Annexure I

(Please give replies against each item)

Name of the undertaking with complete postal address, email,

1

mobile and land line.

Status of undertaking—

(i) Whether Central public sector/State public sector/ etc,

(ii) Whether a private limited company/ partnership firm/

2 partnership firm

(ii) Whether the undertaking is Licensed/registered and if so,

name of licensing/ registration authority and

licence/registration certificate numbers.

(a) MCA Number

3

(b) GSTN Number

(i) Annual production, item wise for preceding three

years-

4

(ii) Production figures, month-wise, for the preceding

twelve months,

Audit report of establishment/ undertaking including Balance To be annexed

5

sheets, profit and loss accounts for the last three years.

Names of the inter-connected companies or companies under

6

the same management.

Details of lay-off/ Retrenchment resorted to in the last three

years including the periods of such lay-offs/ Retrenchment the

7

number of workmen involved in each such lay-off/

Retrenchment / continuation of lay off

Any other relevant details which have bearing on lay-off/

8

continuation of lay off/ retrenchment/ closure.