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Training Programme Application Form

This document is an application form for a training program hosted by the Ministry of Micro, Small & Medium Enterprises. The form requests information such as the applicant's name, address, contact details, educational qualifications, category, and course fees. Along with the application, the applicant must attach documents including a passport photograph, proof of identity, educational certificates, caste certificate if applicable, and a demand draft for the course fees made out to the program director. The applicant declares that the information provided is true and understands that fees will not be refunded if any information is found to be false.

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ASHWIN BALAJI R
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0% found this document useful (0 votes)
144 views1 page

Training Programme Application Form

This document is an application form for a training program hosted by the Ministry of Micro, Small & Medium Enterprises. The form requests information such as the applicant's name, address, contact details, educational qualifications, category, and course fees. Along with the application, the applicant must attach documents including a passport photograph, proof of identity, educational certificates, caste certificate if applicable, and a demand draft for the course fees made out to the program director. The applicant declares that the information provided is true and understands that fees will not be refunded if any information is found to be false.

Uploaded by

ASHWIN BALAJI R
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICANT’S

Government of India PHOTOGRAPH TO


Ministry of Micro, Small & Medium Enterprises BE PASTED HERE
MSME – Development Institute
Rajaji Nagar Industrial Estate, West of Chord Road, Bangalore. – 560010
TRAINING PROGRAMME - APPLICATION FORMAT
Training programme on: Dates:

_______________To_______________

Applicant’s name

Father’s / Husband’s
name
Aadhaar Number
(Attach Document for Proof)

Address

Mobile Number e-mail Address

Date of Birth Gender Male Female


(Attach Document for Proof) ( whichever is applicable)

Category General *SC *ST *OBC (*Attach copy of SC/ST/OBC certificate)


( whichever is applicable)

Highest Educational
Qualification
(Attach Document for Proof)
Documents to be attached along with Application:
#
1. Demand Draft in the Name of “Director PD Account, MSME-DI Bangalore” payable at Bangalore.
2. Two Passport –size photographs (One copy to be pasted on this application, Another copy to be submitted
separately)
3. Copy of AADHAAR Card
th
4. Copy of SSLC / 10 Mark Sheet
5. Copy of Highest Education Certificate / Mark Sheet
6. Copy of Voter ID/ PAN Card
7. Copy of SC/ST/OBC Certificate
Course Fees Details:
Total Fees (Rs.): In words:
Bank Name: Demand Draft Number#

Declaration
I do hereby declare that all the documents made in the application are true and correct, in the event of any information
being found false, incomplete and incorrect or concealing the facts, my candidature may be cancelled at any stage
without any notice.
I understand that in any circumstances, the course-fee paid by me would not be refunded/transferred/adjusted for any other
course.

Date: Place :
Signature of Applicant

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