DOCUMENTS TO BE SUBMITTED TO NEDFi BEFORE DISBURSEMENT

1. Affidavit and Indemnity Bond as per formats enclosed below

2. Undertaking as per enclosed format
3. Latest Sales Tax Clearance Certificate for availing Central Subsidy
4. Latest Income Tax Clearance Certificate for availing Central Subsidy or Copy of latest Income Tax
Return
5. Latest Audited Balance Sheet
6. Resolution passed by the Board of Directors of the Company regarding signing authority OR copy of
partnership deed in case of partnership firm
7. Advice from Director of Industries regarding change in bank a/c, if any
8. Money receipt with revenue stamp
9. No dues certificate from ATPPF authority (applicable to tea estates only)
10. Copy of PAN Card
11. Authority letter from the Management for collecting cheque
 (To be typed on NON-JUDICIAL STAMP PAPER of not less than Rs.15/-)

(IN THE COURT OF MAGISTRATE or any Notary appointed under the Notaries Act, 1952 or any
Officer or other person whom the High Court appoints in this behalf)
(AFFIDAVIT)

I Shri/Smt.___________________son/daughter of _____________________ aged ____ years, residing at

__________________________, District _______________________ and Proprietor/ Director/
Managing Partner of M/s _________________________________ do hereby solemnly affirm and state
as follows:

1. That I am a citizen by birth and authorized by M/s__________ to swear this Affidavit on its
behalf.

2. That all particulars furnished by me on behalf of the Industry known as M/s _______________ in
connection with the application for Central Transport Subsidy/Central Capital Investment
Subsidy/Central Working Capital Interest Subsidy (delete whichever is not applicable) to the Director of
Industries & Commerce, _____________ are correct and based on records/verified information and in
case of any such particulars being subsequently found to be incorrect/false and/or misrepresentation of
facts, the aforesaid Company shall refund the entire amount of Central Transport Subsidy/Central Capital
Investment Subsidy/Central Working Capital Interest Subsidy (delete whichever is not applicable)
received by it.
This is true to my knowledge.

3. That I/M/s ___________ have/has not availed/applied for any subsidy either from the
Central Govt. or State Govt. for the same purpose or activity as mentioned in Clause No.2 above.
This is true to my knowledge.

4. That I/M/s ________ have/has also availed/applied for the following subsidies against the
investment/expenditure considered under this claim:

Nature of Name of the Whether Amount Status of

subsidy Deptt./Agency Central Govt. disbursement
or State Govt.
(a)
(b)
(c)

This is true to my knowledge.

5. That this affidavit is sworn to authorize the competent authority of NEDFi to take any necessary
step to recover the subsidy if found to wrongfully availed by M/s__________ /me as aforementioned and
this affidavit shall be used as a piece of evidence in that case.
This is true to my knowledge.

6. That M/s __________________________ (name of the beneficiary firm) have dues, as on date to
Banks, Financial Institutions and other Govt. Agencies/Deptt., the details of which are furnished below.
Name & address of the Bank/FI/Govt. Agency/Deptt Amount (Rs)
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This is true to my knowledge.

7. That this affidavit will be used for the purpose of obtaining the subsidy as referred to above.
This is true to my knowledge.

8. I swear that this declaration is true, that it conceals nothing, and that no part of it is false, so
help me God.

Identified by me Deponent

Advocate

Solemnly affirmed before me by the deponent, who is identified by Shri _____________, Advocate, on
this _____________ day of 20__.

Magistrate/ Notary Public

 (To be typed on Non-judicial Stamp Paper of Rs.20)
INDEMNITY BOND

THIS DEED OF INDEMNITY made at …………….on this ……….day of …… 20…….

BETWEEN

(i) M/s …………………. a Company within the meaning of the Companies Act, 1956 and having its
registered office at……………………….
Or
(ii) M/s …………………. a partnership firm within the meaning of the Indian Partnership Act, 1932,
bearing Registration No. ………….. dated …………….. and having its principal place of business at
……………………,
Or
(iii) Shri/Smt ……………. aged about ………… yrs, S/o/D/o/W/o …………………., resident of
………………….., the proprietor of M/s ………………, with its office at
…………………………………………..
hereinafter referred as the " Assisted Unit " (Which expression shall unless it be repugnant to the context
or meaning thereof, be deemed to mean and include their respective legal heirs, executors and/or
administrators) of the ONE PART

AND

NORTH EASTERN DEVELOPMENT FINANCE CORPORATION LTD. (NEDFi), a company within

the meaning of the Companies Act 1956 (1 of 1956) and having its registered office at NEDFi House,
G.S. Road, Dispur, Guwahati - 781 006, in the State of Assam (hereinafter referred to as "the Nodal
Agency" which expression shall, unless it be repugnant to the subject or context thereof, include its
successors and assigns) of the OTHER PART.

Whereas the said (i) M/s …………………. a Company within the meaning of the Companies Act,
1956 and having its registered office at……………………….
Or
(iv) M/s …………………. a Partnership Firm within the meaning of the Indian Partnership Act,
1932, bearing Registration No. ………….. dated …………….. and having its principal place of business
at ……………………,
Or
Shri/Smt ……………. aged about ………… yrs, S/o/D/o/W/o …………………., resident of
………………….., the proprietor of M/s ………………, with its office at
…………………………………………..

has availed/applied for the following subsidies against the investment/expenditure considered under this
claim:

Nature of subsidy Name of the Whether Amount Status of

Deptt./Agency Central Govt. disbursement
or State Govt.
(a)
(b)
(c)
And whereas Department of Industrial Policy & Promotion, Govt. of India has advised NEDFi (the Nodal
Agency) to ensure that the assisted unit has not availed subsidy for the same purpose or activities from
any other Ministry/Department of Government of India or any State Government.

And whereas to safeguard NEDFi (the Nodal Agency) as well as Department of Industrial Policy &
Promotion, Govt. of India & other concerned authority from any kind of adverse claim in future in
whatever manner in relation to the subsidy claim under various schemes by the above stated Assisted Unit
is executing this Deed of Indemnity.

NOW THIS INDENTURE WITNESSETH that in consideration of NEDFi (the Nodal Agency), to
release of subsidies under the respective schemes (to state name of the scheme) as released by the
Department of Industrial Policy & Promotion, Govt. of India the said

M/s …………………. a Company within the meaning of the Companies Act, 1956 and having its
registered office at……………………….
Or
M/s …………………. a partnership firm within the meaning of the Indian Partnership Act, 1932, bearing
Registration No. ………….. dated …………….. and having its principal place of business at
……………………,
Or
Shri/Smt ……………. aged about ………… yrs, S/o/D/o/W/o …………………., resident of
………………….., the proprietor of M/s ………………, with its office at
………………………………………….. shall and will indemnify and keep NEDFi (the Nodal Agency)
as well as Department of Industrial Policy & Promotion, Govt. of India & other concerned authority fully
and effectively indemnified from and against all loss, claims, demands, actions, suits and/or proceedings
that may be made or taken by any person, body or authority claiming any interest in respect of
availing/applying any other subsidy either from the Central Govt. or State Govt. for the same purpose or
activity by the above stated Assisted Unit and all loss or damage that may be caused to and/or cost,
charges and/or expenses that may be suffered or incurred by the NEDFi (the Nodal Agency) as well as
Department of Industrial Policy & Promotion, Govt. of India & other concerned authority in this regard.

IN WITNESS WHEREOF, the said Indemnifier/Authorized representative of the Assisted Unit has
hereunto set their hand the day and year first hereinabove written.

SIGNED SEALED AND DELIVERED by the within named " Indemnifier/ Authorized representative of
the Assisted Unit "

(Signature of the Authorized Representative)

Identified by me

Advocate

Solemnly affirmed before me by the deponent, who is identified by Shri _____________, Advocate, on
this _____________ day of 20__.

Magistrate/ Notary Public

 (To be typed on NON-JUDICIAL STAMP PAPER of Rs.15/-)

(UNDERTAKING)

I Shri/Smt. _________________________________ son/daughter of ____________________________

aged ____ years, resident of __________________________, of village _____________ in the District of
_______________________ Proprietor/Director/Managing Partner of ________________________,
situated at _______________________, in the District of _________________________ have received
today a sum of Rs.____________________ (Rupees
__________________________________________________) only which sum I hereby acknowledge as
Central Transport Subsidy/Central Capital Investment Subsidy/Central Working Capital Interest
Subsidy/Central Comprehensive Insurance Subsidy for my industries/industry carrying under the name
and style of M/s ____________________ _____________________ hereinafter referred to as the
Industrial Unit and I on behalf of the Industrial Unit give the following undertaking for the said Central
Transport Subsidy/Central Capital Investment Subsidy/Central Working Capital Interest Subsidy/Central
Comprehensive Insurance Subsidy.

1. That I on behalf of the Industry shall maintain detailed statistics/accounts of production and
utilization of raw materials and finished products disposed of and shall keep such
statistics/accounts open for inspection on request from the Director of Industries, Govt. of
______________.
2. That in case any over payment is made due to wrong calculation or misinterpretation of the
rule or otherwise the same amount will be refunded as and when demanded by the Director of
Industries/disbursing agencies. In default I shall be liable personally to refund the above said
sum.
3. That M/s __________________________ have dues, as on date to Banks, Financial
Institutions and other Govt. Agencies/Deptt., the details of which is furnished below.

Name & address of the Bank/FI/Govt. Agency/Deptt Amount (Rs)

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Name and signature of witness

1.
2.
---------------------------------
(signature of the executant)