Application Form
(Note: Please must fill the mandatory fields highlighted with * of the form)

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GOVERNMENT OF PAKISTAN
Ministry of Science & Technology
1-Constitution Avenue, Sector G-5/2, Islamabad
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APPLICATION FORM FOR “CERTIFICATION INCENTIVE GRANT FOR SMEs UNDER PQI INITIATIVE 2025”

TO BE FILLED IN BY THE APPLICANT (Please download and read the instructions available at Downloads Link before filling the application form)

1. Applicant information
a. Name of the Company/Firm(* Mandatory):

b. Type of Company/ Firm (Public/ Private/ Self owned etc.)(* Mandatory):

c. Nature of Business of the Company/Firm    (Manufacturer/Trader/ Exporter/ Service Provider    etc.)(* Mandatory):

d. Business Sector (Please mention specific name)(* Mandatory):

e. Permanent Address(* Mandatory):

f. Contacts:

Phone#:

Fax#:     

Email:     

Website:

g. Name of CEO/MD/ Director/Proprietor of the Company/Firm(* Mandatory):

h. Particulars of the Contact Person:

Name(* Mandatory):   

Phone#:

Mobile#:

Fax#:      

Email:     

i. Valid National Tax No. (NTN) of the Company / Firm(* Mandatory):                

j. Valid General Sales Tax (GST) No. of the Company / Firm(* Mandatory):      

k. Valid Export Registration No. (if any) of the Company / Firm:

l. Valid EoBI or Social Security No:                                                

m. Employment size of the Company / Firm::                               

2. Whether the Company /firm is registered with the local     Chamber of Commerce and Industry? If yes:
Name of the Chamber of Commerce & Industry:
Registration#:

3. Whether the Company / Firm is a member of any Trade     Association?                                            If yes:
Name of the Association:
Membership #:

4. Whether the Company / Firm is involved in Export     Business?                                                If yes:
Export License #:
Validity Date:

5. Whether the Company / Firm is involved in Local sale of     products / Services?                              If yes:
Nature of Products:
Nature of Services:

6. Target Countries for Export of Products / Services:

7. Financial Turnover of the Company / Firm:
a. Average Turnover in Local Business (Pak Rs.) (for the last 3 years):

b. Average Turnover in Foreign Business (Eq. Pak. Rs.): (for the last 3 years):

c. Grand Total (a+b) Pak. Rs.:

8. Details of Existing Certification(s) / Accreditation achieved by the Company / Firm, if any.

Sr.#
Title of Certification(s) / Accreditation
Standard(s) Implemented
Name of Certification / Accreditation Body
Validity of Certification / Accreditation


9. Details of Information of Certification System for which Incentive Grant under PQI Initiative 2025 is Applied:
a. Title of Certification / Accreditation(* Mandatory):

b. Title of Relevant Standard for which Certification/Accreditation is sought(* Mandatory):

c. Name of Certification / Accreditation Body Engaged(* Mandatory):

10. Any Other Relevant Information:

CERTIFICATE

I(* Mandatory), S/o,D/o,W/o(* Mandatory) in the capacity of CEO/MD/Director/Proprietor of M/s(* Mandatory) located at (please mention complete permanent address)(* Mandatory) do hereby certify that the information provided above is correct and complete and nothing has been concealed or distorted to the best of my knowledge & belief. Further, I render myself liable to any penalty/ censure/ withdrawal of Incentive Grant, in case of incorrect or misleading information.

Signature & Stamp:___________________________________

Name(* Mandatory):

Date:

VERIFICATION

It is verified that M/s located at holds valid registration number of Chamber of Commerce & Industry or Trade Association.

Signature & Stamp:___________________________________



© 2016 Certification Incentive Programme for SMEs Under PQI Initiative 2025 by: Ministry of Science & Technology