TIDEL PARK COIMBATORE LTD Regd. Office: No.4, Rajiv Gandhi Salai Taramani, Chennai – 600 113. India
APPLICATION FORM (For Leasing of IT / ITES Space)
IT Park Location: ELCOT-SEZ IT/ITES Villankurichi Aerodrome Post Coimbatore – 641 014.
1.0 PARTICULARS OF APPLICANT
Name of Company / Firm
Name of the Authorised person
Designation
Address of Company / Firm
Telephone Number
Mobile
Fax
Website URL
Relevant Information, Local contact address and telephone number may be given in the case of a foreign firm or a company.
2.0 Layout Plan :
The Layout Plan for the commercial area (enclosed) is tentative and subject to change of size, area, location based on nature of activities, availabilities, technical and administrative requirements, etc., at the time of allotment by TIDEL Park Coimbatore Limited (TPCL).
3.0 SPACE REQUIREMENTS ( sq. ft) : ______Sq.ft. (Super built-up area)
Floor Preference : Ground / 1st / 2nd / 3rd / 4th Floors
4.0 Expected date of occupation - - -
(DD / MM / YYYY)
5.0 Please specify the proposed usage / activities:
Approved
Upgrade of software Computer-related services Technical Service Centre
CAD/CAM/CAE Support IT Product Demonstration Data processing E-Commerce
IT raining Data Warehousing Computer Systems Design Computer System Integration
Communication Equipment Design Office Automation & Equipment Design
Back office for banks/financial institutes R & D Laboratory (IT related)
E-Mail/Internet/Intranet/Extranet
On Specific Approval
System Customizing Centre Publishing (with printing) Communication Service
Prototype Making Project Planning & Management Audio / Video product Design
Merchatronics Components Design & Development
Engineering Design & Development Centre Equipment & component Applications
Engineering
Electronic Workshop-Repair System Integration of Data Comn. Equipment-Consultancy Services
6.0 Lease Period : (Please indicate) :
7.0 Advance amount payable : Rs. ______(10 months rent)
8.0. UTILITIES SERVICE REQUIREMENTS
8.1 Electricity (estimated) a. Average Daily energy Consumption (kWh)
b. Electrical Load Required (Connected) (KVA)
8.2 Communication (required)
Telephone lines Nos.
ISD Lines Nos.
Leased Lines kbps
9.0 EMPLOYMENT (expected)
No. of employees to be housed Nos
Projected man power to be required for operations at optimum level.
10.0 OTHER RELEVANT INFORMATION a) Two copies of your Certificates of incorporation (Companies Act) and the Memorandum & Articles of Association of the company are to be attached (for Private Limited Company) b) Two copies of your Certificate of Registration (Business Registration Act / Indian Partnership Act) and Registration Form showing the particulars of the sole proprietorship / partnership. c) Brochures of Company, Products and Services, Nature of business d) Latest Company's Annual Report or Audited Accounts. e) Company's brief and the business plan for the next three years: f) All shareholders and their respective shareholdings are to be clearly indicated. g) If is a foreign company, the relevant documents for carrying out business in India may be provide. h) Any other information relevant to support the application
11.0 Payment Details a) Module No.
b) Area (super built-up)
c) Advance Payment INR.
d) DD/Cheque No.
e) Drawn on Bank /Branch, etc.
DD / Cheque to be drawn in favour of “Tidel Park Coimbatore Ltd” payable at Chennai / Coimbatore.
Place : Signature
Date : Name :
Designation :
Company Seal :