GOVERNMENT OF JAMMU AND KASHMIR DISTRICT INDUSTRIES CENTRE APPLICATION FORM FOR COIR TRAINING 1. Name of the candidate : 2. Male /Female : 3. Father/Husband's name : 4. Address : 5. Father/Husband occupation : 6. Age & date of birth : 7. Whether belongs to Sc/ST : 8. Educational qualification : 9. Whether he/she has attended any other training Programmes conducted by Central/State Govt. : 10. Whether he /she is native/resident: of Jammu and Kashmir State Place : Signature of the candidate. Date :