Land Requisition Form

Applicant Profile

* District :

* Sub District :

* Name of Investor :

* Address :

* Country:

* State:

* City:

* Mobile No.:

* E-mail :

Existing Company details

* Address of Present unit :

* Annual Turnover :

Plot area of unit:

F.S.I. Consumed :

Water Consumed :

Employment Generated :

Remarks :

Proposed Project Details

Nature of Project :

Raw Material :

Parposed Product :

Finance Agreement-self/Bank/FDI/Others :

Total Project Cost :

Built up Area :

Water requirement-Domestic/Industrial:

Total No. of Employees-Skilled/Unskilled:

Land Requirement Details

Industry Type:

Manufacturing Activity:

Preferred Location:

Required Land Size in Sq Mtr.:

Field marked with * are mandatory