Name of the applicant ……………………………………………………….. Address of the applicant ………………………………………………………
Name of the products manufactured /
to be manufactured on which designing
input is required ………………………………………………................
Name of the Company / NGO / Society / SHG etc. belonging
to or individuals ………………………………………..................………
Address of the Parent Company / NGO / Society / SHG etc.
………………………………………
..……………………………………
..……………………………………