Annexure I

(Please give replies against each item)

1 Name of the undertaking with complete postal address, email, mobile and

land line.

2 Status of undertaking—

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

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

firm

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

licensing/ registration authority and licence/registration certificate

numbers.

3 (a) MCA Number

(b) GSTN Number

To be annexed

4 (i) Annual production, item wise for preceding three years

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

5 Audit report of establishment/ undertaking including Balance sheets,

profit and loss accounts for the last three years.

6 Names of the inter-connected companies or companies under the same

management.

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

ing the periods of such lay-offs/ Retrenchment the number of workmen

involved in each such lay-off/ Retrenchment / continuation of lay off

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

lay off/Retrenchment /closure.