Application for training on mushroom cultivation technology 01/20/2018

at ICAR DMR Solan (HP)

Please provide information for all the fields. (Application can be handwritten/
typed)

Training applied for (Refer the training calendar-2018 of ICAR DMR, Solan for details)

Training Module No: __________

Date of training: _________

Name (As you want it to be printed in certificates):

_________________________________________

Gender: Male/ Female

Category: SC/ST/OBC/ General

Complete postal address:

State: _______________

Mobile No: ___________________

Aadhar No: ___________________

Email: ________________________

Date of birth: ___________________

Education/ qualification: ______________________

Living place: ____________________

Present employment/ designation: ___________________

Have you taken any training on mushroom cultivation? If yes, please give description
about training name, institution from where trained and duration of training

Have you cultivated any mushroom before?

ICAR DMR Solan (HP) 01/20/2018