MSMEs
MSME'S ASSOCIATION/ Govt. Organizations
MSME Unit
DESIGN SERVICE PROVIDER
Design Consultant
Design Firm
Design Institution
Design Student
18th May, 2012
Suruchi Shikshan Vasahat Trust,
26th May, 2012
Design Awareness Seminar
Jharkhand Small Tiny Service & Business Enterprises Association,
EAST Zone
Bokaro, Jharkhand
May, 2012 (date tentative)
NORTH Zone
Mau, Uttar Pradesh
May, 2012 (date tentative)
Design Awareness Seminar
MSME DI, Roorkee
Survey & Drawing Instruments
NORTH Zone
Roorkee
May, 2012 (date tentative)
Design Awareness Seminar
Foundation of MSMEs,
Sports Goods,
NORTH Zone
Jalandhar
May, 2012 (date tentative)
Design Awareness Seminar
Hosur Small & Tiny Industries Association,
Engineering,
SOUTH Zone
Hosur, Tamil Nadu
May, 2012 (date tentative)
Design Awareness Seminar
Moga Agro Industries Association,
Agro Products,
NORTH Zone
Moga, Punjab
May, 2012 (date tentative)
Design Awareness Seminar
Sewing Machine Association,
Sewing Machines,
NORTH Zone
Ludhiana, Punjab
May, 2012 (date tentative)
Design Awareness Seminar
Solar Energy Society of India,
Solar Equipments,
NORTH Zone
Delhi
DESIGN CLINIC REGISTRATION FORM FOR
Design Institution
APPLICATION FOR DESIGN CLINIC SCHEME FUNDING ASSISTANCE
(To ensure the easy and correct processing of your application, please ensure that the application form is filled up completely and neatly. Where information is not available or applicable, please indicate accordingly. Please enclose all supporting documents as
requested in the form).
1. GENERAL
a.
Registered name of Institution
*
b.
Registered as (please tick)
*
Trust
Educational body
Government institution
Private Institution
c.
Affiliation/Recognition by (If Applicable)
*
Govt. Body
Industry Body
International Group
Institutional Body
d.
Established since
*
e.
Courses conducted for
*
UG (Under graduation)
PG(Post graduation)
PhD
f.
Total Number of Design/Technical Faculty and Staff.
*
Less Than 10
10 to 50
50 to 100
100 and more
g.
Total Number of Students
*
Less Than 100
100 to 200
200 to 500
500 and more
h.
Discipline and courses undertaken as study programme:
*
Industrial design
Visual Communication
Design Management
Others area (Please Write)
2.
CONTACT INFORMATION
Contact Person (please mention initials as Mr.,Ms.,Mrs. etc.)
*
Address
*
District
*
State
*
PIN Code
*
E-Mail
*
Phone No
Mobile
Fax
Website
3.
DESIGN EXPERTISE DETAILS
Besides education is the Institution Participating in Consulting services and workshops
*
Yes
No
Institute’s work experience in area of Consultancy (Total number of years)
*
Name the sectors in consulting areas (e.g. Crafts, Industrial processes,
Product innovation, etc)
*
i
ii
iii
4.
MSME DESIGN CLINIC DETAILS
Is Institution associated with MSME for other activities
*
Yes
No
If yes Please mention the programme/scheme
*
5.
What activities the Institute would be interested to take up for DC
Design Sensitizing Workshop -
1 Day programme
Need Assessment Survey and Design Clinic
Design Projects
6.
Attach a file (e.g. Visiting Card, Portfolio...)
(Maximum size of the zipped folder attachment should not be larger than 10mb)
SUBMIT
