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  • Application Form2

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    Sakshi Haval
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    1. The document is an application form for a course at the MSME - Technology Development Centre in Agra, India. 2. It requests information such as the candidate's name, photo, gender, category, address, contact details, qualifications, employment status, organization name, fee paid and payment mode from applicants. 3. Applicants are asked to fill in all the details in capital letters and provide a signature at the bottom.

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    1. The document is an application form for a course at the MSME - Technology Development Centre in Agra, India. 2. It requests information such as the candidate's name, photo, gender, category, address, contact details, qualifications, employment status, organization name, fee paid and payment mode from applicants. 3. Applicants are asked to fill in all the details in capital letters and provide a signature at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    22 views1 page

    Application Form2

    Uploaded by

    Sakshi Haval
    1. The document is an application form for a course at the MSME - Technology Development Centre in Agra, India. 2. It requests information such as the candidate's name, photo, gender, category, address, contact details, qualifications, employment status, organization name, fee paid and payment mode from applicants. 3. Applicants are asked to fill in all the details in capital letters and provide a signature at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MSME - TECHNOLOGY DEVELOPMENT CENTRE

    (Process & Product Development Centre)


    A Govt. of India Organization, Under Ministry of MSME
    Foundry Nagar, Agra-282006

    Application Form
    (Mention all details in CAPITALS only)

    Course Name: …………………………………………………………….….


    Affix your
    Candidate Name: .......................................................................... passport size
    photograph
    Father’s Name: ..........................................................................
    Write name on
    Gender …………………………………. Maritial Status ………………………………… back side of
    photograph
    Category (Gen/OBC/SC/ST) ……………………………………………………………………….

    Aadhar No: ..........................................................................

    Date of Birth: …………………………………………………………..............

    Contact Address: ..........................................................................

    ..........................................................................

    ..........................................................................

    Pin Code ………………………………………………………………………..

    Mobile No.: ……………………………….........................................

    E-Mail id ……………………..……………………………………………….

    Qualification: ……………………………………………………………………….

    Employment Status(Employed/Self Employed/Un-Employed/Student)…...……………………

    Organisation/Firm Name: ……………………………………………………………………….

    Fee Paid (in Rs.) ……………………………………………………………………….

    Mode of Payment(Cash/D.D/ Online transfer)…………………………………………………

    Remarks ……………………………………………………………………….

    Date : ……………………….

    Place : ……………………..

    Signature of Candidate

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