EDII - Goa Centre

Registration for Entrepreneurship Development Program (MSRY)

Program Name^*

Name of the Candidate (Which will be printed on the Participation Certificate)^*

State of the Candidate^*

District of the Candidate^*

Taluka^*

Address

Mobile Number^*

Email Id^*

Gender

Age^*

Social Category^*

Education Qualification ^*

Aadhar Number

PWD/Normal

Awareness about the program? ^*

Preferred Meal

Type of Entrepreneur ^*

Select Department^*

Name of College^*

Education stream^*

Enrolled year^*

Student PRN ^*

Do you intend to establish your business?

Share the details (Sector) of business to be set up^*

Select ID proof (Student ID Card/ Registration Card/ Hall Ticket)

Business Name/Firm name (As per UDYAM)^*

Type of Business

Date of Incorporation

Number of full-time workers in your enterprise

Annual Turnover (Total Sales Value in a Year)

Udyam Registration Number

Industry Type

Category of MSME Unit

Details of Business (Provide major business Activities)

Copy of Udyam

The information provided above is true and correct to the best of my knowledge. ^*
I Agree