Government of Tamilnadu
Department of Industries and Commerce
jHehL muR
bjhy tf Jiw
APPLICATION FORM
FOR FINANCIAL ASSISTANCE UNDER
THE NEW ENTREPRENEUR -CUM- ENTERPRISE DEVELOPMENT SCHEME (NEEDS)
a bjh Kidnth kW bjh Wtd nkghL l (NEEDS)
j bgWtjfhd zg
PLEASE AFFIX
LATEST PASSPORT SIZE
PHOTO
(rg vLfgl
ghngh ms
ifgl xl)
6. Community / tFg;g[
SC ST BC MBC Minority Differently Ex- Service General
M gH wgl f Wghik Abled man bghJ
uhl Fod tFd wgl d khW Kdh d
tFd wdhf uhQtd
ii. Diploma
gla go
2
b. Occupation of Father/Spouse
jij/ fzt/kid brJ tU ntiy
c. Whether any one in your family is self employed ?
jf FLg cWdf vtnuD Yes/ No/
M iy
Ra bjh braJ tUwhuh ?
d. If yes, give details. M v mj gu
10. Communication Details / bjhlh;g[ tptu=;fs; :
a. Residential Address: Ul Kft
D.No/Street:
fj v
Village/Town:
uhk/efu
Block:
xa
Taluk:
tl
District:
khtl
Pin Code:
mryf FpL v
b. Email Id
dr Kft
c. Mobile No
ifng v
11. whether residing in the above address for at least 3 years
Yes/ No/
nkFl Kft flj _W MLfshf M iy
bjhlJ tJ tUfsh ?
12. a. Name of the activity proposed to be established :
Jtf cnjJss bjh
b. Whether Manufacturing/Service activity :
cg Wtd myyJ nrit Wtd
c. Address of proposed location of Enterprise :
bjh Jtf cnjJss l KG yhr
D.No/Street:
fj v
Village/Town:
uhk/efu
Block:
xa
Taluk:
tl
District:
khtl
Pin Code:
mryf FpL v
Date of Issue
3
13. Previous experience if any. :
K mDgt VJU mj gu
14. Project Outlay: l KjL
I certify that all the informations furnished by me are true; and I have not availed any financial
assistance from banks under any subsidy linked scheme of Central/State Government for
establishing any enterprise.
nkny Twgl tuf midJ cikahdit vd eh bjh Wtdfis
W elj ka kW khy mud khaJl Toa flDj VJ t _y
bgwiy vd rhwnw.
4
Part II
For Office Use Only
Hence he/she is tentatively considered eligible for availing assistance under NEEDS
Scheme. His/her the application is recommended for placing before the District Level Task
Force Committee.
Or
The application is rejected for the reasons mentioned below.
1.
2.
3.
Date :
5
Part III
For Office Use Only
Recommendations of the Task Force Selection Committee
Name of the applicant
Application No:
Date of Task Force Selection
Committee
Name of activity
Whether Manufacturing or
Service activity
Bank
Recommended to
Branch
Project Cost
2. Building
3. Machinery / Equipment
Total
6
THE NEW ENTREPRENEUR -CUM- ENTERPRISE DEVELOPMENT SCHEME (NEEDS)
a bjh Kidnth kW bjh Wtd nkghL l (NEEDS)
Instructions to Applicants / zgjhufSfhd Kiwfs
The applicant should have completed minimum 21 years but
1. Age
should not have completed 35 years for General Category and
taJ tu 45 years for Special Category of Entrepreneurs on the date of
application.
zgjhu zF nj mdW 21 taJ
Kotilj tuhf, bghJdiu rhjtuhf Ud
35 tawF fhj tuhf wdiu rhjtuhf
Ud 45 tawF fhjtuhf Ujy ntL.
Women/ SC/ST/BC/ MBC/ Minorities/ Ex-Servicemen/Trans
2. Special Category of genders/ differently abled persons.
Entrepreneurs kf/M uhl / gHFod / wgl tFd/ f
w bjhy Kidnth wgl tFd / Wghdikd / Kddhs uhQtd /
Ueifa /khwW wdhfs.
4. Place of residence The applicant should be a resident of Tamil Nadu State for not
less than 3 years.
tl
zgjhu jH ehoy flj _W MLfshf
bjhlJ tgtuhf Uf ntL.
6. Project Cost 1. Above Rs.5.00 Lakhs and not exceeding Rs.1.00 Crore.
l kL %.5.00 yrF nk %.1.00 nfhoF fhky
l kL Uf ntL.
2. The entrepreneur has to meet the cost of land,
rented/leased building, Technical know-how, Preliminary
& pre-operative expenses, Working capital margin etc.,
from his/her own funds
bjh Kidnth y thlif/Fjifya tU
fold k/ bjh Eg Mnyhridfhd bry,
eilKiw _yjdfhd bjhif kwW Mug fl
brydf itmidij jkJ brhj bryy
nkbfhs ntL.
3. Cost of the land may be included in the Project cost at
guideline value or market value, prevailing as on the date
of filing loan application, whichever is lower.
y k fl zg rkF nj muR
za brj kngh (m) rij kngh vJ Fiwthf
csnjh mij lky nrJ bfhsyh.
10. Items not eligible for The cost of rented/leased building, Technical know-how,
subsidy Preliminary & pre-operative expenses, Working capital margin
kha cj bgw etc., cost of second-hand machinery (except imported second-
jFyyhj KjLfs hand machinery directly imported by the entrepreneur)
thlif/Fjify a tU bjhwTl fold k/
bjh Eg Mnyhridfhd bry, eilKiw _yjdfhd
bjhif kwW Mug fl brydf giHa aufs
(bjhy Kidnthuhy neuoahf wFk braagl giHa
aufs ju)
13. Ineligible Applicants The following Entrepreneurs will not be eligible under the
jF bgwh scheme
zgjhufs 1. Who have already availed assistance under PMRY, REGP,
PMEGP, UYEGP, TAHDCO or any other scheme of
Government of India or State Government.
2. Who have availed loan for economic activity
under SHG/other group activity.
3. The applicant should not be a defaulter to any Commercial
Bank / TIIC
HfhQ bjhy Kidnth ld H j
bgw jFawwtuht.
1. ka kwW khy muR _y bray gLjgL tU
PMRY, REGP, PMEGP, UYEGP, TAHDCO nghdw
j lfs _y gadiljtfs.
2. RacjFG/ ju FGk lfs _y bghUshjhu
brayghLfS fhf fld bgwwt.
3. tfs /jHehL bjhy KjL fHf _y Vwfdnt
flDj bgwW flid Ufl jtatfs.
2
14. List of documents to Application is to be submitted in Duplicate with copies of the
be enclosed with the following documents
application zg uL efyfy Hfl MtzfSld
zgJld izf rkfgl ntL.
ntoa Mtzfd
1. Proof of Age-Copy of birth certificate or Transfer Certificate
goay
from School/ College.
tawfhd mjh / Mjhu - w rhdjd efy
myyJ gs kwW fyYh khwW rhdjH
2. Proof of Residence i.e., Copy of Ration Card or Residence
Certificate obtained from Tahsildar.
Ul mjh - FLg mil efy myyJ
tlhalUJ bgwgl Ul rhdjH
3. Copy of Degree/Diploma/Certificate Course Completion
Certificate
gl / gla go/ mffgl gw Wtdfs
_y bgwgl bjh g rhdjd efy
4. Community Certificate rh rhdjH
5. Certificate in proof Ex-servicemen, Differently-abled,
Transgender, where ever applicable.
Kddhs uhQtd, khwW wdhfs, Ueifa
Mf Ud mjwFa rhdjH.
6. Project Report with projected sales and cash flow
statement for the next 3 years.
jpl;l mwpf;if kw;Wk; mLj;j 3 Mz;LfSf;fhd cj;njr
tpw;gid kw;Wk; gzg;gha;t[ mwpf;if.
7. Copy of land document if included in the Project cost
l koy yd k nrfgoUjhy
yglhd efy
8. Estimate of Building obtained from Chartered Civil
Engineer
gla fLkhd bghahslUJ bgwgl
folwfhd cnjr kL
9. Quotations for machinery or equipments .
aufs myyJ fUfd iygoay mry
kwW efy
10. Sworn affidavit obtained from Notary Public in Rs. 20/-
Stamp Paper in (Specimen format enclosed as
Annexure II)
rhdWW mYtylUJ %.20 /- kyhd Kiu
jhy bgwgl cW bkhgu.
(iz 2 y kh got jugLssJ)
11. Entrepreneur Memorandum (Part I) acknowledgment
obtained from District Industries Centre
khtl;l bjhHpy; ikaj;jpy; ,Ue;J bgwg;gl;l bjhHpy; Kidnthh;
gjptwpf;if (ghfk; 1) xg;g[ifr; rhd;W.
12. Copy of Partnership deed incase of partnership enterprise.
g=;Fjhuh; epWtdkhf ,Ug;gpd; Tl;L xg;ge;j gj;jpuj;jpd; efy;.
3
ANNEXURE - I
,izg;g[ ? 1
Activities not be eligible for assistance under NEED scheme
ld Hj bgw jFyyhj bjhyfs
1. Any activity directly connected with agriculture.
ntshikld neuo bjhlila bjhyfs
2. Sericulture (Cocoon rearing), Animal Husbandry like Pisci culture, Piggery, Poultry etc.,
gL ts, fhyeil ts,d ts, gdts kwW nfhgiz
nghdw bjhyfs
3. Manufacturing of Polythene carry bags of less than 40 microns thickness and
manufacture of carry bags or containers made of recycled plastic for storing, carrying,
dispensing or packaging of food stuff
40 ikuhdfSF Fiwthd gUkDss ghd igfs jahjy kwW cz
bghUfis nrJ itf, vLJ bryy kwW bghly fl
cgnahfgL kWRHw Kiwy jahfgl ghd igf kwW
nrk fydf.
4. Sugar
rfiu Miyf
5. Distilleries, Brewery and Malt Extraction
rhuha to rhj bjhf
6. Units utilizing Molasses/rectified spirit/de-natured spirit as raw material for
manufacture of potable alcohol.
bkhyhr / bjLfgl vrhuha / khw bragl vrhuha tiw
_ybghUshf bfhL kJghd jahj
7. Fertiliser manufacture and blending (Except bio-fertilizers)
fy cu jahj (awif cu jahjy ju)
8. Mining and Quarrying Ores, minerals etc.[Excluding polishing, cutting,
crushing, etc. of mined ores/minerals]
fk Ruf kW fkf btobaLj(btobaLfgl fkfis
bkUnfwWjy, btLjy, ciljy Ma bjhyfs ju)
9. Aluminium, Iron and Steel Smelting [Excluding foundries]
mYa kW U cUfhiy (thgl bjhyfs ju)
10. Manufacturing of intoxicant items like Beedi/Pan/Cigar/Cigarette etc.,
o, fbu, ifiy, RUL, Ffh, kW ifiy rhj nghijbghUf cg.
11. Saw Mills
ku mWit Miyfs
12. Cement
bkd cwg
13. Calcium Carbide
fha fhigL
14. Slaughter House
czfhf fheilfis btL bjh
15. Re-packing of Drugs/Medicine/Chemical, without any processing or value addition
brKiw kW k TLj VJ kUJ bghUf kW nta
bghUfis kW bghly fLj.
4
16. Azoic/Reactive Dyes
braif kW vid aToa rhaf
17. Fire Crackers
glhR bjh.
18. Industries manufacturing and or utilizing Ozone depleting substances
thbt Xnrh glyij FiwF bghUfis jahF bjhf.
19. Industries involving hazardous activities/ classified as Red category by Tamil
Nadu Pollution Control Board /Central Pollution Control Board
mghafukhd bjhyfs kwW ka /khy khRfLghL thajhy
t vd tifgLjgl bjhyfs
20. Cyanide
raidL.
21. Caustic Soda
vfhu
22. Potassium Chloride
bghlha FnshiuL
23. Nylon, Rayon & Polyester Fibre manufacturing.[Excluding manufacture of
downstream products from Nylon ,Rayon & Polyester Fibre]
ieyh, nuah kwW ghal iH jahjy (ieyh , nuah kwW ghal
iHfis _ybghUsfshf bfhL cwg braaL bgh Ufs ju)
24. Real Estate
y wgid rhj bjhy
25. All types of Business activities
midJ ahghu rhj bjyfs
5
ANNEXURE II
AFFIDAVIT
residing at ...................................................................................
...........................................................................................................................................
..........................................................................................................................................
2) That I am a first generation entrepreneur and no one in my family is self employed and
4) That I have not defaulted in repayment of any loan from any Commercial Bank / TIIC.
5) That I shall abide by the rules framed under the scheme of NEEDS.
DEPONENT
VERIFICATION
Verified that the above contents are true and correct to the best of my knowledge and belief
and nothing has been concealed therein.
Date.
NOTARY PUBLIC
Note: This affidavit should be furnished in Rs.20/- non judicial stamp paper duly attested by
Oath Commissioner (Notary Public) along with the application.