Govt. of India Ministry of Micro, Small & Medium Enterprises, M S M E - DEVELOPMENT INSTITUTE, JAMMU (J&K) Telefax : 0191-2431077, E-mail :
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Web : http//www.msmedijammu.gov.in Application form for training Programme on ESDP/ EDP/ MDP / BSDP NAME OF THE PROGRAMME ............... 1. Name of the Candidate. :.................... 2. Father's Name :................... 3. Address :......................... ......................... Phone No/Mobile No .................... 4. Age ( Date of Birth) :..................... 5. Educational Qualification :................. 6. Sex : MALE / FEMLE 7. Caste (Category ) : General / SC / ST / OBC / P.H. / Ex. Serviceman/ Woman 8. Minority : Christian / Budhist / Jain / Sikh / Parsi 9. Fee paid : Rs. ...... Cash / Demand Draft No ...... Drawing Bank........ Date......... 10. T.R. 5 No (If deposited in cash with the cashier of O/o Director MSME DI, Jammu ) .......... Signature of Candidate Date : ..../...../..... Date Month Year Note: Candidates can also send their application on Fax No 0191-2431077.