Home » Center Affiliation Form
Name of Applicant:*
Residence /Permanent Address:*
Contact Number:*
E-mail ID:*
Academic Qualification:*
Technical / Prof. Qualification:
Any work/ Business Experience:
Name of the Institution:*
City/Village:*
Taluk:*
District:*
Pin Code:*
Name of the Center Head:*
Annual Student strength (Average):*
Year Establishment:*
Institution Type:*
Proprietorship
Partnership
Society
Trust
Other
Carpet Area of institute premises:*
Number of Rooms:*
Distance from Degree college:*
Distance from Bus stop:*
Distance from Railway station:*
Courses offered at your center:*
Computer courses
Vocational
Professional
Coaching Classes
Others(Specify)
Are you currently associated with any educational organization/ Company:
Yes
No
If Yes please specify the company name:
Owner Photo(Passport Size)*
Signature*
Aadhar*
Rent Agreement / Sale Deed
Electricity Bill
Center Photos
Faculty Resume
Clicking of submit button, I understand that, I declares the information given above are correct to the best of my knowledge. I have read the terms and agree to abide by them.
Email ID *
City/Place:*
Type of Business:*
Building Type:*
Ownership
Rental
Carpet area used for the institution in the proposed building:*
In which unit you will offer the courses:*
Computer
Technical
Write your Remark / Comment:*
Rent Agreement
