:: TS-iPASS ::

1	Constitution of the unit*	:	*
2	Sector of Enterprise*	:	*
3	Total Extent of Land (in Sq mtrs)*	:	*
4	Proposed Location*	:	*
			*
			*
5	Location of the unit*	:	*
6	Proposed Employment*	:	*
7	Project Cost (in Rs. Lakhs) :
	a) Value of Land (in Lakhs) (Mention Zero in case of leased premises)*	:	*
	b) Value of Building(in Lakhs) (Mention Zero in case of leased premises)*	:	*
	c) Value of Plant & Machinery or Service Equipment(in Lakhs)*	:	*
	Total Project Cost(in Lakhs) *	:
	Your enterprise is	:

Power requirement in HP*

Water Required per day( in KLD)*

Water required from *

New Bore well

HMWS & SB

Rivers/Canals

Do you store Rectified Spirit/Kerosene/Naptha*

Yes

Generator Requirement*

Yes

Height of the building(in Meters)*

Built up Area (Including Parking Cellars)*

Square Meters

Does your location fall under muncipal limit*

Yes

Is there any need to Fell trees in Proposed Site*

Yes

Name of Unit*

Line of Activity*

Does your unit fall under the list of * 66 polluting industries

Yes

Pollution Category of Enterprise*

Fee Details(in Rs.)