Application form for incentives for employing differently abled under Maharashtra Tourism Policy (MTP) – 2024 Application Number (For Office Use) Date of Receipt (For Office Use) Genral Details 1. Name of Applicant/ Organization 2. Address of the Applicant/ Organization 3. Eligibility Certificate Tourism Unit Details 1. Project Title 2. Description of Project 3. Total Number of employees/workers: 4. Total Number of workers under disabled category: Details of differently abled employees Name of Worker Aadhar Card Disability Category Bank Account Information Bank Name Branch Name Account Number IFSC Code Bank Name Branch Name Account Number IFSC Code Bank Name Branch Name Account Number IFSC Code Bank Name Branch Name Account Number IFSC Code Bank Name Branch Name Account Number IFSC Code Document Type Aadhar card of the applicant Doc No: Date of Issue: Choose File : Project Plan CA certified balance sheet of the Tourism Unit Disability Certificates of workers Other Documents ( Specify name and other details in the space provided below) 1 Noc/Doc No Date of Issue: Validity Date: Choose File : 2 Noc/Doc No Date of Issue: Validity Date: Choose File : 3 Noc/Doc No Date of Issue: Validity Date: Choose File : Declaration I/We declare that the information given above is correct and verified by me. If found otherwise, we will be liable to refund the subsidy availed with interest. Date: Name of Signatory: Place: Designation: Signature: