APPLICATION FOR SETTING INDUSTRIAL UNITS IN SPECIAL
ECONOMIC ZONE (SEZ) IN BHAIRAHAWA, NEPAL
(Fill whatever information is available, leave other blank)

 
The application should be submitted to the Special Economic Zone, Project Office, Babarmahal, Kathmandu.
I. NAME AND ADDRESS OF THE UNDERTAKING IN FULL (Block Letters)
  Name of the Applicant/Firm
  Full Address(Regd.Office in case of limited
companies & Head Office for others, if existing firm)		      
 
 
 
  Contact Person
  Tel. No.
  Fax No.
  E-mail
  PAN NO.
II. NATURE OF THE FIRM  
  [Please tick (v) the appropriate entry]
 
Government Undertaking
Public Limited Company
Private Limited Company
Proprietor ship
Partnership
Others
III. INDICATE WHETHER THIS PROPOSAL IS FOR
  [Please tick (v) the appropriate entry]
  Manufacturing
  Services
IV. ITEM (S) OF MANUFACTURE/SERVICE: (Including By-product/Co-products)
(If necessary, additional sheets may be attached)
 
Item (s) Description Capacity (Unit =)
V. TARGET OF PRODUCTION (IN CASE OF MORE THAN ONE ITEM, SUPPLEMENTARY SHEETS MAY BE USED)
 
years Quantity (Unit )
Not required for service unit)
 Rupees (lakhs) US$ (Thousand)
Ist Year
2nd year
3rd year
4th year
5th year

VI INDIGENOUS REQUIREMENT:
 
    Rupees (lakhs) US$ (Thousand)
1. Capital Goods
2 Raw material, component, consumables, packing material, fuel etc. during the period of 5 years
 
Total
VII TARGET OF EXPORTS
 
years
Rupees (lakhs)
 US$ (Thousand)
Ist Year
2nd year
3rd year
 
4th year
5th year
VIII INVESTMENT
 
  (Rs in lakhs) (US $ Thousand)
(a) Building
(b) Plant and Machinery
 
  
     (i) Indigenous
     (ii) Import CIF value
     (iii) Total (i)+(ii)
Ix WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED
(Please tick (v) the appropriate entry)
 
Yes No
(i) Name and Address of foreign collaborator
(ii) Terms of collaboration
 
  (Rupees Lakhs) (US $ Thousand)
(a) Lumpsum payment
(b) Design & Drawing fee
(c)Payment to foreign technician
(d) Royalty (on exports)
(e) Royalty (on DTA sales if envisaged)
(f) Duration of agreement
X EQUITY INCLUDING FOREIGN INVESTMENT
 
 (i) Capital (Rupees Lakhs) (US $ Thousand)
(a) Authorized  
(b) Subscribed  
(c) Paid up Capital  
  Note: If it is an existing company, please give the break up of the existing and proposed capital structure
 
(ii) Pattern of share holding in the paid-up capital
  (Rupees Lakhs) (US $ Thousand)
(a) Foreign holding    
(b) Non Resident Nepalies company/Individual holding    
XI PROPOSED EMPLOYMENT
(All figures in number)
 
(a) Supervisory Men
 

Women
(b) Non-supervisory

Men
  Women
XII NET FOREIGN EXCHANGE EARNING AS A PERCENTAGE OF EXPORTS/NFE
 
  Percentage
Average NFE/NFEP on FOB value of exports in
5 Years
XIII MARKETING
 
Whether markeing tie-up/Buy-back envisaged/finalized? (send documents in email seperately, if any)
a) Target of exports (in percentage)
XIV OTHER INFORMATION
 
Any special features of the project proposal
which you want to highlight including
expected incentives and facilities
(Please attach the project report)
   
 

Signature of the Applicant

Name in Block Letters:

Designation:
Full Official Address:
Postal Address:
Tel.No. :
E-mail :
Fax:
Place : 
Date :

 

 

Mail this from to :

Special Economic Zone Project
Babarmahal,
P.O. Box: 19777
Ph. No: 4-219785, 4-220950
Fax No: 977-1-4245215
Kathmandu, Nepal
E-mail: info@seznepal.gov.np