Application Form

Color Theme :

Registered Office :

3rd Floor, Block No.14,
Udyog Bhavan, Sector 11,
Gandhinagar, Gujarat, India.

Reach to Us :

Phone : +91 - 79 - 23241590
+91 - 79 - 29750838

E-Mail : info@dahejsez.com

CIN NO :

U45209GJ2004PLC044779

Portal Login :

Land allotment form Go Back

Note: * indicates mandatory fields. View Terms and Conditions

Name of Applicant Company :

*

Address :

*

Name of Contact Person :

*

Designation :

*

Cell No. :

*

Phone No. :

*

Fax No. :

*

Email Address :

*

Alternate Email Address :

Website Address :

*

Constitution of the Applicant Company:

*

Proprietary Firm

PartnerShip Firm

Pvt. Ltd. Company

Public Ltd. Company

Other(Please Specify)

CIN No. of Company (if applicable):

PAN No. of Company/Firm/Proprietor:

*

GST No. of Company/Firm:

*

Items of manufacture :

*

Please Indicate incase the proposed units is Auxiliary/Ancillary unit of ONGC Petroadditions Limited (OPaL) :

*

Yes

No

Reference No. :

Date :

Plot size required :

* Square Meter

Water requirement (in MLD) :

*

Year 2024 : MLD

Year 2025 : MLD

Year 2026 : MLD

Year 2027 : MLD

Year 2028 : MLD

Quantity of Treated Effluents (in MLD) :

*

Year 2024 : MLD

Year 2025 : MLD

Year 2026 : MLD

Year 2027 : MLD

Year 2028 : MLD

Quantity of Treated Effluents (Must be as per GPCB) :

*

Ph :

BOD :

COD :

Temperature :

Colour :

Odour :

Power requirement in KVA :

*

Year 2024 : KVA

Year 2025 : KVA

Year 2026 : KVA

Year 2027 : KVA

Year 2028 : KVA

Gas Requirement (in SCM) :

*

Per day : SCM

Annual : SCM

Proposed Investment in SEZ Unit :

*

Components	Rs. in Crore
Land
Building
Plant & Machinery
Others
Total

Proposed Employment :

*

Direct :

Indirect :

Total :

Implementation Schedule :

*

Whether registered as Manufacturer- Exporter. If so, please submit a copy of IEC registration :

*

Yes

No

IEC No. :

Dated :

Product :

Financial value of product Manufactured during last three years. (Please attach copy of Annual Report) :

*

Year	Type	No. (In Metric ton)	Rs. in Crores
2021-22
2022-23
2023-24

Export of products during the last three years. Performance as Merchant Exporter will not be considered. Please give documentary proof, wherever possible :

Year	Type	No. (In Metric ton)	Rs. in Crores
2021-22
2022-23
2023-24

Experience / Company profile (min. 150 words):

*

Payment Details :

*

Cheque

Demand Draft

RTGS

NEFT

No. :

Date :

Any other Information :

I hereby agree to submit all the necessary documents alongwith a hard copy of this application.

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