Application form for
Participation in Fair/Study Tour/Trade Delegation
| 1. | Name of the SSI unit with full address and e-mail ID (if any) | ____________________ | |
| 2. | Name & designation of person going for the trip | ____________________ | |
| 3. | SSI registration no. with date and place of issue (copy of registration certificate to be enclosed) | ____________________ | |
| 4. | Membership number of FIEO/EPC (enclose proof of membership) | ____________________ | |
| 5. | Value of exports during last 3 years at FOB (CA’s certificate to be enclosed) | ____________________ | |
| 6. | Details of fair/study tour/trade delegation | ____________________ | |
| 7. | Details of visit indicating date of proposed departure, date of anticipated arrival and countries to be visited | ____________________ | |
| 8. | If proposal is in respect of a fair, whether participation is in association with SIDO | ____________________ | |
| 9. | Whether the SSI unit has been charged/prosecuted/debarred/blacklisted/under investigation under Exim Policy or any other law relating to export import business | ____________________ | |
| 10. | Whether any MDA assistance has been availed from any source for similar activity in this financial year | ____________________ | |
| Date : | Signature | ||
| Name & Designation | |||
| Encl.: |
