Annexure-H/III

HARYANA STATE INDUSTRIAL & INFRASTRUCTURE DEVELOPMENT CORPORATION LTD.

Application form for Permission to Transfer of Plot

The Estate Manager, June 07, 2016

HSIIDC Ltd.,
IMT MANESAR, Gurgaon.

Sub.:- Application for transfer of Plot no. 262, Phase/Sector 8, I.E. IMT MANESAR Gurgaon, measuring
450 Square meters in favor of M/s COSMO INSTRUMENTS INDIA PVT. LTD., having its registered office at
Plot no. 261, Sector – 08, IMT MANESAR, Gurgaon – 122050, Haryana for setting up a project of
MANUFACTURING OF AIR FLOW/LEAK TESTING MACHINES.

A. Details of Transferor:

M/s GURNOOR ENTERPRISES PVT. LTD.,

1 Name of Allottee having its office at Office at Shop no. 22, Nauroji Nagar
Market, New Delhi – 110016

2 Approved Project ReadyMade Garments

RLA no. HSIIDC 10743 dated 07.07.2004
Date of allotment (enclose certified
3 copy of allotment letter & Letter of
Re-Allotment: HSIIDC (IMT) 2221 dated 23.06.2014 is
Change in Constitution, If any
(Enclosed Herewith)
4 Date of offer of Possession 01.04.2006
Time allowed for implementation
5 31.03.2009
(including extension, if any granted )
Date of issuance of Occupation Occupation Certificate no. : HSIIDC/PD/UV/1384 dated
6
Certificate 22.02.2010 (Enclosed Herewith)
Date of issuance of Project
7 07.04.2010
Completion Certificate

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 Whether unit remained in
8 production for 5years or not ? -No -
(enclose proofs)
9 Present status of project Presently factory Premises is VACANT
Whether there are any zoning
There is no Zoning Violation and No Excess Coverage,
violations of building bye-law ?
10 Affidavit of Transferor(s) and
(Enclose no zoning violation
Also an AFFIDAVIT is Enclosed Herewith in this behalf
certificate from empanelled architect)

Whether all dues towards cost of

the plot, enhanced cost (if any),
11 extension fee (if any), Maint./ -Paid-
water/sewer charges etc. have
been fully paid till date ?

Whether plot mortgaged to any

Bank/FI? (if yes, enclose NOC in
12 -No-
original from such Bank/FI for
transfer of Plot

Date of execution of Conveyance

13 Conveyance Deed Vasika no. 1805 dated 22.04.2008
Deed

Whether opted for EMP-2011 or not.

14 -NA-
If yes, date of undertaking
Date of issuance of 'Letter
15 of Eligibility for Transfer' by Estate
Manager (enclose copy).

B. Details of Transferee:

M/s COSMO INSTRUMENTS INDIA PRIVATE LIMITED,

having office at Plot no. 261, Sector – 08, IMT
16 Name of the Proposed Transferee MANESAR, Gurgaon – 122050, Haryana
through its Authorized Director SHRI RAMKUMAR
BASNET

Constitution of the proposed

transferee (enclose an attested
copy of partnership deed with form A & C
issued by Registrar of Firms in case of
17 PRIVATE LIMITED COMPANY
Partnership firm or certified copy of
Memorandum & Articles of Association
alongwith certificate of incorporation in
case of company)

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 Partners or Promoter/Directors &
Mr. RAMKUMAR BASNET
shareholders as on date of
18 Mr. HIROSHI NISHIMURA
Agreement to Sell / Sale Deed
Mr. KAZUTOSHI HAMADE
(enclose a CA certificate)
MANUFACTURING OF AIR FLOW/LEAK TESTING
Project to be implemented (enclose
19 MACHINES
brief project profile)
( Copy of Project Report is Enclosed Herewith)
Date of agreement to sell (enclose Notarized Copy of Agreement to Sell dated 17.05.2017
20
an attested copy) Is (Enclosed Herewith )

Rs. 25,00,000/- ( Rupees Twenty Five Lac Only )

Date of exchange of sale consideration.
(Give complete details including
21 vide Demand Draft no. 012306 dated 11.05.2017 drawn
cheque/DD no. & date, amount, bank,
on HDFC Bank Ltd., IMT Manesar, Gurgaon – 122050,
payees name etc.)
Haryana

All the particulars given above are correct and nothing has been concealed of misrepresented and if any facts are
found wrong or incorrect, the HSIIDC shall be at liberty to decline our request for transfer of plot and initiate
further action including resumption of plot.

You are requested to consider our request and allow transfer of Plot in favor of M/s COSMO INSTRUMENTS INDIA
PRIVATE LIMITED, having office at Plot no. 261, Sector – 08, IMT MANESAR, Gurgaon – 122050, Haryana. We are
ready to pay the applicable transfer fee and comply with other terms and Conditions for the same.

Thanking You,
Your’s Sincerely,

Sign. : ………………………………………………..... Sign. : ……………………………………………….....

Name : GURNOOR ENTERPRISES PVT. LTD. Name : M/s COSMO INSTRUMENTS INDIA PVT LTD.
thru its Authorized Director Shri Harvinder Singh thru its Authorized Director Shri RamKumar Basnet

Address : Shop no. 22, Nauroji Nagar Market, Address: Plot no. 262, Sector - 08
New Delhi – 110016 , IMT MANESAR, Manesar, Gurgaon - 122050 Haryana
(ALLOTTEE / TRANSFEROR) (PROPOSED TRANSFEREE)

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