Government of Tamil Nadu

Department of Industries and Commerce

Entrepreneurs Memorandum for setting up Micro, Small or Medium Enterprise

Form No.2014/33/007/08652/AASE
ACKNOWLEDGEMENT PART - I
M/S APTEST NDT SERVICES HAS FILED MEMORANDUM EXPRESSING ITS INTENT TO SET UP A SERVICING
ENTERPRISE AT THE ADDRESS NO.14/135, THIRUKOILUR MAIN ROAD,ULUNDURPET BLOCK, ELAVANASUR KOTTAI,
ULUNDURPET TALUK, VILLUPURAM DISTRICT TAMIL NADU PIN CODE : 606702 FOR THE ITEM/ITEMS INDICATED
BELOW AND THE ACTIVITY IS PROPOSED TO COMMENCE FROM OCT-2014 AS STATED IN FORM NO
2014/33/007/08652/AASE AND ALLOCATED ENTREPRENEURS MEMORANDUM NO 2014/33/007/08652/AASE/E AS
BELOW:
Sl.No

TYPE OF SERVICE TO BE RENDERED

TESTING LABS-OTHERS

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

DD

MM

01

DATE OF ISSUE

09

YYYY
2014

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

SERVICING

CATEGORY OF THE ENTERPRISE

(MICRO-1,SMALL-2,MEDIUM-3)

MICRO

ENTREPRENEURS MEMORANDUM NUMBER

08652

PART I

DATE: 01/09/2014
PLACE: Villupuram
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 Form
Part 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 and
incentives given by the Government, from the General Manager, District Industries Centre, VILLUPURAM .

Page 1

Application Id : 2014/33/007/08652/AASE
Application Date : 01-09-2014
1. Name of the Applicant
2.

: APTEST NDT SERVICES

(a) Address of Communication

NO.14/135, THIRUKOILUR MAIN ROAD
ELAVANASUR KOTTAI, ULUINDURPET TALUK, VILLUPURAM DISTRICT
PIN Code

: 606702

Phone

: 9944412370

Phone

:-

Phone

:-

Phone

:-

(b) Permanent Residential Address

NO.14/135, THIRUKOILUR MAIN ROAD
ELAVANASUR KOTTAI, ULUINDURPET TALUK, VILLUPURAM DISTRICT
PIN Code

: 606702

Phone

: 9944412370

Phone

:-

Phone

:-

Phone

:-

3. Name of The Proposed Enterprise (if decided)

: APTEST NDT SERVICES

4. Proposed Location of Enterprise

(i). S .F.No / Door No.
: NO.14/135
(ii). Street.

: THIRUKOILUR MAIN ROAD

(iii). State

: Tamil Nadu

(iv). District

: Villupuram

(v). Taluk

: Ulundurpet

(vi). Rural/Urban

: Rural

(vii). Block

: Ulundurpet

(viii).Town/Village : ELAVANASUR KOTTAI

(ix). PIN Code

: 606702

5. Category of Enterprise

: MICRO

6. Nature of Activity

: Service

7. Nature of Operation

: Perennial

8. Whether Unit will be an Ancillary Unit

: No

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9. Proposed Schedule of Installation of

: September - 2014

Plant & Machinery

10. Type of Organisation

: Partnership

11. (a) Main Manufacturing/Service Activity

No

Service

ServiceCode

TESTING LABS-OTHERS

97913

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

Item
(i).

Land

(ii). Building

Owned/Leased/Rented

Approximate Value

Owned

Owned

(iii). Plant & Machinery Value

(iv). Equipment

10

(v). Foreign Equity,If Any

13. Installed Capacity per annum

:0

14. Power Load (Anticipated)

: H.P : 2.00 K.W : 1.50

15. (a). Other Source of Energy

Item

Quantity

Electricity From Grid

1.5 KWh

(b) Reason if no power required

16. Expected Employment

(i).

Management & Office Staff

(ii). Supervisory

(iii). Workers

Page 3

17. Expected Schedule Of Commencement of

Production/Activity

: October- 2014

18. Entrepreneurs Profile

Sl No

Name

Gender

Community Knowledge Level

Equity

Equity (%)

Participation

Stake in other

Physically

Manufacturing

Challenged

Enterprises
1

M.SIVASHANKAR

Male (M)

OBC (3)

Under Graduate

200000

50

No

No

M.PRAVEENKUMAR

Male (M)

OBC (3)

Under Graduate

200000

50

No

No

Date :
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 wherever
applicable, while signing as Partner/Managing Director or Authorised Person to GENERAL MANAGER , DISTRICT INDUSTRIES
CENTRE,BHAVANI STREET, ALAMELUPURAM, VILLUPURAM-605 602.
(b) Send a certificate/notarized copy of the Partnership Deed/Memorandum of association/Articles of Association to General Manager, District
Industries Centre, Villupuram .
(c) In case, self certified copy of the generated application is not received by the General Manager, District Industries Centre, Villupuram within one
month 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 :2014/33/007/08652/AASE is true and
correct to the best of my knowledge and belief.
Date :
Place :
[SIGNATURE OF THE APPLICANT / AUTHORISED PERSON]

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