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
Food park	RS 33 (P), RS 79 (P)	Mouza- Rahamu, J.L. No 80, P.S Phansidewa, Dist- Darjeeling, within Food Park on N.H.-31 D, Leusipukri, Siliguri	6879.6	Food-Processing Factory	1268

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)