Application Form
ICDC
INDIAN CONTEMPORARY
DMAP
DESIGN COMPETITION
India
D e s i g n Mentorship Activation Program
Please check one: JEWELRY
(Please wr ite legibly)
LIFESTYLE OBJECTS HOME
Name: Surname _________________________ First Name _____________________________ Birthdate: ______ Age: ________ years old BEFORE March 15, 2012 Address: _______________________________________________________________________ Landline: ______________Mobile No._________________ E-mail: ________________________ Materials to be used : ______________________________________________________ State/Region/Cluster represented : _____________________________________________
Educational Background or School and Course you are attending at present:
Name of College Attended
Dates From To
Class Attended and Qualifications Obtained
Work Experience (both full-time and part-time):
Name & Address of Company Period of Employment
Position
Job Nature
A w a rd s (i f a n y ): N a m e o f A w a rd
Event
Da te
* D o c u m e n t s t o b e a t t a c h e d w it h t h i s a p p l i c a t i o n fo rm : 1. 2. 3. O n e d e s i g n (p le a s e s e e t h e a t t a c h e d d e s i g n s a m p l e fo r d e t a i l s ) I D p r o o f c e rt i f yi n g n a m e o f c o l l e g e , c o u rs e a n d b a t c h A b r ie f D e v e l o p m e n t a l B u s i n e s s P l a n (D B P ) t h a t il l u s t ra t e s w h o a n d h o w m a n y p e o p l e w i ll b e n e f i t f ro m t h e i r p la n , w h a t l o c a l m a te r ia l s w i l l b e u s ed , h o w m u c h p ro f i t c a n b e e x p e c t e d a n d w h a t o v e ra l l i m p a c t t o s o c i e t y i n g e n e ra l is e x p e c t e d t h ro u g h t h e e x e c u t i o n o f t h e i r d e s i g n e n t r y P l e a s e s e e a t t a c h e d s a m p l e fo r d et a i l s ) .
I h e re b y d e c l a re t h a t t h e a b o v e i n fo rm a t i o n i s c o rre c t a n d t ru e . I a g re e t o a b i d e b y t h e g u i d e l in e s g o v e r n i n g t h e n a t i o n a l s e l e c t io n a n d c o m p e t i t i o n , a n d t e rm s o f t h e c o n t ra c t , w h i c h f o rm p a rt o f t h i s A p p li c a ti o n F o rm .
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Development Commissioner (Handicrafts)
Export Promotion Council for Handicrafts