Post on 14-Apr-2020
GOVERNMENT OF TELANGANA ABSTRACT
TS-iPASS - Rules - Telangana State Industrial Project Approval and Self Certification System (TS-iPASS) Rules, 2015 — Revised Combined Application Form-Orders — Issued
======================================================================= INDUSTRIES & COMMERCE (IP & INF) DEPARMENT
G.O.Ms.No. 57 Dated: 09-08-2017 Read the following:
1. Telangana State Industrial Project Approval and Self Certification System (TS-iPASS) Act, 2014 (Act No. 3 of 2014)
2. G.O. Ms No.35, Industries and Commerce (IP&INF) Dept., Dated:17-06-2015 3. G.O. Ms No.36. Industries and Commerce (IP&INF) Dept., Dated:17-06-2015 4. G.O.MS.No. 92 Industries and Commerce (IP&INF) Dept., Dated: 23-12-2015. 5. G.O.MS.No. 50 Industries and Commerce (IP&INF) Dept., Dated: 28-07-2017 6. From COI, Hyderabad Lr.No.12/2014/1782/TS-iPASS ,Date:28/07/2017
ORDER:
In exercise of powers conferred under sub-section (1) of Section 26 of the Telangana State Industrial Project Approval and Self Certification System (TS-iPASS) Act, 2014 (Act No.3 of 2014), Government has issued Telangana State Industrial Project Approval and Self Certification System (TS¬iPASS) Rules , 2015 vide reference 3rd read above for implementation of the provisions of the said Act.
2. In the reference 3rd & 4th read above, Government has issued orders framing and amending respectively roles under TS-iPASS Act bringing clearances from various departments under the purview of TS-iPASS. Specfic timelines have been refined for each clearance and clearances are to be issued within the time limit failing which penalties will be imposed on the Officer’s for causing delay. 3. In the reference 5th read above, the Government have issued orders for amending the TS-iPASS Rules for inclusion of services pertaining to various Departments and authorized the Government to make necessary changes in the Combined Application Form as and when required. 4. In the reference 6th read above, Commissioner of Industries has stated that the existing Combined Application Form has been modified to cater the requirements of Departments whose services are included in the TS-iPASS Rules and requested the Government to issue necessary orders for replacement of the existing Combined Application Form with the modified Combined Application Form. 5 Government after careful examination in the matter hereby decides to revise the Combined Application Form annexed at Annexure-II to the Rule 5 of the G.O. in the 3rd read above shall be substituted attached herewith to Annexure-II.
6 The Commissioner of Industries, Hyderabad shall take further necessary action accordingly.
(BY ORDER IN THE NAME OF THE GOVERNOR OF TELANGANA)
JAYESH RANJAN
PRINCIPAL SECRETARY TO GOVERNMENT & COMMISSIONER FOR INDUSTRIAL PROMOTION(FAC)
To The Commissioner, Printing, Stationery and Stores Purchase (Printing Wing), Hyderabad.(for publication in the Extra-ordinary issue of Telangana Gazette and to furnish 1000 copies of the notification to the Government.) Copy to: The Commissioner of Industries, Telangana, Hyderabad. All Departments of Telangana Secretariat. All Heads of Departments,. All District Collectors. The Vice Chairman & Managing Director, Telangana State Industrial Infrastructure Corporation, Hyderabad. The Secretary, Law (A) Department, Telangana Secretariat, Hyderabad P.S. to Prl. Secretary to Hon’ble Chief Minister. P.S. to Hon’ble Minister for Industries. P.S. to Chief Secretary to Government. P.S. to Secretary to Govt & CIP. Industries & Commerce Department All Officers and Sections in Industries and Commerce Department. SF/SC.
//FORWARDED::BY::ORDER//
SECTION OFFICER
TS-iPASS UID No: NAME OF INDUSTRIAL UNDERTAKING NAME OF PROMOTER S/o. D/o. W/o
PROPO Location of Factory Survey No/Plot Number(s) Village/Town District Email-ID Total extent of site area as per document(in Sq.mts) Total built-up area(in Sq.mts) Type of Approach Road Case type Caste Building Approval
A
Door No. Village/Town District Cell No
S COMMON APPLICATION FORM(CFE)
G
OSED LOCATION OF UNIT ADDRESS
Name of Grampanchay at Mandal
PinCode
Telephone
Proposed area for development(in Sq mts)
Existing width of approach road(in feet)
Land comes under
Category of Industry
Height of Building
ADDRESS OF THE ENTREPRENUER Street Name State PinCode Mandal
S
Email-ID Telephone
PROJECT COST
Proposal For New
A) Existing B) Expansion Total Investment Investment Investment
Land Value(in Lakhs)
Building Value(in Lakhs)
Plant and Machinery Value (in Lakhs)
Total Value (in Lakhs)
PROPOSED EMPLOYMENT (In No. of persons to be employed)
Male Female
DIRECT
INDIRECT
TOTAL
Category of Registration :
Registration No
Date
LINE OF ACTIVITY
Line of Activity
LINE OF MANUFACTURE
S Item Quantity Units Quantity Per
No
RAW MATERIALS USED IN PROCESS
S Item Quantity Units Quantity Per
No
1
Land use as per master plan
Existing built up area
Effected by road widening
Architect Name
Architect Cell No
Structural Engineer License Number
Price of the land
Process Fee
Functional Responsibilities
Liabilities
Expected Date of commencement of construction
Expected date of commencement of commercial operations
Plant and Factory Buildings
Storage and warehousing
Open Areas, Green Belt etc.
Equity
List of Plant and Machinery
Sl.No
Contracted maximum demand in KVA
Aggregate installed capacity of the tra Entreprenuer:
Power Required for construction purp
Existing SC No
DTCP/HMDA/KUDA/IALA Is land part of Type of Building Effected area by road widening( Architect License Number Structural Engineer Name Structural Engineer Cell No
TSIIC (Land Allotment)
EMD
Service Tax
Assets
Other Assets
Expected date of trial operations
Project sector
Administration Buildings
Roads, Water storage, s station etc.
Total
Debt
Description Capacity
Power
A:
ansformer to be installed by the
ose in HP:
Conn
Requ KV: Exist
sq.mts)
s
sub-
Indigenous/Imported
nected load in HP:
ired Voltage Level in
ing Load in HP:
Any other services existing in the sam
Prop
Per day
Per month
Expected month and year of trial production:
Water supply from :
Drinking water ( in KL/Day ):
Source of water:
Quantity of water water required for consumptive use (in KL/Day)
Waste water generation in KLD
a Process:
c Boiler blow down:
e Domestic:
I DG SET/Boiler/Thermic Fluid He
a Capacity :
c Fuel storage details:
Air Pollution Control Equipement Details
a Emission Characteristics and Source
Is the Project requires Generator
me premises:
posed maximum working hours:
Probable date of requirement o supply:
Water Water requirement Water for processing(In KL/Day ): Requirement of water (i Quantity of required for consumptive use (in KL/
PCB
b Washings: d Cooling tower bleed off: f Total:
Air Pollution
eater
s::
b.Fuel consumptio d Stack height &D
Process
e details: b.Quantity of emissions: c C
of power
dustrial use) ( in
n KL/Day):
non-/Day):
n per day :
Dia(mts):
Control equipment/system:
Solid and Hazardous waste
FIRE
Height of the building (in mtrs.)
Height of each floor (in mtrs.)
Means of Escape
Intrnal Stair Case
Width of Stair Case((min 1)
Width of each exit (in mts.)
External Stair Case No Of Exits Width of Stair Case((min 1.5 mtrs)
Open spaces all around the building: (in mts)
East West
North South
Level of the ground
Fire Detection System (Automatic) Smoke
Fire Alarm System Automatic
Automatic Fire Fighting System:
Sprinkler
Fire Extingishers
Down Corner
Manually Operated electrical fire alaram system
Under ground water sump
Terrace Pumps
Diesel Pumps
Hose Reel Wet Riser Yard Hydrant Automatic Detection System Terrace Tank Electrical pumps Jockey Pumps
Other protection measures:
Transformer Safety Provided*
Fire Lifts Provided
Air Conditioning Safety Provided
Lightening protection
Control Room
Whether the Hydraulic Platform can be moved all around the bldg
Address of the Manager or person respo Category of Establishment Full name Father's Name Designation Address of the Manager Nature of work / is to be carried on in th establishment Estimated date of commencement of bui other construction work Maximum number of building workers to employed on any day Estimated date of completion of building other construction work Full name and address of the Principal E Name Father's Name Designation Age Email Mobile No Address Name and address of the Director / Part Full Name Door No. District Mandal Village/Town Particulars of Contractors and migrant w
Name of the Contractor Addr
Labour Department
nsible for the Supervision and control of the Establ
he
ilding or
o be
or
mployer:
ners (in case of companies/firm)
workmen
Nature of Maximum No. of
ess Mobile No. Migrant/ContractWork Workmen
lishment:
Details ofManufacturing
Depts
A. Forest
Species Timber
TLength(mts)
B. Boundary Description North East West South
Forest Details
Timber Volume(cum) Timber Girth(mts) Estimateed Firewood Pole
TS-iPAS
UID No:
NAME OF INDUSTRIAL UNDERTAKING
NAME OF PROMOTER
S/o. D/o. W/o
Age
Occupation
Proposed Location of Factory
Survey No
Village/Town
Extent
Date of Commencement of Production
Telephone(incl STD Code)
Door No.
Village/Town
District
Cell No
Email-ID
Nature of Organisation
Landmark
Women entrepreneur
SS COMMON APPLICATION FORM(CFO
G
UNIT LOCATION DETAILS
Distric
Manda
PinCo
n Telep
Street
ADDRESS FOR COMMUNICATION Street Name State Mandal
PinCode Telephone Fax Differently a Minority
O)
ct
al
de
hone
t Name
e
abled
Category Of Registration
Registration No
Registration Date
Proposal For
A) Ex
Land Value(in Lakhs)
Building Value(in Lakhs)
Plant and Machinery Value (in Lakhs)
Total Value (in Lakhs)
Adults (above 18 Yrs)
Adolescents (15-18 Yrs)
Children (14-15 Yrs)
S Item No
1
S Item No
1
Contracted Maximum Demand in KVA
Already installed
Registration Particulars Type of Project Registration Expiry Date
PROJECT COST
xisting B) ExInvestment Investment
EMPLOYMENT DETAILS
Male
LINE OF MANUFACTURE
Quantity Units Quan
RAW MATERIALS USED IN PROCESS
Quantity Units Quan
POWER DETAILS(CEIG)
pansion Total Investment
Female
ntity Per
ntity Per
Proposed
Total
Already installed
Total
Voltage Level
P
G
Height of the building(in Meters)
Built up Area (Including Parking Cella
Nature of manufacturing process or processes
Factory plan approval number
Approval date
Full Name and Residential address of the Owner
Location of th District
Village/Town
Quantity (In Ltrs.)
In b
Petroleum Class A/Naptha
Petroleum Class B/Naptha
Petroleum Class C/Naptha
Total
Connected Load in KW
Proposed
Aggregate installed capacity of the transformer
Generating plans
Other Details
rs)
Factory Details Full Name & residential address of th Date of occupation of the factory by
Full Name and residential address o
the purpose of Act
he premises where Petroleum is to be
Police Station
Nearest Railway Station
of Petroleum proposed to be imported
bulk (above 1000 Lts) Not in bulk (less t
he Occupier
y the occupier
of Manager for
stored:
d and stored.
than 1000 Lts) Total
Quantity (in Ltr
In b
Petroleum Class A/Naptha
Petroleum Class B/Naptha
Petroleum Class C/Naptha
Total
Sales Tax Registration Details
Regular
Type Of Boiler
Maker's Name
Registration Number of the Boiler
Name of the Owner/Agent
Date of Inspection desirable
Place of Manufacture
Maximum Continous Evaporation
Maximum Pressure of Economiser
Class of Erector
State
Classification of Establishment Category of Establishment Address of the Manager or person respo Full name Father's Name Designation
s) of Petroleum already stored in the
bulk (above 1000 Lts) Not in bulk (less th
Explosive Licnece Details Stand by
Boiler Details
Maker's Number
Description of Boiler and Ag
Where situated
Boiler Used for
Year of Manufacture
Boiler Rating/Heating Surfa
Total Length of Steam PipeL
Details of Boiler Erector :
Name of Erector
Labour Department
nsible for the Supervision and control of the Establ
premises.
han 1000 Lts) Total
e
ace
Line
lishment:
Age Mobile
Address of the Manager
Nature of work / is to be carried on in th
Estimated date of commencement of bui
Maximum number of building workers to
Estimated date of completion of building
Location of Office, Godown, Warehouse opremisis of it
Work Place Door N
Residential address of the employer
Door No.
Locality
District
Mandal
Village
Name and address of the Director / Part
Full Name
Door No.
District
Mandal
Village/Town
Name of family members of employees f Name of the Family member Relat
Adults (18 You (Fro years and to B
above) yea
he establishment
ilding or other construction work
o be employed on any day
or other construction work
or workplace attached to the shop/establishment b
No. Locality
ners (in case of companies/firm)
family engaged in Shop / Establishment
tionship Gender Adult/You
ung Persons
om 14 years
Below 18
ars)
but situated outside the
ng Person
MALE FEMALE
Name of Employees
Occupation Name
Particulars of Contractors and migrant w
Name of the Contractor Addr
MANUFACTURE
Application for Registration as a :
Date of Commencement of Pre-packing/
Partner/Director Name Hous
Trade License of municipality or Gram Pa
Label Details
TIN Number (Issued by Sales Tax Depar
Manufacturing Models
Number of Employees :
Skilled Workers
Semi-Skilled Workers
Un-Skilled Workers
Specialist trained in the line
S No Name of Worker Skill in
e Gender
workmen
Nature of Maximum No. ofess Mobile No. Migrant/Contract
Work Workmen
ER/PACKER/IMPORTER REGISTRATION FORM
Importing
se No/Door No. District Mandal
anchayat
rtment)
n the field of Skill certificate Number
Details of
Manufacturing
Depts
Village Pincode
Next date for renewal
Brand Details
Brand Name
Commodity Details : Commodity Name
Constitution Details of the firm
Name of the proprietor/partners / Desig directors
DETAILS OF THE TECHNICAL STAFF
Name of the Staff member Quali
LIST OF APPLIED DRUG PRODUCTS
Name of the product (along with the strength and Comp pharmacopoeial produ specifications)
Net Quant
Drug control Authority Details
Permanent ID Proof Ref. No. (gnation Address No.)
ification Designation Experience in relevantsection (in years)
position of the Export/ Brand name (ifuct domestic only drugs)
Print Home
tity
Aadhaar Card/ Passport
Section for which
approval is sought
f applicable in case of export
TS-iPASS C UID No: NAME OF INDUSTRIAL UNDERTAKING NAME OF PROMOTER S/o. D/o. W/o Age
Survey No
Village/Town
Extent
Address of enterpreneur
Cell No
Registration Number License Numbe
Circle Installed hors
Calendar Year No:of years for w
Type Of Boiler Registration Number of the Boiler Name of the Owner/Agent Maximum Continous Evaporation
Allowed maximum working pressure (W.
Expiry date
COMMON APPLICATION FORM(Renew
District
Mandal
PinCode
Designation
Email Id
Factory Details
er
se power
which renewal is required and agreeable for pay
Boiler Details
P)
Boiler Used for Where situated Boiler Rating/Heating Surface
Whether certificate of boiler Uis required Inspection required
wal)
ment of fee
e
U/R 376(ff)/396/ff
Registration number of steam pipeline
Exemption of boiler under section 34-2 is required
Remarks
Total length of steam pipeline
choose the inspecting authority
Labour Details
Labour registration number
Previous renewal date
Category of Establishment
Manager Details:
Name
S/D/W/o
Age
TSPCB (CFO Renewals)
1. B1(Form XIII under Water Act)(Attachment)
2. B2(Form-I under Air Act)(Attachment)
3. Form-1 under HW(M,H &TM) Rules for HWA(Attachment)
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