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MSME-OI .Industrial Motivational Campaign
Date: ---- At: --------(qJ1Cf)~OI>fCl?('/REGISTRATION SHEET)
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(Yvj"jCbxUI>fL!?f/REGISTRATION SHEET)Continuation SheeU .....
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Mobile No.
Women SC ST OBC Minority PH Others General
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~o~o~oto fc1c.nm ffl-QlR, ~ (mc=r) /MSME Development Institute, City (STATE)
13E1~dI.W,~ ~ Cf>14SfjJj/Entrepreneurship-cum-Skili Development Programm
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~o~o~oto fctcrm m~, ~ (>Iicf) /MSME Development Institute, City (STATE)
~I:l'l ~ CflI4ctll"j/Management Development Programme
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1. ~ ~ ~ C!JT <fill ~ l:i ) ~/~/~Name of the Participant (English) Mr.l Mrs.l Miss
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Father'sl Husband's Name Mr.
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Mode of payment: Cash I Demand Draft No.~:/Dated
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3~ \ilTfTI I \ii1 \iil A cf; wnuT 1T3f ct't '<l,LlIfQC1t9TLIT ~SC/ST Certificate - Attested Photocopy
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5 31T'ClR ~ CfiTi ct't ~l~lfQC1 \JILlI~AI Aadhar Card-Attested Photocopy Signatureof the Participant~<l> !Date