SMJV’s CKSVIM
Centre for Entrepreneurship & Enterprise Development (CEED)
and
iCreate
Offers
Entrepreneurship Development Program For SMEs Growth
Application Form for Participants
Name: Mr. /Ms._________________________________________
Photo
Organization: ___________________________________________
Address:
__________________________________________
__________________________________________
Email Id:
__________________________________________
Office No:
______________ Cell No.: ____________________
Degree/Diploma
University/Institution
Year of Passing
Percentage/Grade
Reason for Interest in the Program: _____________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Payment by local / at par cheque / DD No. ________ , dated: __________ Rs. _________ on Bank
_______________________________________________ in favour of ‘Shri Mahavira Jaina Vidyalaya Education
Foundation”, payable at Vadodara.
Date:
Signature
Contact / Send Application by Email to:
 EDP Coordinator: Mr. Ankit Shah, Asst. Prof. and Training & Placement Officer at [email protected]
Cell No.: 9099063574
 Payment: Please Submit signed copy of your filled in Application Form with Cheque / DD for the relevant
amount to: Ms Anjali, Admin Officer / Ms Reshma, Counselor, Admin Office at the Institute.