(MSME BUSINESS REGISTRATION FORM)

DELTA STATE MICRO, SMALL & MEDIUM ENTERPRISES DEVELOPMENT AGENCY

(DEMSMEDA)

Olorogun Felix Ibru Secretariat Annex, Mariam Babangida Way Asaba.   

Name of Business Category-of-Business--->Micro or Small or Medium Type-of-Business-Registration---> Limited Liability or Enterprises or Cooperative or Sole proprietorship Nature-of-Business Sub-type of Business Business Address Business Phone Number Business Email LGA of Business Number of Staff Name of Business Owner Residential Address Phone number LGA of Origin Age DECLEARATION …………………………………………………………………………………………………………………Hereby declare that all the above information are true and verifiable and that any false and/or misleading information given by me shall lead to automatic disqualification.     Submit