TRAINING CENTER REGISTRATION FORM

Training Centre Info

Training Centre Name*

Geographical Location * Rural Urban

Center OwnerShip* Self Run Franchisee

Type * <%----%> Rented Owned

Centre Faculty Type * <%-- --%> School College Corporate Premises Onsite Others

Training Centre Creation Date *

Centre Area(In Sq.Ft) <%-- --%>

Infrastructure Details

Number of Training Rooms * 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

Number of Labs 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

Number of Male Washroom 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

Number of Female Washroom 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

<%--

Total Number of Washroom

--%>

Location of Training Center

Address: *

Nearby Landmark: *

Pincode: *

State / Union Territory *

District: *

Tehsil/Mandal/Block:

City/Village/Town: *

Parliamentary Constituency: *

Address Proof Type: * Bank Statement Electricity Bill (Not Older than 2 months) GST Registration Incorporation Certificate Provident Fund Registration Certificate Registration Certificate Rent Agreement + Telephone/Electricity Bill (Not Older than 2 months) Telephone Bill (BSNL/MTNL only) MoU/Agreement

Address Proof: * <%-- --%>

Facilities Available at the Centre

Single Point of Contact Info

Name of The SPOC *

Email Address *

Mobile Number *

Designation *

Landline Number(with STD Code):

Upload Photographs

Center SPOC Photo

Center External Photo

Classroom Photo

Lab Photo

Facilities Available Photo