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
MSME Unit
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 MSME Unit
*
b.
Registered as (please tick)
*
Proprietorship
Partnership
Private Limited
Other (please specify)
c.
Established since
*
d.
Total Number of Member Units
*
Less Than 50
50 to 100
1000 to 500
500 and more
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.
INFORMATION ABOUT THE UNIT
a.
Industry Type (Textile, Automobile, Pharmaceuticals, etc)
*
b.
Nature of business
*
Manufacturing
Processing
Service
IT
Trading
Craft
Other (please specify)
c.
Total turn over of Unit in last FY
*
d.
Tyep of products /Services (Please Mention)
*
e.
If member of any Cluster Representation/ Association/ Group
*
f.
Sales & Profits
Sales Turnover & Profit for last 3 years
(Please attach a copy of FinancialStatements)
Projected Sales & Profit for next 3 years
(excluding current year)
4.
DESIGN CLINIC INFORMATION
a.
Has the MSME been granted any financial support from Design Clinic before? If yes, please list all project references and amount of funding involved. Please also list other Design Clinic applications of the MSME pending approval.
*
Yes
No
b.
Has the Association of MSMEs been granted any financial support from Design Clinic in the name of another MSME? If yes, please list all project references.
*
Yes
No
c.
Please provide any other supporting information (if any).
5.
Please mention the activities you would be interested to take up for DC
Design Sensitizing Workshop -
1 Day workshop/seminar
Need Assessment Survey and Design Clinic -
3-4 Days workshop/seminar
Design Projects -
Scheduled project
6.
Attach a file (e.g. Visiting Card, Portfolio...)
(Maximum size of the zipped folder attachment should not be larger than 10mb)
SUBMIT
3 May 2012
As a part of Student...
25 April 2012
Design Awareness Sem...
23 April 2012
Orientation Programm...
More ...
www.dcmsme.gov.in
www.nid.edu
