| CENTER REGISTRATION FORM |
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Institute Owner Name *
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Educational Qualification : *
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primary1_profs *
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dATE OF Birth *
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pan_number1
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aadhar_number1
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contact_number1
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whatsapp_number1
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email_id1
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admin_full_address1
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Owner Photo
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file should be 1MB*
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Owner Sign
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file should be 200kb*
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SECOUND DIRECTOR DETAILS
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2nd Institute Owner Name :
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2nd Owner Educational Qualification :
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Primary Profession :
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Date of birth :
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Pan Number/Voter ID No :
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Aadhar Number
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Mobile Number
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Alternate Mobile Number
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E-Mail ID
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Registered Address(Admin) :
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2nd Owner Photo :
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file should be 1MB* |
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2nd Owner Sign :
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file should be 200kb* |
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INSTITUTE DETAILS
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Institute Name*
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Institute Mobile*
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Institute Alternate Mobile
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Institute Email*
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Reg Date*:
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Total Classroom :
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Institute Area ( Area in square feet ) :
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Branch House no
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Branch vill/town
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Branch Post Office
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Branch Block Tahsil
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Select Country*
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Select State*
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Select District*
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Institute Alternate Mobile
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Pincode
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Postal Address(Office)*
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Theory Room( Area in square feet )
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Practical Room( Area in square feet ) :
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Total Computers :
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Total Teachers :
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Higher Education of Teachers :
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Software_Zone
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Hardware_Zone
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Vocational_Zone
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NIELIT_Zone
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Reception
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Staff Room :
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Notice Board :
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Complaint Box :
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Water Supply :
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Toilet
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First Aid :
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Fire Extinguisher :
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CCTV Camera :
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Wi-Fi/Internet :
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UPS/Inverter
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Trust/ Society Name.... (if any)
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Trust/ Society Registration Number ..... (if any)
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Branch Application Form
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Only Pdf Acceptable
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Trust/ Society Certificate Upload..... (if any)
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Branch Additional document (if any)
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File should be JPG,JPEG or PDF only
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Password
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