Study Center Name * :
|
|
|
Center Head / Director Name * :
|
|
Complete Address of Proposed Sight * :
|
|
Block * :
|
|
City * :
|
|
State * :
|
|
Dist :
|
Pin No * :
|
Email Address * :
|
|
Ph/Mobile No * :
|
|
Year of Eastblishment (Study Center) :
|
|
|
|
* Fill up the Required Study Centers in the Column Below -
(Which department are yoiu run at your center : Computer/Vocational/Technical/Correspondence/Paramedical/Govt. Coaching/Othes)
|
|
Total Space Available in the Study center ( In Sq. Feet)
|
How many PC Avaliable :
|
|
Internet Facility :
|
|
|
|
Center Information (* Correctly Mentioned)
|
Center Head Room |
Theory Room |
Practical Room
|
Library Room |
Reception |
Staff Room |
|
|
|
|
|
|
|
Are you presently ( Franchisee/Franchiser/NGO/Trust/Society/ Pvt. Firm/ Parthnership Firm/Ltd) Fill Up
|
|
Eastemated Cost of Total Setup :
|
|
No of Faculty :
|
|
Declaration : All The impormation given above are true to the best of my knowledge & nothing is concealed therein. I have read & understood the rules & regulations mde by V.I.H.E & accept the same.
|
|