SEPC The



APPLICATION FORM FOR MARKETING DEVELOPMENT ASSISTANCE  
FOR PARTICIPATION IN TRADE FAIR/EXHIBITION/BSM/TRADE DELEGATION ABROAD

Ref NO. :

 Date :


01. Name of the firm with full address :

IEC NO. :

02. EH/TH Certificate :                            No & Date

Valid upto :

03. FOB value of exports during last three financial years, year-wise		 (Rs. In Crores)
2003-2004
2002-2003
2001-2002

04. Particulars of fair / exhibition / BSM / Trade Delegation

Name of Event :

Place :

Country :
From :
To :
05. Particulars of visit Date of Departure from India

Date of Arrival in India

06. Details of proposal(s) already submitted in the same financial year.
07. Details of earlier participations in the same event with MDA assistance
08. Whether national participation organized by ITPO, EPC etc., Yes / No
09. Whether participation through ITPO, EPC etc., Yes / No
10. Whether waiver certificate taken from ITPO, EPC etc., Yes / No / N.A.
11. Name and designation of the person going abroad
 

Place : 

Signature :

Date :