KPEZDMC

APPLICANT'S INFORMATION

NAME OF APPLICANT/COMPANY/PARTNERSHIP *

CNIC# *

REGISTERED/ CORRESPONDING ADDRESS *

TELEPHONE # *

FAX #

CELL # *

Email *

APPLICANT'S PROFILE

TYPE OF ENTITY/BUSINESS CONCERN (Please tick as appropriate)

Body Corporate

Registered Firm

Partnership /AOP

Sole Proprietorship

NTN / Registration

NTN / Registration *

NOMINEE INFORMATION (if any)

NOMINEE FULL NAME

RELATIONSHIP TO ENTITY/APPLICANT/BUSINESS CONCERN

CNIC#

NTN#

REGISTERED/ CORRESPONDING ADDRESS

TELEPHONE #

FAX #

CELL #

Email

SELECT ECONOMIC ZONE*

Gadoon Economic Zone

Mohmand Economic Zone

D.I. Khan Economic Zone

Bannu Economic Zone

Peshawar Economic Zone

Hattar Economic Zone

Risalpur Export Processing Zone

Nowshera Economic Zone (EXT)

Chitral Economic Zone

Ghazi Economic Zone

Jalozai Economic Zone

Nowshera Economic Zone (OLD)

DESCRIPTION OF INDUSTRY

INDUSTRY TYPE (Main type / Sub type): *

Please specify industry type

DETAILS OF PROPOSED PROJECT

BRIEF OUTLINE OF THE INDUSTRY / PROJECT *

DESIRED PLOT SIZE

Acres

Please specify plot size

TOTAL PROJECT COST IN MILLIONS (Excluding land cost)

Total project cost (Excluding land cost) *

ESTIMATED NUMBER OF EMPLOYEES

SKILLED

UN-SKILLED

ESTIMATED DEMAND OF UTILITIES

ELECTRICITY (KVA) *

GAS (HM3) *

TELEPHONE (No. of Lines) *

BROADBAND INTERNET (Mbps) *

MODE OF FINANCING

EQUITY (%) *

LOAN (%) *

ESTIMATED COST OF PROJECT (In Millions)

CIVIL WORK (PKR)

MACHINERY & EQUIPMENT (PKR)

I accept the Terms & Conditions

Terms & Conditions