Franchise Application

Institute Location :

State*

District*

Study Centre *

Institute Information :

Name of the Institute

Year of Establishment

Postal Address of the Institute

Institute Contact No.

Whatsapp No.

Email Address

Same as Institute Information

Information About Centre Head :

Name of the Centre Head

State Head

District

Postal Address of the Centre Head

Mobile

Email Address of the Centre Head

Date of Birth

Nationality

Religion

Gender

Marital Status

Educational Qualification

Centre Director PAN No.

Centre Director Aadhaar No.

Available Infrastructure Facility of the Centre :

Office Room

Theory Room

Practical Room

Staff Room

Reception

Any Other

Details of Available Facilities of the Centre :

No. of Computer

No. of Projector / LED

Internet Facility with Speed

Inverter / Generator Facility

Drinking Water Facility

Upload Documents : (Max file size: 1 MB)

Colour Passport Size Photograph Of The Head Of The Institute

Aadhar Card Of The Institute Head (Both Side in One Page)

Pan Card of the Institute Head (Both Side in One Page)

Voter Card Of The Institute Head (Both Side in One Page)

Trade License / Registration Certificate of The Institute

Declaration :

I hereby certify that the context stated above are correct and true to my knowledge and belief and hereby confirm that our Organization / Society / Trust is free from any legal / official disputes whatsover.I accept that any facts stated above. I found incorrect will automatically result in cancellation for nominations associate.However I will have no right whatsover to fight / challenge legally against the judgment in any court of law. All disputes are subject to Ranaghat Jurisdiction only.

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Institute Location :

Institute Information :

Information About Centre Head :

Available Infrastructure Facility of the Centre :

Details of Available Facilities of the Centre :

Upload Documents : (Max file size: 1 MB)

Declaration :

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