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ANDHRA PRADESH INDUSTRIAL (安得拉邦工业)
ANDHRA PRADESH INDUSTRIAL INFRASTRUCTURE CORPORATION LIMITED
(A wholly owned Undertaking of Government of Andhra Pradesh)
Regd. Office: 5-9-58/B, Parisrama Bhavan, Sixth Floor, Fateh Maidan Road
Hyderabad 500 004.
APPLICATION FOR INDUSTRIAL PLOT (S) / SHED (S)
(to be made in duplicate)
I/WE hereby apply for registering my/our requirements of land or ready built shed (s) for
industrial propose in APIIC Industrial Area ___________________(Name of Area)
I/WE hereby furnish the necessary Information in respect of my/our industry which is
proposed to be newly setting up / re-location (shifting) / expansion / Diversification as under.
1. Personal Details
1.1. Name(s) and full address of the applicant (S)
in BLOCK LETTERS for whom allotment is
Sought for with Tel., Fax, E-Mail No.
1.2. Permanent Address of the Applicant(s) in
BLOCK LETTERS with Tel., Fax, E-Mail No.
1.3. a) Constitution/status of the: i) Proprietary concern ( )
Please enclosed a copy of ii) Partnership firm ( )
Partnership Deed/Certificate of iii) Private/Public Ltd. Co. ( )
Incorporation Articles of iv) Co-op Society ( )
Memorandum, Articles of Association v) Status Body ( )
Certification of Registration vi) State/Union Govt. Dept ( )
Rules Regulation Address (s)
b) Give the name (s) of the Proprietor/
Partner/Directors
1.4. Whether the Applicant(s) belongs SC ( ) ST( )
to reserved category if yes Ex Servicemen ( )
please tick ( ) mark and enclosed the
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