Registration form for Entrepreneurship Development Programme on

Commercial Dairy Farming

1. Name of Applicant:_________________________________________
2. Father’s Name:____________________________________________
3. Date of
Birth:______/_________/______________________________
4. Address:__________________________________________________
_________________________________________________________
_________________________________________________________
5. Nationality:_______________________________________________
6. Qualification:______________________________________________
7. Telephone no./ Mobile no:___________________________________
8. Fax no:___________________________________________________
9. Email:___________________________________________________
10. Profession: Service/ Business:________________________________
11. If in Service:
a) Current Organization:_______________________________
b) Area of Responsibility:______________________________
c) Website:__________________________________________

12. If in Business:
a) Details of Business:_____________________________
b) Website:______________________________________

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 13. Give a brief description of your experience and background:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

14. How you come to know about SINED TBI?

____________________________________________________________

I am enclosing hereby a Demand Draft_____________________________

Dated _________________ for
Rs.________________________________
in favour of Technology Business Incubator at NDRI Campus, payable at
Karnal.

Date Signature

For Further information, please contact:

Mr. Sudhakar Sharma
Managing Director
Technology Business Incubator (TBI)
Society for Innovation & Entrepreneurship in Dairying (SINED)
National Dairy Research Institute Campus,
Karnal – 132 001, Haryana/India
Phone: +91 184 2251347
Mob. No.: (+91) 09671817307
E-mail: sudhakartbi@ndri.res.in, ndritbi@gmail.com

* Rs.12, 500/- per candidate (without Boarding and Lodging)

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 * Boarding and Lodging will be charged as per actuals.

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