DC(Handicrafts),Government of India.

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VENUE :

Date:

NAME OF THE CLUSTER:

NAME OF EXHIBITOR: (YOU MAY ATTACH VISITING CARD)

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ADDRESS:

STATE :

CITY :

PIN CODE

PAN NO. OF THE Artisans/SHGs/Company

TELEPHONE NO:+91

FAX NO:+91

Mobile No.:

EMAIL:

WEBSITE:

YEAR OF ESTABLISHMENT:

EXPORT TURNOVER IN RS.:

(LAKH/S)

EXPORT MARKET:

ANY OTHER
(PLEASE SPECIFY)

I / WE HEREBY DECLARE THAT THE ABOVE INFORMATION PROVIDED IS TRUE AND CORRECT AS PER MY KNOWLEDGE.

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Name of the Participant

ADDRESS: