-632 006.

(b) Send a certificate/notarized copy of the Partnership Deed/Memorandum of association/Articles of Association to General Manager, DistrictIndustries Centre, Vellore .

(c) In case, self certified copy of the generated application is not received by the General Manager, District Industries Centre, Vellore within onemonth from the date of generation of the application, the acknowledgement issued for EM(PART I)will be cancelled and displayed in the website.

(d) In respect of those who furnish wrong information and do manipulations in the online Application Form, penal action will be taken by the Department and simultaneously the acknowledgement issued for online EM PART I will be automatically cancelled and displayed in the website.

Undertaking This is to certify that the information furnished in the Memorandum in FORM No :2015/33/004/26191/SAHT is true andcorrect to the best of my knowledge and belief.

Date :

Place :

[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

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