Allotment Plots

Application form

Industry Name	Plot No. / (RS/LR dag or assigned no.)	Plot Location (Mouza/Ward, Street, Action P.S., Dist. etc.) and Latitude / Longitude of centre point	Plot area (in sq. m.)	Purpose of use (Specific/Principal)	Minimum approximate starting price (In Rs. Per sq. m.)	GIS MAP	Auto CAD drawing
Mathapari	RS 2(P),RS 3 (P),RS 7 (P)	Mouza- Mathapari, J.L. No-79, P.S. Matigara, Dist. Darjeeling, near Khaprail More, Sericulture Complex, Matigara, Siliguri	13678.3	Office/IT Industry	6820

Application Form No. *

Name of the Applicant *

Full Postal Address *

Mobile No. *

Fax No.

Email Address *

e-Auction Ref. No. *

Constitution of the applicant *

Existing line of business of applicant*

PAN of the Applicant*

Please indicate the nature of the proposed Business *

If manufacturing product(s) proposed to be manufactured*

Yes No

(The response has to be specific and not general in nature like agro processing/ food processing etc.)*

Whether applicant is doing food processing and related activities*

Yes No

If yes, please submit requisite proof

(File type must be jpg, jpeg, pdf)

Details of application money (25% of total lease value) :

Amount

D.D. No

Date

Drawn on
(Bank payble at Siliguri)