FOCUS KERALA

INVESTORS REGISTRATION

Name of the Investor *	:
Name of the Company, if any	:
Present Address	:
Contact Numbers
Office	:
Residence	:
Cell	:
E-mail	:
Permanent Address	:
Interested Area of Investment	:
(Eg: Tourism, Hospitality, Manufacturing, Industry etc)	:
Proposed Investment (Project Cost)	:	Rs (in Lakhs)
Whether land is directly procured	:	Yes No
(If yes area of land in acres)	:
Land Requirement	:	Yes No
(If required, area of land in acres)	:
Area of the Proposed Proejct	:
(Name of Panchayath & District)	:
Financial Assistance required	:	Yes No
(If yes, looking for Joint Venture Partrnership)	:	Yes No
Loan Requirement from Kerala Chamber of Commerce and Industry	:
Other Requirements from the Kerala Chamber Of Commerce and Industry	:

Feasibility Study	:	Yes No
Detailed Project Report	:	Yes No
Financial Assistance Arrangement	:	Yes No
Single Wu=indow Clearance Support	:	Yes No
Any other assistance (If yes, please clarify)	:	Yes No