MICRO SMALL & MEDIUM ENTERPRISES DEVELOPMENT INSTITUTE JAMMU (J&K) Telefax: 0191-2431077 NAME OF THE PROGRAMME: 1. Name: ____________________________________________ 2. Address: __________________________________________ 3. Age(Date of Birth) : __________________________________ 4. Educational Qualification: _____________________________ PHOTOGRAPH 7. Minority : Muslim Christian Buddhist Jain Sikh Parsi 8. Fees: Rs.____________________________________ 9. T.R.-5 No.____________________________________ Date:-_________ Signature of Candidate Note: -Candidates can also apply through Fax form