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1 GOVERNMENT OF INDIA MINISTRY OF MICRO, SMALL & MEDIUM ENTERPRISES OFFICE OF THE DEVELOPMENT COMMISSIONER (MSME) NATIONAL MSME AWARDS - 2016 MICRO, SMALL AND MEDIUM ENTERPRISES (MSME) Applications to be submitted online Last Date: 15 th Octobe r, 2017 1. OBJECTIVES The Micro, Small and Medium Enterprises (MSMEs) in India have undergone a vast development in the last five decades. The MSMEs have registered tremendous growth as also progress in terms of quality production, exports, innovation, product development and import substitution. Entrepreneurial efforts have made it possible to produce a number of items, which hitherto were imported. In quite a few cases new variants so produced are having additional attributes than their original versions and are capable of solving a multitude of user problems. The Indian entrepreneurs are very creative and innovate new products and process as well as provide innovate services to remain competitive in domestic and global market. This has become possible to encourage such innovative efforts and promote this spirit in larger interest of qualitative development of MSME. The Ministry of MSME recognizes these entrepreneurs for their outstanding performance and by conferring awards motivate and encourage them. 2. CATEGORIES OF AWARDS Categories of National MSME Awards for the year- 2016 S. No. Categories of Awards Application Form No. Numbers 1 Product/ Process Innovation-6 numbers NMA-1 Innovation-Micro & Small (I,II and III Award) 3 Innovation-Medium (I,II and III Award) 3 2 Outstanding Entrepreneurship (Manufacturing) - 14 numbers NMA-2
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NATIONAL MSME AWARDS - 2016€¦ · NATIONAL MSME AWARDS - 2016 MICRO, SMALL AND MEDIUM ENTERPRISES (MSME) Applications to be submitted online Last Date: 15th October, 2017 1. OBJECTIVES

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Page 1: NATIONAL MSME AWARDS - 2016€¦ · NATIONAL MSME AWARDS - 2016 MICRO, SMALL AND MEDIUM ENTERPRISES (MSME) Applications to be submitted online Last Date: 15th October, 2017 1. OBJECTIVES

1

GOVERNMENT OF INDIA MINISTRY OF MICRO, SMALL & MEDIUM ENTERPRISES OFFICE OF THE

DEVELOPMENT COMMISSIONER (MSME)

NATIONAL MSME AWARDS - 2016 MICRO, SMALL AND MEDIUM ENTERPRISES (MSME)

Applications to be submitted online

Last Date: 15th October, 2017

1. OBJECTIVES

The Micro, Small and Medium Enterprises (MSMEs) in India have undergone a vast development

in the last five decades. The MSMEs have registered tremendous growth as also progress in terms of

quality production, exports, innovation, product development and import substitution. Entrepreneurial

efforts have made it possible to produce a number of items, which hitherto were imported. In quite a

few cases new variants so produced are having additional attributes than their original versions and are

capable of solving a multitude of user problems.

The Indian entrepreneurs are very creative and innovate new products and process as well as

provide innovate services to remain competitive in domestic and global market. This has become

possible to encourage such innovative efforts and promote this spirit in larger interest of qualitative

development of MSME. The Ministry of MSME recognizes these entrepreneurs for their outstanding

performance and by conferring awards motivate and encourage them.

2. CATEGORIES OF AWARDS

Categories of National MSME Awards for the year- 2016

S. No.

Categories of Awards Application Form No.

Numbers

1 Product/ Process Innovation-6 numbers NMA-1

Innovation-Micro & Small (I,II and III Award) 3

Innovation-Medium (I,II and III Award) 3

2 Outstanding Entrepreneurship (Manufacturing) - 14 numbers

NMA-2

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Entrepreneurship- Micro (I,II, III Award and Special Award to best Handicapped ( Divyang) entrepreneur)

4

Entrepreneurship- Small (I,II and III Award) 3

Special award to best SC/ST entrepreneur 1

Special award to best woman entrepreneur 1

Special award to best NER entrepreneur 1

Special award to best Handicapped ( Divyang) entrepreneur 1

Entrepreneurship - Medium (I,II and III Award) 3

3 Outstanding Entrepreneurship (Service)- 4 numbers NMA-3

Micro & Small (I,II, III Award and Special Award to best Handicapped ( Divyang) entrepreneur)

4

4 Lean Manufacturing Techniques-3 numbers NMA-4

Micro -I Award 1

Small-I Award 1

Medium -I Award 1

5 Quality Products one each in following 10 selected products in Micro & Small Enterprises -10 numbers

NMA-5

Paints & Varnishes 1

Rubber Molded Products 1

Precision Machine Components 1

Auto Components 1

LED and LCD information Display System 1

Electronic Smoke Detectors/ Fire Alarms/ Pollution Detectors and Monitors

1

Refractory 1

Confectionary Products 1

Leather Hand Bags 1

Readymade Garments 1

6 Export Awards -20 numbers NMA-6

Outstanding Export Performance in Micro Enterprises (Mfg) I and II Award

2

Outstanding Export Performance in Small Enterprises(Mfg) I and II Award

2

Best Exporter Woman Entrepreneur in Small Enterprises(Mfg)

1

Best Exporter SC/ST Entrepreneur in Small Enterprises(Mfg) 1

Best Exporter NER Entrepreneur in Small Enterprises(Mfg) 1

Outstanding Export Performance in Medium Enterprises(Mfg)

1

Outstanding Export Performance in Micro & Small Enterprises (Service)

1

Outstanding Export Performance in Medium Enterprises (Service)

1

Outstanding Export Performance one each in following 10 Selected Products in Micro, S mall & Medium Enterprises

Paints & Varnishes 1

Rubber Molded Products 1

Precision Machine Components 1

Auto Components 1 LED and LCD information Display System 1

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Electronic Smoke Detectors/ Fire Alarms/ Pollution Detectors and Monitors

1

Refractory 1

Confectionary Products 1

Leather Hand Bags 1

Readymade Garments 1

7 Outstanding Performance Awards to States/UTs-3 NMA-7

Outstanding Awards for the Contribution in the Promotion & Development of MSMEs (I,II & III Award) to the States/UTs

3

TOTAL 60

Prize:

i. All awards (except 3 awards to Outstanding Performance award to States/ UTs) will carry cash prize of Rs.1.00 lakh, a Certificate and a Trophy.

ii. 3 awards to States/ UTs for their Outstanding Performance will carry a certificate and a trophy.

iii. No TA/ DA, Hotel Charges etc. will be paid.

3. PERIODICITY & ELIGIBILITY

The MSMEs should have been in continuous manufacturing /services for last four years. The

awards will be given for each year to deserving Micro, Small & Medium Enterprises which have

Udyog Aadhaar Memorandum (UAM). MSMEs would also register in MSME Databank, web portal:

www.msmedatabank.in (click on register and then MSME) before submission of their application.

Registration at MSME Databank is mandatory for MSMEs even if they have earlier obtained UAM.

4. CRITERIA

The evaluation for Award will be done on the basis of various parameters mentioned in the

proforma.

5. COMPOSITION OF STATE LEVEL SELECTION COMMITTEE (SLSC)

5.1 The State Level Selection Committee will consist of: 1. Secretary, Department of MSME/ Industries of State Govt. /U.T. Chairman 2. Director of MS ME/Industries, State Govt. Member

3. One Representative each from two State level MSME Associations to be nominated by Director, MSME-DI &

approved by the Chairman Member 4. Director, MSME-DI Member Convener

5.2 The Awardee shall not be nominated or considered for the same or lower category of award in the

subsequent 5 year (s). However, there will be no bar for an awardee to be nominated or considered for a higher category of award in subsequent year.

5.3 MSME-DI of respective state will send applications recommended by State Level Selection Committee along with evaluation of marks as per enc losed criteria format to the office of the

Development Commissioner (MSME), Min is try of MSME, Govt. of Ind ia,7th

Floor, A-Wing, Nirman

Bhawan, New Delhi-110108, latest by 31.10.2017.

5.4 For online application of States/UTs, these are to be sent directly to the Office of DC (MSME)

for evaluation at NLSC level with a Certificate in the prescribed Format by State/ UT Government by Head of MSME Department where there is a separate Department. In case, if there is no such separate

department, then a certificate in the prescribed Format should be signed by Head of the concerned department looking after MSMEs in the respective State/ UTs.

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6. COMPOSITION OF NATIONAL LEVEL SELECTION COMMITTEE (NLSC)

The National Level Selection Committee will consist of:

I Additional Secretary & Development Commissioner, (MSME), Ministry of MSME, Govt. of India, - Chairman

II Two Secretaries, Department of Industries of State Govt. to be nominated

by Govt. of India, - Member

III Managing Director, National Research Development Corporation (NRDC), or his nominee, - Member

IV Director General, BIS or his nominee, - Member V President, Laghu Udyog Bharti, - Member VI President, Federation of Associations of Small Industries of India (FASII), - Member

VII 3 industrialists to be nominated by Hon’ble Union Minister (MSME). -Member VIII Additional Development Commissioner O/o DC(MSME) - Member Convener

7. METHODOLOGY

For purposes of selecting MSME for consideration for awards, the following procedure will be

observed:- (i) The applications will be scrutinized first by Director, MSME-DI for State Level Selection

Committee. (ii) The applications will further be scrutinized by the technical officers of concerned division in the office of the DC (MSME) for evaluating the mark as per the criteria before submitting to NLSC for

selecting the awardees. The qualifying marks will be 60% (50% in case of SC/ST, PH & NER including Sikkim) for consideration by the SLSC / NLSC.

8. PRIVILEGE

The winners of the awards shall have the privilege of allowing their employees to wear labels, pins,

ties, logo or other distinctive badges with the symbol of the Awards indicating the year of Award

inscribed on it. The entrepreneurs can also use the symbol on their letterheads or any advertisement

issued along with the year of the award. The amount of cash prize received by winners is exempted

under section 10(17) of Income Tax Act 1961.

9. HOW TO APPLY

The eligible enterprises and States/UTs will submit online applications comprising of Part-I and Part-II of

the relevant category of awards. An enterprise can apply for more than one category of award. The last date for

submission of application is 15.10. 2017.

❖❖❖❖❖

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PART-I

Please affi x

one high res olut i o n

ph ot o (siz e

8 c m x 5 c m)

A. Name of Entrepreneur (English)

B. Name and address of Enterprise (English)

________________________________________________________________________________________________________________________________

District ------------------------------------------------- State ---------------------------------

Pin Code ------------------

STD Code & Telephone Numbers:

Tel. (O): ---------------------------------------------------------------------------------------------------

Mobile No. --------------------------------------------------------------------------------------------------

E-mail: ---------------------------------------------------------------------------------------------------

C. Whether the Entrepreneur belongs to SC/ST, Physically Handicapped - Yes/No

(Please attach certificate)

D. (a) Udyog Aadhaar Memorandum: Tick Appropriately (Micro/ Small/ Medium)

Number :

Date:

(b) Databank Registration of enterprise: Number :

Date:

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E.

Name of Products Attach Photo of products

F. Attach photo of Front /Rear View of Building of Enterprise showing name Board etc.

Front Attach Photo Rear Attach Photo

G. Have you ever been awarded earlier by this Ministry, Yes/No

if yes, Pl Tick (I, II or III Award) and year of Award.

H. Details about the Enterprises:

S. No.

Items 2013-14* 2014-15* 2015-16* 2016-17*

1 Original investment in Plant & Machinery/Equipment (Rs.

in lakh) cumulative upto 31st

March

2 Original investment in Plant & Machinery/ Equipment (Rs. in lakh) net addition during the year

3 No. of Employees as on 31st March

4 Value of Annual Turnover/ Sales (Rs.in lakh)

5 Net Profit (after taxes) (Rs. in lakh)

6 Export- (i) Direct (Rs. in Lakh)

(ii) Specific product/ supplies to strategic organizations

Column marked asterisk (*) are Mandatory fields. Please attach relevant extracts indicating details from Audited Financial Accounts supporting each of the above information. For number of employees, please provide self certification as per the proforma mentioned below:-

CERTIFICATE It is certified that year-wise number of employees in respect of M/s…………………………………………….., is as mentioned under:- Particulars 2013-14 2014-15 2015-16 2016-17

[I] Year [II] No. of Employee

(i)Regular /Permanent (i) (ii)Adhoc/Temporary (ii) /or through Contractor

It is also certified that amount deposited in respect of employee under PF/CPF is mentioned as under: Particulars 2013-14 2014-15 2015-16 2016-17 Remarks

Attach copy of

Challan/Documents

[I] Year Amount of PF/CPF(in Rs.) No. of Employee

Authorized Signatory (with stamp & Date)

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I. Please give write up as per the format* mentioned below of not more than 300 words about

yourself, your enterprise and the products(s) manufacture d/service(s) rendered by indicating

your achievements to justify as to why your application deserves to be considered for the

award

* Format

1. About the Entrepreneur: 2. About the Enterprise: 3. Achievement of the Enterprise: 4. Growth in Investment in Plant and Machinery, Export & Net Profit for the last three years: 5. Photograph (High Resolution) of the Entrepreneur: 6. Two Photographs of the Products 7. One Photograph of the enterprise (Sl. No. 1 – 3 not more than 150 words) Note: - Sl. No.1 may include brief details about the entrepreneurs(s) including his personal details. - Sl.No.2 may include the basic details of the enterprise. - Sl.No.3 may include achievements, not only terms of business/production but also in terms of special recognitions in these areas as well as conservation/social causes, if any. - Sl. No. 4 should be in words/in tables.

Note: 1. Mandatory columns to be filled-up.

2. If the requisite attachment is not enclosed, 0 (Zero) Mark will be awarded.

3. Suppression of information by the applicant is liable to blacklist the unit and the unit shall not be

eligible for consideration of awards in future.

4. MSME-DI will check the information and attachments enclosed by the applicants and authenticate

the calculations / other information before sending to State Level Selection Committee (SLSC).

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Parameters & Proforma for Evaluation and Awarding Marks

(Product/ Process Innovation)

NAM-1 Part-I (Weightage-70%)

S.

No. Parameters for

Awarding Marks Maximum

Marks

MSME-DI

CHECKED

the information/

supporting

documents

Marks

allotted by State Level Selection

Committee

Marks

suggested by

Technical group

Brief

comments

(Reasons for deviation in

marks)

(1) (2) (3) (4) (5) (6) (7)

1 Whether Innovative Development is 10

(i) Product development - 10 Marks

(ii) Process/Design Development - 5 Marks

(iii) No Product/Process/ Design Development - 0 Mark

Please give details and attach/ upload relevant evidences.

Yes Yes/No

2 Whether enterprise has in- house R&D/Innovation facilities approved by

DSIR

20

(i) Yes - 20 Marks

(ii) others - 10 Marks

Please give details and attach/ upload approved evidences of DSIR.

Yes Yes/No

3 Products / Processes Developed

through (Ref. S. No. 9 ) 10

(i) Recognized Incubation Centres - 10 Marks

(ii) Others (Unrecognized) -5 Marks

(iii) None - 0 Mark

Please give details and attach/ upload approved evidences of Competent Authority.

Yes Yes/No

4 Whether Innovative Development is 10

i. No innovative Development - 0 Mark

iii. Successful Development - 5Marks

iv. Commercialized - 10 Marks

Please give details and attach/ upload approved evidences.

Yes Yes/No

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5 Patents/design/obtained or applied for

(Marks to be awarded for any one of (i)and(ii) as applicable (II) in case due

to innovated specific Product

/supplies to strategic organizations

(viz. Defense etc. where obtaining patents not permissible, full marks

may be awarded).

10

(i) Obtained -10 Marks

(ii) Applied for - 5 Marks

(iii) No initiative - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/No

6 Whether innovation (product/process) is eco-friendly.

5

i. Yes, with supporting documents - 5 Marks

ii. No -0 Mark

Please give details and attach/ upload approved evidences.

Yes/No

7 Standardization 10

(ii) Obtained BIS Mark/International/ National Standard (RDSO, GMP,BEE, FSSAI, Ag Mark etc) -10 Marks

(ii) Product equivalent to any other Specification -5 Marks

(iii) No Standardization - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/No

8 Energy conservation Measures 10

i.Yes, with supporting documents i.e. Certified Energy Audit Report -10 Marks

ii. Energy conservation measures adopted by enterprises - 5 Marks

iii. No initiative - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/No

9 Obtaining ISO-9000 Series/14000/22000 /HACCP/ GMP/ equivalent certification

15

i. 3 years & above -15 Marks

ii. less than 3 years &above 2 years -10 Marks

iii. less than 2 years - 5 Marks

iv. No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/No

Total 100

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Part-II (Weightage: - 30%)

1 Pollution Control Measures

Note: (Full marks may be given if

these measures are not applicable to

this industry subject to presentation of relevant NOC from the Competent

Authority/Enterprise exempted by

State Govt.)

15 15

(i) Yes -15 Marks

(ii) No - 0 Mark

Please give details and attach/ upload approved evidence of the Competent Authority.

Yes/No

2 Value of Average Annual Turnover/

Sales of 3 years 15 25

(i) up to Rs.100 lakh - 5 Marks

(ii) above Rs.100 lakh & up to Rs.500 lakh - 10 Marks

(iii) above Rs.500 lakh -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 o f the

applications.

Yes/No

3 Growth rate of Average Annual

Turnover/ Sales of 3 years from 1st

year.

15 15

(i) growth rate up to 10% - 5 Marks

(ii) growth rate above 10% & up to 20% - 10 Marks

(iii) growth rate above 20% -15 Marks

(v) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises)

of Part – 1 of the applications.

Yes/No

4 Growth rate of Net Profit (after Taxes)

of 3 years. 15 15

(i) No growth - 0 Mark

Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% to 20% - 10Marks

(iii) Average growth rate above 20% - - 15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/No

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5 Exports (Direct) of Innovated

products/process during last three years.

Note: In case due to specific product/

supplies to strategic organizations

(viz. Defense etc. where exports not permissible, marks may be awarded

on the basis of average growth rate

of supply to strategic organizations.

20

(i) No growth - 0 Mark

ii)Average growth rate up to 10% - 5Marks

(iii) Average growth rate above 10% to 20% - 10 Marks

(iv) Average growth rate above 20% - -20 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/No

6 Value of Export Average of 3 years of Innovate d products/process.

20

(i) No Export - 0 Mark

(ii) up to Rs.50.00 lakh - 5 Marks

(iii.) above Rs.50.00 lakh &up to Rs.100 lakh - 10Marks

(iv) above Rs.100.00 lakh -20 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/No

TOTAL 100

Weightage: Part-I - 70%, Part-II -30%.

Signature

Name and Designation of Marks Evaluation Officer

of MSME-DI/ DC (MS ME)

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Parameters & Proforma for Evaluation and Awarding Marks

Outstanding Entrepreneurship (Manufacturing) (Application Form: NMA-2)

Part-I (Weightage-70%)

S.

No.

Parameters for Awarding Marks Maximum

Marks

MSME-DI

CHECKED

the

information/ supporting

documents

Marks

allotted

by State Level

Selection

Committe

e

Marks

suggested

by Technical

group

Brief

comments

(Reasons for

deviation

in marks)

(1) (2) (3) (4) (5) (6) (7)

1 Value of Average Annual Turnover/Sales of 3 years

15

(i) up to Rs.100 lakh - 5 Marks

(ii.) above Rs.100 lakh &up to Rs.500 lakh -10 Marks

(iii) above Rs.500 lakh -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/ No

2 Growth rate of Average Annual

Turnover/Sales of 3 years from 1st

year.

15

(i) growth rate up to 10% - 5 Marks

(ii.) growth rate above 10% & up to 20% -10Marks

(iii) growth rate above 20% -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/ No

3 Growth rate of Average Net Profit

(after Taxes) of 3 years from 1st year 15

(i) growth rate up to 10% - 5 Marks

(ii.) growth rate above 10% & up to 20% -10 Marks

(iii) growth rate above 20% -15 Marks

(iv) No growth -0 Mark

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Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises)

of Part – 1 of the applications.

Yes/ No

4 Use of Technology 10

(i) Developed Technology -10 Marks

(ii) Conventional - 5 Marks

Please give details and attach/ upload approved evidences.

Yes/ No

5 Exports (Direct) during the period

Note: In case due to specific

product/supplies to strategic

organizations (viz. Defense etc.

where exports not permissible,

marks may be awarded on the basis of value of products supplied to

strategic organizations.

15

Value of Export Average of 3 years

(i) up to Rs.20 lakh - 5Marks

(ii.) above Rs.20 lakh &up to Rs.100 lakh -10 Marks

(iii) above Rs.100 lakh -15 Marks

(iv) No Export -0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/ No

6 Exports (Direct) during the period

Note: In case due to specific product/ supplies to strategic

organizations (viz. Defense etc.

where exports not permissible, marks may be awarded on the

basis of average growth rate of

supply to strategic organizations.

15

Average Growth rate of export value

of 3 years from 1st year

(i) Average growth rate up to 10% -5Mark

(ii.) Average growth rate above 10% & up to 20% -10 Marks

(iii) Average growth rate above 20% -15 Marks

(iv) No growth -0 Mark

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Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises)

of Part – 1 of the applications.

Yes/ No

7 Obtaining ISO-9000 Series/ 14000/

22000 /HACCP/ GMP certification 15

i. 3 years & above -15 Marks

ii. less than 3 years &above 2 years -10 Marks

iii. less than 2 years - 5 Marks

v. No -0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

8 Standardization 10

(i) Obtained BIS Mark/International/National Standard (RDSO, GMP,BEE, FSSAI, Ag Mark etc) - 10 Marks

(ii) Product equivalent to any other Specification -5 Marks

(iii) No Standardization - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

9 Pollution Control Measures Note: (Full marks may be given if these measures are not applicable

to this industry subject to

presentation of relevant NOC from

the Competent Authority/

Enterprise exempted by State

Govt.

10

i. Yes - 10 Marks

ii. No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

10 Safety Measure 10

i. Yes, with Certificates from Appropriate Authority - 10 Marks

ii. Measures adopted - 5 Marks

iii. No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

11 Energy conservation Measures 10

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(iii) Yes, with supporting documents i.e. Certified Energy Audit Report -10 Marks

ii. Energy conservation measures adopted by enterprises - 5Marks

iii. No initiative - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

12 Employees Welfare Measures. Full

marks may be given, if not applicable. 10

(i) Yes, ESI - 10 Marks

(ii) No, ESI - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

13 Whether any training provided to staff/officials to upgrade their skill.

10

(i) Yes, with supporting documents from externalexpert/ agency - 10 Marks

(ii) Yes, with supporting documents from internal expert - 5 Marks

(iii) No training provided - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

14 Employees Welfare Measures. Full

marks may be given, if not applicable. 10

(i) Yes, CPF - 10 Marks

(ii) No, CPF - 0 Mark

Please give details and attach/ upload relevant evidences of the concerned period.

Yes/ No

15 Employees Welfare Measures. Full marks may be given, if not applicable.

10

(i) Yes, Bonus - 10 Marks

(ii) No, Bonus - 0 Mark

Please give details and attach/ upload relevant evidences of the concerned period.

Yes/ No

16 Customers satisfaction and feedback

report 10

i. Yes, with supporting documents - 10 Marks

ii. No - 0 Mark

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16

Please give details and attach/ upload relevant evidences of the customers for the concerned period.

Yes/ No

17 Employees Welfare Measures. Full

marks may be given, if not applicable.

10

(i) Yes, Reward Scheme - 10 Marks

(ii) No, Reward Scheme -0 Mark

Please give details and attach/ upload relevant documentary evidences for the concerned period.

Yes/ No

Total 200

Part-II (Weightage-30%)

1 Average Growth rate upon cumulative Investment in Plant & Machinery

15

(i) growth rate up to 10% - 5 Marks

(ii.) growth rate above 10% & up to 20% -10 Marks

(iii) growth rate above 20% -15 Marks

(v) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises)

of Part – 1 of the applications.

Yes/ No

2 Basic Amenities / Facilities at Work

Place 5

(i) Toilets, Yes - 5 Marks

(ii) Toilets, No - 0 Mark

Please give details and attach/ upload photographs as evidence.

Yes/ No

3 Average Growth rate upon

Employment 15

(i) growth rate up to 10% - 5 Marks

(ii) growth rate above 10% & up to 20% - 10 Marks

(iii) growth rate above 20% -15 Marks

(v) No growth - 0 Mark

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17

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises)

of Part – 1 of the applications.

Yes/ No

4 Whether First Generation

Entrepreneur 10

(i) First Generation/Start-up - 10 Marks

(ii) Others - 5 Marks

Please give details and attach/ upload relevant evidences.

Yes/ No

5 Basic Amenities / Facilities at Work

Place 5

(i) Drinking Water, Yes - 5 Marks

(ii) Drinking Water, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

6 Basic Amenities / Facilities at Work

Place 5

(i) Medical First aid , Yes - 5 Marks

(ii) Medical First aid , No - 0 Mark

Please give details and attach/ upload photographs evidences for the period.

Yes/ No

7 Export (Direct) NB : In case due to specific

products/supplies to Strategic

organization viz. Defense etc. where export were not permissible full

marks may be awarded on the basis

of value of products supplied to

strategic organizations.

20

(i) 3 years export - 20 Marks

(ii) 2 years export - 10 Marks

(iii) 1 year export - 5 Marks

(iv) No export - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises)

of Part – 1 of the applications.

Yes/ No

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18

8 Basic Amenities / Facilities at Work Place

5

(i) Canteen, Yes - 5 Marks

(ii) Canteen, No - 0 Mark

Please give details and attach/ upload photographs as evidences for the period.

Yes/ No

9 Credit Rating of Enterprises 20

(i) Yes, 3 years - 20 Marks

(ii) Yes, 2 years -10 Marks

(iii) Yes, 1 year - 5 Marks

(iv) No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

TOTAL 100

Weightage: Part-I - 70%, Part-II -30%.

Signature

Name and Designation of Marks Evaluation

Officer of MSME-DI/ DC (MSME)

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19

Application Form NAM -3

Parameters & Proforma for Evaluation and Awarding Marks

Outstanding Entrepreneurship (Service)

Part-I (Weightage-70%)

S. No.

Parameters for Awarding Marks Maximum Marks

MSME-DI

CHECKED the

information/

supporting

documents

Marks allotted by

State Level

Selection

Committee

Marks suggested

by

Technical

Division

Brief

comments (Reasons

for

deviation

in marks) (1) (2) (3) (4) (5) (6) (7)

1 Use of Technology 10

(i) Advanced - 10 Marks

(ii) Conventional -5 Marks

Please give details and attach/ upload approved evidences by Competent Authority of use of advance technology with 2 photographs and brief write-up. In case of use of conventional technology please attach 2 to 3 photographs.

Yes/ No

2 Customers Satisfaction / feedback

report 10

(i) Excellent with supporting documents - 10 Marks

(ii) Good - 5 Marks

(iii) No such initiatives taken -0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

3

Value of Average Annual

turnover/services of 3 years

15

(i) up to Rs.50 lakh - 5 Marks

(ii) above Rs.50 lakh & up to Rs.100 lakh -10 Marks

(iii) above Rs.100 lakh -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part –1 of the

applications.

Yes/ No

4 Growth rate of Average Annual Sales/services of 3 years from 1

st year

15

(i) Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% &up to 20% - 10 Marks

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20

(iii) Average growth rate above 20% -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications.

Yes/ No

5 Growth rate of Average profit of 3

years from 1st year (After Taxes) 15

(i) Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% &up to 20% - 10Marks

(iii) Average growth rate above 20% - -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications.

Yes/ No

6 Obtaining ISO-9000

Series/14000/22000/

HACCP/equivalent certification

15

i. above 2 years -15Marks

ii. less than 2 years &above 1 year - 10 Marks

iii. less than 1 year - 5 Marks

iv. No - 0 Mark

Please give details and attach/ upload evidences by relevant agency.

Yes/ No

7 Standardization 10

(iv) Services conforming to user’s Specification -10Marks

(ii) Services conforming to enterprise’s Specification - 5 Marks

(iii) No Standardization - 0 Mark

Please attach supporting documents for the relevant period.

Yes/ No

8 Modernization efforts 10

(i) Excellent with supporting documents - 10 Marks

(ii) Good -5 Marks

(iii) No such initiatives taken -0 Mark

Please attach supporting documents for the relevant period.

Yes/ No

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21

9 Safety Measures 10

(i) Yes, with supporting documents/ certificate from appropriate Authority -10 Marks

(ii) Measures - 5 Marks

(iii) No such initiatives taken – 0 Mark

Please give details and attach/ upload approved evidences of the Competent Authority.

Yes/ No

10 Whether any training provided to

staff/officials to upgrade Skill 10

Yes, with supporting documents by external expert -10 Marks

Yes, with supporting documents by internal expert - 5 Marks

(iii) No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

11 Qualification of Entrepreneur as on 31.3.2017 (Mark any one)

10

(i) Bachelor Degree and above - 10 Marks

(ii) Others - 5 marks

Please give details and attach/ upload relevant evidences.

Yes/ No

12 Employees Welfare Measures

(full marks may be awarded on

submission of documentary proof or if not applicable.

5

(i) Yes, CPF - 5 Marks

(ii) No, CPF - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

13 Employees Welfare Measures (full marks may be awarded on

submission of documentary proof,

or If not applicable.

5

(i) Yes, Bonus - 5 Marks

(ii) No. Bonus - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

14 Employees Welfare Measures (full

marks may be awarded on

submission of documentary proof, or If not applicable.

5

(i) Yes, ESI -5 Marks

(ii) No, ESI -0 Mark

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22

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

15 Employees Welfare Measures (full

marks may be awarded on submission of documentary proof,

or If not applicable.

5

(i) Yes, Reward Scheme -5 Marks

(ii) No, Reward Scheme -0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

Total 150

Part-II (Weightage: 30%)

1 Basic Amenities / Facilities at Work Place

10

(i) Toilets, Yes - 10 Marks

(ii) Toilets, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

2 Basic Amenities / Facilities at Work

Place 10

(i) Drinking Water, Yes - 10 Marks

(ii) Drinking Water, No - 0 Marks

Please give details and attach/ upload photographs as evidences.

Yes/ No

3 Basic Amenities / Facilities at Work

Place 10

(i) Medical First aid , Yes -10 Marks

(ii) Medical First aid , No - 0 Marks

Please give details and attach/ upload photographs as evidences.

Yes/ No

4 Employment Growth of 3 years 20

(i) Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% & up to 20% - 10 Marks

(iii)Average growth rate above 20% - 20 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applications.

Yes/ No

5 Whether First Generation

Entrepreneur 20

(i) First Generation - 20 Marks

(ii) Others - 10 Marks

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23

Please give details and attach/ upload relevant evidences.

Yes/ No

6 Basic Amenities / Facilities at Work

Place 10

(i) Canteen, Yes - 10 Marks

(ii) Canteen, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

7 Average Growth rate of Cumulative Investment in Plant & equipment

20

(i) Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% &up to 20% - 10 Marks

(iii) Average growth rate above 20% &up to 30% - 20 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applications.

Yes/ No

Total 100

Weightage: Part-I - 70%, Part-II -30%.

Signature Name & Designation of Officers

MSME-DI/ DC(MSME)

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Application form (NAM-4) Parameters & Proforma for Evaluation and Awarding Marks

Lean Manufacturing Techniques

Part-I (Weightage-70%)

S.

No. Parameters for

Awarding Marks Maximum

Marks MSME-DI

CHECKED

the information/

supporting

documents

Marks

allotted by State

Level

Selection

Committ

ee

Marks

suggested by Technical

Division

Brief

comments (Reasons

for

deviation

in marks)

(1) (2) (3) (4) (5) (6) (7)

1 Whether Enterprise has adopted 5S

system 15

i. Yes, up to 5S level - 15 Marks

ii. Up to 2S level - 5 Marks

iii. No initiative -0 Mark

Please give details and attach/ upload approved evidences.

Yes/No

2 Whether Enterprise has

implemented Standard Operating Procedures (SOPs)

10

i. For all processes – 10 Marks

ii. Partially for some processes - 5 Marks

iii. No initiative - 0 Mark

Please attach relevant details. Yes/No

3 Whether enterprise implemented

Enterprise Resource Planning (ERP)

system

15

For all processes through recognized External Software - 15 Marks

For all processes through Internal Software - 10 Marks

iii. Partially for some processes - 5 Marks

iv. No initiative - 0 Mark

Please attach relevant details. Yes/No

4 Whether enterprise Implemented

Energy conservation Techniques 15

i. Excellent Techniques, supporting with Certified Energy Audit report - 15 Marks

ii. Excellent Techniques with supporting documents - 10 Marks

iii. Good Techniques - 5 Marks

iv. No initiative - 0 Mark

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25

Please give details and attach/ upload approved evidences.

Yes/No

5 Whether enterprise implemented Poka – Yoke instructions

15

i. For most of production process -15Marks

ii Just introduced - 5 Marks

iii No initiative - 0 Mark

Please attach relevant details approved evidences.

Yes/No

6 Obtaining/Maintaining ISO -9001 15

i. 3 years & above - 15 Marks

ii. less than 3 years &above 2 years - 10 Marks

iii. less than 2 years - 5 Marks

v. No - 0 Marks

Please attach relevant details approved evidences.

Yes/No

7 Obtaining/Maintaining ISO -14001 15

i. 3 years & above - 15 Marks

ii. less than 3 years &above 2 years - 10 Marks

iii. less than 2 years - 5 Marks

v. No - 0 Mark

Please attach relevant details approved evidences.

Yes/No

8 Any reward scheme introduced for

employees for suggesting Lean

manufacturing

10

i. Yes , with supporting documents - 10 Marks

ii. No - 0 Mark

Please attach relevant details approved evidences.

Yes/No

9 Whether Enterprise provides training to its staff on lean

manufacturing techniques

10

i. Yes, with supporting documents by external experts /agency -10 Marks

ii. Yes, with supporting documents by internal experts - 5 Marks

iii. No - 0 Mark

Please attach relevant details approved evidences.

Yes/No

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26

10 Technology/Strategy adopted for

Lean Manufacturing 15

I By approved consultant/agency - 15 Marks

ii Self - 5 Marks

iii. No strategy adopted - 0 Mark

Please attach relevant details approved evidences with brief Write-up.

Yes/No

11 Growth rate of Average Turnover/ Sales of 3 years.

15

i. Average growth rate up to 10% - 5 Marks

ii. Average growth rate above 10% up to 20% - 10 Marks

iii. Average growth rate above 20% -15 Marks

iv. No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/No

Total 150

Part-II (Weight age-30%)

1 Value of Average Annual Turnover/ Sales of last three years

15

(i) up to Rs. 100 lakh - 5 Marks

(ii.) above Rs.100 lakh & up to Rs.500 lakh -10 Marks

(iii) above Rs.500 lakh -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/No

2 Pollution Control Measures-

10Marks

Note:(Full marks may be given if these measures are not applicable to this industry subject to presentation

of relevant NOC from the

Competent Authority/ Enterprise

exempted by State Govt.

10

i. Yes - 10 Marks

ii. No - 0 Marks

Please attach relevant details approved evidences with brief Write-up.

Yes/No

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27

3 Employee Welfare Measures 5

(i) Yes, ESI - 5 Marks

(ii) No, ESI - 0 Marks

Please give details and attach/ upload relevant evidences for the period.

Yes/No

4 Basic Amenities at Work Place 5

(i) Canteen, Yes - 5 Marks

(ii) Canteen, No - 0 Marks

Please give details and attach/ upload photographs as evidences.

Yes/No

5 Employee Welfare Measures 5

(i) Yes, CPF - 5 Marks

(ii) No, CPF - 0 Marks

Please give details and attach/ upload relevant evidences for the period.

Yes/No

6 Employee Welfare Measures 5

(i) Yes, Bonus - 5 Marks

(ii) No, Bonus - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/No

7 Basic Amenities at Work Place 5

(i) Toilets, Yes - 5 Marks

(ii) Toilets, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/No

8 Growth rate upon cumulative Investment in Plant & Machinery

20

(i) growth rate up to 10% - 5 Marks

(ii) growth rate above 10% & up to 20% -10 Marks

(iii) growth rate above 20% -20 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions

Yes/No

9 Growth rate of average Net Profit

(after Taxes) of 3 years 20

(i) Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% & upto 20% - 10 Marks

(iii) Average growth rate above 20% - 20 Marks

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(v) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions

Yes/No

10 Basic Amenities at Work Place 5

(i) Drinking Water, Yes - 5 Marks

(ii) Drinking Water, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/No

11 Basic Amenities at Work Place 5

(i) Medical First aid , Yes -5 Marks

(ii) Medical First aid , No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/No

Total 100

Weightage: Part-I – 70%, Part-II -30%.

Signature

Name and Designation of Marks Evaluation

Officer of MSME-DI/DC(MSME)

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14

(Application Form: NMA- 5)

Parameters & Proforma for Evaluation and Awarding Marks Quality Products

Part-I (Weightage-70%)

S.

No. Parameters for Awarding Marks Maximum

Marks MSME-DI

CHECKED

the

information/

supporting documents

Marks

allotted by

State Level Selection Committ

ee

Marks

suggested

by Technical

Division

Brief

comments

(Reasons

for deviation

in marks) (1) (2) (3) (4) (5) (6) (7)

1 Testing of Raw materials used / Components/sub assemblies

15

i. Adequate - 15 Marks

ii. Others - 5 Marks

iii. No - 0 Mark

Please give details and attach/ upload relevant evidences with brief write-up and photographs.

Yes/ No

2 Testing equipment/ instrument

available with enterprise 15

i. Adequate -15 Marks

ii. Others - 5 Marks

iii. No - 0 Mark

Please give details and attach/ upload relevant evidences with brief write-up and photographs.

Yes/ No

3 Improvement in Quality Assurance Techniques

15

i. Excellent, with supporting documents - 15 Marks

ii. Good - 5 Marks

iii. No - 0 Mark

Please give details and attach/ upload relevant evidences with brief write-up and photographs.

Yes/ No

4 Obtaining ISO-

9001Series/14000/22000/ HACCP/ GMP /equivalent

certification

15

i. 3 years & above -15 Marks

ii. less than 3 years &above 2 years - 10 Marks

iii. less than 2 years - 5 Marks

v. No - 0 marks

Please give details and attach/ upload relevant evidence.

Yes/ No

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5 Standardization 15

Obtained BIS Mark/International/National Standard (RDSO, GMP,BEE, FSSAI, Ag Mark etc) - 15 Marks

(ii) Product equivalent to any other Specification - 5 Marks

(iii) No Standard - 0 Mark

Please attach relevant evidences Yes/ No

6 Getting instruments/Gauges/test

rigs Calibrated on regular

intervals

10

i. Yes, with supporting documents - 10 Marks

ii. No - 0 Mark

Please attach relevant evidences of Competent Authority.

7 Any reward scheme introduced for

employees for suggesting Improvements Leading to Quality /

Productivity improvement

10

i. Yes, with supporting documents - 10 Marks

ii. Yes, write-up - 5 Marks

iii. No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

8 Whether Enterprise has given skill knowledge to the staff and workers

for Quality Assurance

10

i. Yes, with supporting documents - 10 Marks

ii. others - 5 Marks

iii. No - 0 Mark

Please attach relevant evidences for the period.

Yes/ No

9 Whether Enterprise has Quality

Audit Team 10

i. Yes, with supporting documents, 3 years -10 Marks

ii. Yes, with supporting documents, less than 3 years - 5 Marks

iii. No - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

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31

10 Energy conservation measures 10

i. Yes, with supporting documents, i.e. Energy Audit Report -10 Marks

ii. Write up -5 Marks

iii. No initiative - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

11 Standard of Packaging 10

i. Excellent with supporting documents -10 Marks

ii. Good - 5 Marks

iii. Poor - 0 Mark

Please give details and attach/ upload relevant evidences.

Yes/ No

12 Inventory Control Method 10

i. Excellent with supporting documents -10 Marks

ii. Good - 5 Marks

iii. Poor - 0 Mark

Please give details and attach/ upload relevant evidences.

Yes/ No

13 Use of Technology 10

(i) Developed - 10 Marks

(ii) Conventional - 5 Marks

Please give details and attach/ upload approved evidences of use of developed technology with brief write-up and photographs. In case of conventional use of technology please attach 2 to 3 photographs.

Yes/ No

14 Value of Average Annual

Turnover/Sales of last 3 years

15

(i) up to Rs.100 lakh - 5 Marks

(ii.) above Rs.100 lakh & up to Rs.500 lakh -10 Marks

(iii) above Rs.500 lakh & up to Rs.1000 lakh -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

15 Growth rate of Average Annual

Turnover/Sales of last 3 years. 15

(i) growth rate up to 10% -5 Marks

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32

(ii) growth rate above 10% & up to 20% -10 Marks

(iii) growth rate above 20% -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

16 Growth rate of Average Net Profit

(after Taxes) of 3 years from 1

st year

15

(i) growth rate up to 10% -5 Marks

(ii) growth rate above 10% & up to 20% - 10 Marks

(iii) growth rate above 20% -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

Total 200

Part-II (Weightage-30%)

1 Employee Welfare Measures 5

(i) Yes, CPF - 5 Marks

(ii) No, CPF - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

2 Employee Welfare Measures 5

(i) Yes, Bonus - 5 Marks

(ii) No, Bonus - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

3 Growth rate upon cumulative Investment in Plant & Machinery

15

(i) growth rate up to 10% - 5 Marks

(ii) growth rate above 10% & up to 20% - 10 Marks

(ii) growth rate above 20% -15 Marks

(iv) No growth - 0 Mark

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Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

4 Growth rate upon Employment 15

(i) growth rate up to 10% - 5 Marks

(ii) growth rate above 10% & up to 20% - 10 Marks

(iii) growth rate above 20% - -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

5 Exports (Direct) during the

period Note: In case due to

specific product / supplies to

strategic organizations (viz. Defense etc. where exports not

permissible, marks may be

awarded on the basis of average

growth rate of supply to

strategic organizations.

15

(i) 3 years export -15 Marks

(ii) 2 years export - 10 Marks

(iii) 1 years export - 5 Marks

(iv) No export - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

6 Value of Export Average of last 3

years 15

(i) up to Rs.20 lakh - 5 Marks

(ii)above Rs.20 lakh & up to Rs.100 lakh - 10 Marks

(iii) above Rs.100 lakh - 15 Marks

(iv) No Export - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

7 Growth rate of Average of export

value 15

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34

(i) Average growth rate up to 10% - 5 Marks

(ii) Average growth rate above 10% -10 Marks

(iii) Average growth rate above 20% -15 Marks

(iv) No growth - 0 Mark

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the

applications

Yes/ No

8 Basic Amenities / Facilities at Work

Place 5

(i) Toilets, Yes - 5 Marks

(ii) Toilets, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

9 Basic Amenities / Facilities at Work Place

5

(i) Drinking Water, Yes - 5 Marks

(ii) Drinking Water, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

10 Pollution Control Measures NoteFull marks may be given if

these measures are not applicable

to this industry subject to

presentation of relevant NOC from the Competent Authority/

Enterprise exempted by State Govt.

5

i. Yes -5 Marks

ii. No - 0 Mark

Please give details and attach/ upload approved evidences.

Yes/ No

11 Employee Welfare Measures 5

(i) Yes, ESI - 5 Marks

(ii) No, ESI - 0 Mark

Please give details and attach/ upload relevant evidences for the period.

Yes/ No

12 Basic Amenities / Facilities at Work

Place 5

(i) Medical First aid , Yes - 5 Marks

(ii) Medical First aid , No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

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13 Basic Amenities / Facilities at Work

Place 5

(i) Canteen, Yes - 5 Marks

Canteen, No - 0 Mark

Please give details and attach/ upload photographs as evidences.

Yes/ No

Total 120

Weightage: Part-I – 70%, Part-II -30%.

Signature Name and Designation of Marks Evaluation Officer

of MSME-DI/ DC(MSME)

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14

Application Form: NMA-6 Parameters & Proforma for Evaluation and Awarding Marks

Export Awards

S.

No. Parameters for Evaluation Marks Maximum

Marks MSME-DI

CHECKED

the

information/

supporting

documents

Marks

given

by

SLSC

Marks

given by

DC

(MSME)

Brief

comments

(Reasons

for

deviation

in marks)

(1) (2) (3) (4) (5) (5) (6)

1 Exports (Direct) Average export value of last 3 years

20

(v) No Export -0 Mark

(ii) up to Rs.500 lakh -5 Marks

(ii.) above Rs.500 lakh & up to Rs.10000 lakh -10 Marks

(iv) above Rs.10000 lakh - 20 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applicat ions.

Yes/ No

2 Exports (Direct) Average Growth

rate of export value of 3 years 20

(i) Average growth rate up to 10% - 5 Marks

(ii.) Average growth rate above 10% & up to 20% -10 Marks

(iii) Average growth rate above 20% - 20 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of

the applications.

Yes/ No

3 Percentage of average export to average

Annual Turnover of last 3 years. 35

(i) up to 10% - 10 Marks

(ii.) above 10% & up to 20% -20 Marks

(iii) above 20% & up to 30% - 35 Marks

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Please Attach Calculation Sheet as per the example given in the application. Data should match as given at Serial Number H (Details about the enterprises) of Part – 1 of the applications.

Yes/ No

4 Status of Export House for the year

2015-16 25

No Star - 0 Mark

One Star - 5 Marks

Two Star - 10 Marks

Three Star - 15 Marks

Four Star - 20 Marks

Five Star - 25 Marks

Please give details and attach/ upload approved evidences by the Competent Authority (If no relevant document is attached 0 Mark will be awarded.

Yes/ No

TOTAL 100

Example:

Signature

Name and Designation of Marks Evaluation Officer

of MSME-DI/ DC(MSME)

2013-14 2014-15 2015-16 2016-17 Value

(Rs. in lakh) 20 25 18 30

Growth Rate (25-20) x100 = 25% 2 0

(18-25) x100 = -28% 25

(30-18 )x100 = 66.66% 18

Average Growth Rate of 3 Years

25+(-28)+66.66/3=21.22%

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I certify that I have cleared income tax dues and I am not involved in any economic or other

offence for which legal action/enquiry is pending and also the above information furnished by me is

correct. I undertake to refund the cash prize, return the trophy and certificate, if awarded to me, in case it

is ever found that the information furnished above was incorrect. Further I may also be liable for any

action under the law of the land for any false declaration.

Place:

Date:

SIGNATURE OF THE ENTERPRENEUR

SEAL OF THE ENTERPRIS

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RECOMMENDATIONS OF THE STATE/UT LEVEL SELECTION

COMMITTEE (SLSC)

Name of the enterprise: _________________________________________

State: _________________________________________

Category of Awards: _________________________________________

Out of …… % Weight age

Marks

Marks Awarded (Part-I) 70

Marks Awarded (Part-II) 30

Total

Recommendation :- We have gone through the submissions made by the

entrepreneur and after thorough scrutiny have found it to be a fit case for

consideration by the National Level Selection Committee for National Award for

( P l e a s e T I c k ) Micro/ Small / Medium Enterprise.

Name & Address of the

Members Designation Recommended Signature

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Application Form: NMA-7

Application form for the State/ UTs for Outstanding MSME Awards-2016

1. Name of the State/ UT:

2. Name of the Ministry/Department dealing with MSMEs in the State/ UT:

3. Name of the Minister in charge of MSME with contact details , if any:

4. Name of the Principal Secretary/Secretary/officer of the Department of

MSME:

5. Correspondence Address of the Department dealing with MSME in the State/

UT:

Email:

Mobile/ Phone Numbers:

Fax Number:

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PART-I

Information of the States/UTs in respect of MSMEs

1. Budgetary support by States/UTs Govt. To MSMEs:

2013-14 2014-15 2015-16 2016-17

Amount (Rs. In

crores)

%age Growth

2. Establishment of enterprises in respect of States/UTs

2015-16(w.e.f.18.09.2015) 2016-17

UAM

(Udyog Aadhar

Memorandum)

(in Nos.)

Micro

Small

Medium

Total

%age Growth in total No. of UAM

3. Disposal of cases under MSEFC in the States/UTs:

2013-14 2014-15 2015-16 2016-17

Total No. of cases under

Facilitation Council

Micro

Small

Total

Total No. of cases disposed as per

Act

%age Growth of total No. (Micro

and Small Enterprises) of disposal

of cases

4. Capacity Building: Training of People at District Industries Centre (DIC)

2013-14 2014-15 2015-16 2016-17

No. of people trained

%age growth in No. Of

people trained

5. Credit Guarantee Scheme in the States/UTs

2013-14 2014-15 2015-16 2016-17

No. of MSEs benefitted

%age growth in terms

of No. of MSEs

benefitted

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6. PMEGP Implementation in the States/UTs

2013-14 2014-15 2015-16 2016-17

No. of Units benefitted

%age growth in terms

of Units benefitted

7. Single Point Registration under NSIC in the States/UTs:

2013-14 2014-15 2015-16 2016-17

No. of Units Registered

%age growth in No. Of

units

Example for calculation of growth rate:-

Financial

Year *

2013-14 2014-15 2015-16 2016-17

Value 20 25 18 30

Growth rate (25-20) x100 = 25%

2 0

(18-25) x100 = -28%

25

(30-18 )x100 = 66.66%

18

Average

Growth rate

of 3 years

25+(-28)+66.66/3=21.22%

* As applicable.

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PART-II

Parameters and Proforma for Evaluation and Awarding Marks

Outstanding State/UTs MSME Awards

S. No

Parameters for Awarding Marks Max.

Marks

Marks

given by State/ UT

Govt.

Marks

given by NLSC

Remarks

1 Growth rate of average budgetary support by States/UTs Govt. to

MSMEs of 3 years from 1st year.

20

(i) No growth - 0 Mark

(ii) growth rate up to 10% -5 Marks

(iii) growth rate above 10% & up to 20% - 10 Marks

(iv) growth rate above 20% - 20 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/ UTs)

of Part – 1 of the applications.

2 Growth in establishment of enterprises

in respect of States/UTs.

20

(i) No growth - 0 Mark

(ii) growth rate up to 10% - 5 Marks

(iii) growth rate above 10% & up to 20% - 10 Marks

(iv) growth rate above 20% - 20 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/ UTs)

of Part – 1 of the applications.

3 Implementation of Public Procurement Policy in the States/UTs:

Whether States/UTs has own Public Procurement Policy

10

If Yes -10Marks

If No -0 Mark

(If Yes, Please attach relevant documentary evidences)

4 Whether States/UTs has separate

MSME Department 10

If Yes -10Marks

If No -0 Mark

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5 Disposal of cases under MSEFC in the

States/UTs: 15

(i) No growth - 0 Mark

(ii) growth rate up to 10% - 5 Marks

(iii) growth rate above 10% & up to 20% -10 Marks

(iv) growth rate above 20% -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/ UTs)

of Part – 1 of the applications.

6 Whether the States/UTs has mechanism

for State/ UT level Awards/ certification

to MSME.

10

If Yes -10 Marks

If No - 0 Mark

(If Yes, Please attach relevant documentary evidences)

7 Whether State/ UT have own Revival

Policy for recovery of sick MSMEs.

15

(i) Yes - 15 Marks

(ii) No - 0 Mark

(If Yes, Please attach relevant documentary

evidences)

8 Ease of doing business in the States/UTs:-

I. Is there common applications for

MSMEs for availing benefits of the

different Scheme of the MSME of the

State:-

10

If Yes -10 Marks

If No - 0 Mark

(If Yes, Please attach relevant documentary

evidences i.e. a copy of common application form).

II. Establishment of Grievance cell for

MSMEs:

10

If Yes -10Marks

If No - 0 Mark

(If Yes, Please attach brief write-up giving

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details such as effective date w.e.f. and progress as on date etc.)

III. Whether the States/UTs have been

implementing their own schemes for the

benefit of MSMEs

10

If Yes -10 Marks

If No - 0 Mark

(If Yes, Please attach a brief write-up

indicating such schemes)

IV. Whether the States/UTs have been

implementing the Schemes of the

Ministry of MSME, other than Credit

Guarantee Scheme and PMEGP for the

benefit of the MSMEs

10

If Yes 10 Marks

If No - 0 Mark

[If Yes, Please attach brief write-up on the

Scheme and number of beneficiaries (Scheme-wise) for last three years].

V. Credit Guarantee Scheme in the

States/UTs

15

(i) No growth - 0 Mark

(ii) growth rate up to 10% -5 Marks

(iii) growth rate above 10% & up to 20% -10 Marks

(iv) growth rate above 20% -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/ UTs)

of Part – 1 of the applications.

VI. PMEGP Implementation in the States/UTs

15

(i) No growth - 0 Mark

(ii) growth rate up to 10% - 5 Marks

(iii) growth rate above 10% & up to 20% - 10 Marks

(iv) growth rate above 20% -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/ UTs)

of Part – 1 of the applications.

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VII. Implementation of Single Point Registration under NSIC in the States/UTs:

15

(i) No growth - 0 Mark

(ii) growth rate up to 10% - 5 Marks

(iii) growth rate above 10% & up to 20% - 10 Marks

(iv) growth rate above 20% - 15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/ UTs)

of Part – 1 of the applications.

9 Capacity Building: Is there any mechanism to train the people by DIC

15

(i) No growth - 0 Mark

(ii) growth rate up to 10% - 5 Marks

(iii) growth rate above 10% & up to 20% -10 Marks

(iv) growth rate above 20% -15 Marks

Please Attach Calculation Sheet as per the example given in the application. Data should match as given (Details about the State/UTs)

of Part – 1 of the applications.

Sub-Total-I(1-9) 200

10 No. of awards received in National Award – 2016 by States/ UTs

Weightage of marks

[Sl. No. (vi)

of example]

Evaluation

in this

category

would be

done at the

O/o DC

(MSME)

Level on

the basis of

the weight

age of the

awards

being

received by

States/UTs

as per the

example*.

(i) First Award -15 Marks

(ii) Second Award -10 Marks

(iii) Third Award -5 Marks

(iv) No Award -0 Mark

Sub Total-II

Grand Total (I+II)

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* Example for calculation of weightage of marks in respect of Outstanding States/UTs

MSME Awards:

Category of

Award

Weightage

Maximum

Marks

/Awards

(A)

Number of

Awards being

awarded to

States/UTs

(B)

Total

Marks

(A)X(B)= C

Weightage

Calculation of

Marks

D=(C X …%)

(i) (ii) (iii) (iv) (v) (vi)

1st Award 50% 15 2 30 30 x 50/100=15

IInd Award 30% 10 4 40 40 X 30/100=12

IIIrd Award 20% 5 5 25 25 X 20/100= 5

Sub-Total -II 32

*****

Certificate by State / UT Government

It is certified that the information / documents provided in the application form

(Part-I, Part-II) are correct.

Signature & Stamp of the Authority

Note: Certificate by State/ UT Government by Head of MSME Department where there is a separate Department. In case there is no such department, then a certificate should be

signed by Head of the concerned department looking after MSMEs in the respective State/ UTs.