APPLICATION FORM FOR CLAIMING TRANSPORT SUBSIDY FOR PROPRIETORS OF NORTH EASTERN REGION FROM THE PERIOD FROM

APPLICATION FORM FOR CLAIMING TRANSPORT SUBSIDY FOR PROPRIETORS OF NORTH EASTERN REGION FROM THE PERIOD FROM ......................................... TO ........................................... 1. Name & full address of the Unit (Registered Office) : 2. Status of Incorporation with date : 3. Registration No. under the scheme as Small/ Medium/ Large Enterprise with date : 4. Installed capacity (Extractive summary — verify with official source.)