Service Description
Application Form
Apply For Service
Assam MSME Survey, 2020
Details of the Enterprise
Name of the Enterprise
*
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Select District, where you want to submit
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Please Select
BAKSA
BARPETA
Biswanath
BONGAIGAON
CACHAR
CHARAIDEO
CHIRANG
DARRANG
DHEMAJI
DHUBRI
DIBRUGARH
DIMA HASAO
GOALPARA
GOLAGHAT
HAILAKANDI
HOJAI
JORHAT
KAMRUP
KAMRUP METRO
KARBI ANGLONG
KARIMGANJ
KOKRAJHAR
LAKHIMPUR
MAJULI
MARIGAON
NAGAON
NALBARI
SIVASAGAR
SONITPUR
SOUTH SALMARA MANCACHAR
TINSUKIA
UDALGURI
WEST KARBI ANGLONG
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Constitution
*
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Please Select
Proprietorship
Partnership
Limited Liability Partnership (LLP)
Private Limited Company
Limited Company
Co-operative Society
Hindu Undivided Family (HUF)
Others (Please Specify)
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Application Submitted by
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Please Select
Applicant
Enumerator
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If Other, Please specify
Section
Name & contact of Prop., Managing Director, Managing Partner etc.
Sl. No.
*
Designation
*
Name
*
E-Mail
Mobile Number
*
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Sl. No.
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Designation
*
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Name
*
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E-Mail
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Mobile Number
*
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Section
Location:
Location Category
*
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Please Select
Rural
Urban
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Location Type
*
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Please Select
Govt. Industrial Estate
Rented/Leased from Owner
Owned
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Section
District
Please Select
Block/Town
Please Select
Village/Ward
Section
GI Coordinates:
Latitude
Longitude
Section
Upload Photograph of Unit
Section
Type of the Unit
*
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Please Select
Manufacturing
Service
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Sector
Please Select
If Other, Please specify
Sub Sector
Please Select
If Other, Please specify
Section
Annual Installed Capacity:
Sl. No.
Quantity
Unit
Value (Rs. in lakh)
Sl. No.
Quantity
Unit
Please Select
MT
KL
CuM
m2
Number
Value (Rs. in lakh)
Actual Production in 2019-20:
Sl. No.
Quantity
Unit
Value (Rs. in lakh)
Sl. No.
Quantity
Unit
Please Select
MT
KL
CuM
m2
Number
Value (Rs. in lakh)
Section
Details of raw materials:
Annual Requirement:
Sl. No.
Item
If Other Item, Please specify
Source
Quantity
Unit
Value (Rs. in lakh)
Sl. No.
Item
Please Select
If Other Item, Please specify
Source
Please Select
Within Assam
Within India
Outside India
Quantity
Unit
Please Select
MT
KL
CuM
m2
Number
Value (Rs. in lakh)
Actual Requirement in 2019-20:
Sl. No.
Item
If Other Item, Please specify
Source
Quantity
Unit
Value (Rs. in lakh)
Sl. No.
Item
Please Select
If Other Item, Please specify
Source
Please Select
Within Assam
Within India
Outside India
Quantity
Unit
Please Select
MT
KL
CuM
m2
Number
Value (Rs. in lakh)
Section
Capital Investment (in Lakhs):
Plant & Machinery
Factory Building
Others (Electrical Installation, MISC, Fixed Assets, Pre Operative Expenses etc.)
Annual Turnover
Total
Category of the Unit
Micro
Small
Medium
Registration Status
Yes
No
UAM
EM-II
PMT
UDYOM
Date of Commercial Production
Section
Sources of Capital :
Details
A. Fixed Capital
If Other, Please Specify
Amount (in Lakhs)
Name of Bank/FI
If Other, Please Specify
Loan availed (in Lakh)
Loan repaid (in Lakh)
NPA (Y/N)
A. Fixed Capital
Please Select
Own Fund
Secured Loan
Unsecured Loan
Others (Specify)
If Other, Please Specify
Amount (in Lakhs)
Name of Bank/FI
Please Select
Assam Gramin Vikash Bank
AB Bank Ltd.
Abu Dhabi Commercial Bank Ltd.
Allahabad Bank
Allahabad UP Gramin Bank
American Express Banking Corporation
Andhra Bank
Andhra Pradesh Grameena Vikas Bank
Andhra Pragathi Grameena Bank
Arunachal Pradesh Rural Bank
Au Small Finance Bank Limited
Australia and New Zealand Banking Group Ltd.
Axis Bank Ltd.
Bandhan Bank Ltd.
Bangiya Gramin Vikas Bank
Bank of America
Bank of Bahrain & Kuwait BSC
Bank of Baroda
Bank of Ceylon
Bank of China Ltd.
Bank of India
Bank of Maharashtra
Bank of Nova Scotia
Barclays Bank Plc.
Baroda Gujarat Gramin Bank
Baroda Rajasthan Kshetriya Gramin Bank
Baroda UP Gramin Bank
BNP Paribas
Canara Bank
Capital Small Finance Bank Limited
Catholic Syrian Bank Ltd.
Central Bank of India
Central Madhya Pradesh Gramin Bank
Chaitanya Godavari Grameena Bank
Chattisgarh Rajya Gramin Bank
Citibank N.A.
City Union Bank Ltd.
Cooperatieve Rabobank U.A.
Corporation Bank
Credit Agricole Corporate & Investment Bank
Credit Suisse A.G
CTBC Bank Co., Ltd.
Dakshin Bihar Gramin Bank*
DBS Bank India Limited*
DCB Bank Ltd.
Dena Gujarat Gramin Bank
Deutsche Bank
Dhanlaxmi Bank Ltd.
Doha Bank
Ellaquai Dehati Bank
Emirates Bank NBD
Equitas Small Finance Bank Limited
ESAF Small Finance Bank Limited
Federal Bank Ltd.
Fincare Small Finance Bank Limited
First Abu Dhabi Bank PJSC
FirstRand Bank Ltd
Gramin Bank of Aryavarta
HDFC Bank Ltd
Himachal Pradesh Gramin Bank
HSBC Ltd
ICICI Bank Ltd.
IDBI Bank Ltd.
IDFC FIRST Bank Ltd.* (IDFC Bank Ltd.)
Indian Bank
Indian Overseas Bank
Induslnd Bank Ltd
Industrial & Commercial Bank of China Ltd.
Industrial Bank of Korea
J.P. Morgan Chase Bank N.A.
Jammu & Kashmir Bank Ltd.
Jammu & Kashmir Grameen Bank
Jana Small Finance Bank Limited
Jharkhand Gramin Bank
JSC VTB Bank
Karnataka Bank Ltd.
Karnataka Vikas Grameena Bank
Karur Vysya Bank Ltd.
Kashi Gomti Samyut Gramin Bank
Kaveri Grameena Bank
KEB Hana Bank
Kerala Gramin Bank
Kookmin Bank
Kotak Mahindra Bank Ltd
Krishna Pragathi Gramin Bank
Krung Thai Bank Public Co. Ltd.
Lakshmi Vilas Bank Ltd.
Langpi Dehangi Rural Bank
Madhyanchal Gramin Bank
Maharashtra Gramin Bank
Manipur Rural Bank
Mashreq Bank PSC
Meghalaya Rural Bank
Mizoram Rural Bank
Mizuho Bank Ltd.
Nagaland Rural Bank
Nainital Bank Ltd.
Narmada Jhabua Gramin Bank
NatWest Markets Plc
North East Small Finance Bank Limited
Odisha Gramya Bank
Oriental Bank of Commerce
Pallavan Grama Bank
Pandyan Grama Bank
Paschim Banga Gramin Bank
Prathma Bank
PT Bank Maybank Indonesia TBK
Puduvai Bharathiar Grama Bank
Punjab & Sind Bank
Punjab Gramin Bank*
Punjab National Bank
Purvanchal Bank
Qatar National Bank
Rajasthan Marudhara Gramin Bank
RBL Bank Ltd.
Saptagiri Grameena Bank
Sarva Haryana Gramin Bank
Sarva UP Gramin Bank
Saurashtra Gramin Bank
Sberbank
SBM Bank (India) Limited*
Shinhan Bank
Societe Generale
Sonali Bank Ltd.
South Indian Bank Ltd.
Standard Chartered Bank
State Bank of India
Sumitomo Mitsui Banking Corporation
Suryoday Small Finance Bank Limited
Syndicate Bank
Tamilnad Mercantile Bank Ltd.
Telengana Grameena Bank
The Bank of Tokyo- Mitsubishi UFJ, Ltd.
Tripura Gramin Bank
UCO Bank
Ujjivan Small Finance Bank Limited
Union Bank of India
United Bank of India
United Overseas Bank Ltd
Utkal Grameen bank
Utkarsh Small Finance Bank Limited
Uttar Bihar Gramin Bank
Uttarakhand Gramin Bank
Uttarbanga Kshetriya Gramin Bank
Vananchal Gramin Bank
Vidharbha Konkan Gramin Bank
Westpac Banking Corporation
Woori Bank
YES Bank Ltd.
Others (please specify)
If Other, Please Specify
Loan availed (in Lakh)
Loan repaid (in Lakh)
NPA (Y/N)
Y
N
Details
B. Working Capital
If Other, Please Specify
Amount (in Lakhs)
Name of Bank/FI
If Other, Please Specify
Loan availed (in Lakh)
Loan repaid (in Lakh)
NPA (Y/N)
B. Working Capital
Please Select
Own Fund
Secured Loan
Unsecured Loan
Others (Specify)
If Other, Please Specify
Amount (in Lakhs)
Name of Bank/FI
Please Select
Assam Gramin Vikash Bank
AB Bank Ltd.
Abu Dhabi Commercial Bank Ltd.
Allahabad Bank
Allahabad UP Gramin Bank
American Express Banking Corporation
Andhra Bank
Andhra Pradesh Grameena Vikas Bank
Andhra Pragathi Grameena Bank
Arunachal Pradesh Rural Bank
Au Small Finance Bank Limited
Australia and New Zealand Banking Group Ltd.
Axis Bank Ltd.
Bandhan Bank Ltd.
Bangiya Gramin Vikas Bank
Bank of America
Bank of Bahrain & Kuwait BSC
Bank of Baroda
Bank of Ceylon
Bank of China Ltd.
Bank of India
Bank of Maharashtra
Bank of Nova Scotia
Barclays Bank Plc.
Baroda Gujarat Gramin Bank
Baroda Rajasthan Kshetriya Gramin Bank
Baroda UP Gramin Bank
BNP Paribas
Canara Bank
Capital Small Finance Bank Limited
Catholic Syrian Bank Ltd.
Central Bank of India
Central Madhya Pradesh Gramin Bank
Chaitanya Godavari Grameena Bank
Chattisgarh Rajya Gramin Bank
Citibank N.A.
City Union Bank Ltd.
Cooperatieve Rabobank U.A.
Corporation Bank
Credit Agricole Corporate & Investment Bank
Credit Suisse A.G
CTBC Bank Co., Ltd.
Dakshin Bihar Gramin Bank*
DBS Bank India Limited*
DCB Bank Ltd.
Dena Gujarat Gramin Bank
Deutsche Bank
Dhanlaxmi Bank Ltd.
Doha Bank
Ellaquai Dehati Bank
Emirates Bank NBD
Equitas Small Finance Bank Limited
ESAF Small Finance Bank Limited
Federal Bank Ltd.
Fincare Small Finance Bank Limited
First Abu Dhabi Bank PJSC
FirstRand Bank Ltd
Gramin Bank of Aryavarta
HDFC Bank Ltd
Himachal Pradesh Gramin Bank
HSBC Ltd
ICICI Bank Ltd.
IDBI Bank Ltd.
IDFC FIRST Bank Ltd.* (IDFC Bank Ltd.)
Indian Bank
Indian Overseas Bank
Induslnd Bank Ltd
Industrial & Commercial Bank of China Ltd.
Industrial Bank of Korea
J.P. Morgan Chase Bank N.A.
Jammu & Kashmir Bank Ltd.
Jammu & Kashmir Grameen Bank
Jana Small Finance Bank Limited
Jharkhand Gramin Bank
JSC VTB Bank
Karnataka Bank Ltd.
Karnataka Vikas Grameena Bank
Karur Vysya Bank Ltd.
Kashi Gomti Samyut Gramin Bank
Kaveri Grameena Bank
KEB Hana Bank
Kerala Gramin Bank
Kookmin Bank
Kotak Mahindra Bank Ltd
Krishna Pragathi Gramin Bank
Krung Thai Bank Public Co. Ltd.
Lakshmi Vilas Bank Ltd.
Langpi Dehangi Rural Bank
Madhyanchal Gramin Bank
Maharashtra Gramin Bank
Manipur Rural Bank
Mashreq Bank PSC
Meghalaya Rural Bank
Mizoram Rural Bank
Mizuho Bank Ltd.
Nagaland Rural Bank
Nainital Bank Ltd.
Narmada Jhabua Gramin Bank
NatWest Markets Plc
North East Small Finance Bank Limited
Odisha Gramya Bank
Oriental Bank of Commerce
Pallavan Grama Bank
Pandyan Grama Bank
Paschim Banga Gramin Bank
Prathma Bank
PT Bank Maybank Indonesia TBK
Puduvai Bharathiar Grama Bank
Punjab & Sind Bank
Punjab Gramin Bank*
Punjab National Bank
Purvanchal Bank
Qatar National Bank
Rajasthan Marudhara Gramin Bank
RBL Bank Ltd.
Saptagiri Grameena Bank
Sarva Haryana Gramin Bank
Sarva UP Gramin Bank
Saurashtra Gramin Bank
Sberbank
SBM Bank (India) Limited*
Shinhan Bank
Societe Generale
Sonali Bank Ltd.
South Indian Bank Ltd.
Standard Chartered Bank
State Bank of India
Sumitomo Mitsui Banking Corporation
Suryoday Small Finance Bank Limited
Syndicate Bank
Tamilnad Mercantile Bank Ltd.
Telengana Grameena Bank
The Bank of Tokyo- Mitsubishi UFJ, Ltd.
Tripura Gramin Bank
UCO Bank
Ujjivan Small Finance Bank Limited
Union Bank of India
United Bank of India
United Overseas Bank Ltd
Utkal Grameen bank
Utkarsh Small Finance Bank Limited
Uttar Bihar Gramin Bank
Uttarakhand Gramin Bank
Uttarbanga Kshetriya Gramin Bank
Vananchal Gramin Bank
Vidharbha Konkan Gramin Bank
Westpac Banking Corporation
Woori Bank
YES Bank Ltd.
Others (please specify)
If Other, Please Specify
Loan availed (in Lakh)
Loan repaid (in Lakh)
NPA (Y/N)
Y
N
Section
Employment Generated (Nos.):
Pay Roll
Contractual
Daily Wages
Total
Details of Pay Roll Employees (nos.):
Manager.
Non-Manager.
Total.
Pay Roll Employees covered under EPF/ESI:
Manager
Non-Manager
Total
Social Breakup of Pay Roll Employees (nos.):
Women
ST
SC
Divyang
Others
Total no.
Section
Source of Power
Please Select
Electrical
Coal
Solar
Natural Gas
Captive Power (if generated by the unit)
Sectioned Load in KW
Connected Load in KW
Annual Requirement in MT
Annual Generation in KW
Annual Requirement in CuM
Section
Present Status of the Unit
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Functioning
Closed
Temporarily Non Functioning
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Reason for non-functioning
Please Select
Lack of Demand
Lack of raw materials
Lack of Capital
Lack of Labour
Others
If Other, Please Specify
Section
Incentives received (in any): (Wrong)
Name of the Source (wrong)
Scheme (wrong)
If Others (please specify)
Name of the Source (wrong)
Please Select
Govt. of India
Govt. of Assam
Others
Scheme (wrong)
Please Select
DPIIT (The then DIPP)
MoFPI
NEC
Others (please specify)
State Industrial Policy
Others (please specify)
If Others (please specify)
Section
Incentives received (in any):
Name of the Source
If Others (please specify)
Scheme
If Others (please specify)
Scheme Details
If Others (please specify)
Amount in full
Year of receipt
Name of the Source
Please Select
Govt. of India
Govt. of Assam
Others
If Others (please specify)
Scheme
Please Select
If Others (please specify)
Scheme Details
Please Select
If Others (please specify)
Amount in full
Year of receipt
Section
Enterprise Bank Details:
Name of the Bank
Please Select
Assam Gramin Vikash Bank
AB Bank Ltd.
Abu Dhabi Commercial Bank Ltd.
Allahabad Bank
Allahabad UP Gramin Bank
American Express Banking Corporation
Andhra Bank
Andhra Pradesh Grameena Vikas Bank
Andhra Pragathi Grameena Bank
Arunachal Pradesh Rural Bank
Au Small Finance Bank Limited
Australia and New Zealand Banking Group Ltd.
Axis Bank Ltd.
Bandhan Bank Ltd.
Bangiya Gramin Vikas Bank
Bank of America
Bank of Bahrain & Kuwait BSC
Bank of Baroda
Bank of Ceylon
Bank of China Ltd.
Bank of India
Bank of Maharashtra
Bank of Nova Scotia
Barclays Bank Plc.
Baroda Gujarat Gramin Bank
Baroda Rajasthan Kshetriya Gramin Bank
Baroda UP Gramin Bank
BNP Paribas
Canara Bank
Capital Small Finance Bank Limited
Catholic Syrian Bank Ltd.
Central Bank of India
Central Madhya Pradesh Gramin Bank
Chaitanya Godavari Grameena Bank
Chattisgarh Rajya Gramin Bank
Citibank N.A.
City Union Bank Ltd.
Cooperatieve Rabobank U.A.
Corporation Bank
Credit Agricole Corporate & Investment Bank
Credit Suisse A.G
CTBC Bank Co., Ltd.
Dakshin Bihar Gramin Bank*
DBS Bank India Limited*
DCB Bank Ltd.
Dena Gujarat Gramin Bank
Deutsche Bank
Dhanlaxmi Bank Ltd.
Doha Bank
Ellaquai Dehati Bank
Emirates Bank NBD
Equitas Small Finance Bank Limited
ESAF Small Finance Bank Limited
Federal Bank Ltd.
Fincare Small Finance Bank Limited
First Abu Dhabi Bank PJSC
FirstRand Bank Ltd
Gramin Bank of Aryavarta
HDFC Bank Ltd
Himachal Pradesh Gramin Bank
HSBC Ltd
ICICI Bank Ltd.
IDBI Bank Ltd.
IDFC FIRST Bank Ltd.* (IDFC Bank Ltd.)
Indian Bank
Indian Overseas Bank
Induslnd Bank Ltd
Industrial & Commercial Bank of China Ltd.
Industrial Bank of Korea
J.P. Morgan Chase Bank N.A.
Jammu & Kashmir Bank Ltd.
Jammu & Kashmir Grameen Bank
Jana Small Finance Bank Limited
Jharkhand Gramin Bank
JSC VTB Bank
Karnataka Bank Ltd.
Karnataka Vikas Grameena Bank
Karur Vysya Bank Ltd.
Kashi Gomti Samyut Gramin Bank
Kaveri Grameena Bank
KEB Hana Bank
Kerala Gramin Bank
Kookmin Bank
Kotak Mahindra Bank Ltd
Krishna Pragathi Gramin Bank
Krung Thai Bank Public Co. Ltd.
Lakshmi Vilas Bank Ltd.
Langpi Dehangi Rural Bank
Madhyanchal Gramin Bank
Maharashtra Gramin Bank
Manipur Rural Bank
Mashreq Bank PSC
Meghalaya Rural Bank
Mizoram Rural Bank
Mizuho Bank Ltd.
Nagaland Rural Bank
Nainital Bank Ltd.
Narmada Jhabua Gramin Bank
NatWest Markets Plc
North East Small Finance Bank Limited
Odisha Gramya Bank
Oriental Bank of Commerce
Pallavan Grama Bank
Pandyan Grama Bank
Paschim Banga Gramin Bank
Prathma Bank
PT Bank Maybank Indonesia TBK
Puduvai Bharathiar Grama Bank
Punjab & Sind Bank
Punjab Gramin Bank*
Punjab National Bank
Purvanchal Bank
Qatar National Bank
Rajasthan Marudhara Gramin Bank
RBL Bank Ltd.
Saptagiri Grameena Bank
Sarva Haryana Gramin Bank
Sarva UP Gramin Bank
Saurashtra Gramin Bank
Sberbank
SBM Bank (India) Limited*
Shinhan Bank
Societe Generale
Sonali Bank Ltd.
South Indian Bank Ltd.
Standard Chartered Bank
State Bank of India
Sumitomo Mitsui Banking Corporation
Suryoday Small Finance Bank Limited
Syndicate Bank
Tamilnad Mercantile Bank Ltd.
Telengana Grameena Bank
The Bank of Tokyo- Mitsubishi UFJ, Ltd.
Tripura Gramin Bank
UCO Bank
Ujjivan Small Finance Bank Limited
Union Bank of India
United Bank of India
United Overseas Bank Ltd
Utkal Grameen bank
Utkarsh Small Finance Bank Limited
Uttar Bihar Gramin Bank
Uttarakhand Gramin Bank
Uttarbanga Kshetriya Gramin Bank
Vananchal Gramin Bank
Vidharbha Konkan Gramin Bank
Westpac Banking Corporation
Woori Bank
YES Bank Ltd.
Others (please specify)
If Other, Please Specify
Account Number
IFSC
Impact of COVID-19
Production Loss (Rs. in Lakh)
Damage of Raw Materials (Rs. in Lakh)
Supply order Cancelled (Rs. in Lakh)
Total Loss (Rs. in Lakh)
Number of employees/workers retrenched, if any
Applicant Details for SMS notification
Applicant Full Name
*
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Applicant Mobile Number
*
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