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-: APPLICATION FORM FOR FRANCHISE :-
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Institute Information :
Name of the Institute
Year of Establishment
Status of The Institution
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Trust
Regd. Society
Partnership Firm
Proprietorship Firm
Pvt. Ltd.
Others
State
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Odisha
West Bengal
District
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City / Town / Village
A.T
P.O
P.S
Postal Address of the Institute
Pincode
Business Phone No.
Whatsapp No.
Email Address
Information About Centre Head :
Name of the Centre Head.
Designing / Position Hold of the Centre
State
-- Select State --
Odisha
West Bengal
District
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P.O.
P.S.
Postal Address of the Institute
Pincode
Mobile.
Email Address of the Centre Head
Date of Birth of the Centre Head
Nationality.
Religion
Sex / Genger
Marital Status.
Centre Head Educational Qualification
Centre Head Professional Experience
Centre Director OR Centre's Pan No.
Centre Director Aadhar No
GSTIN No.
Available Infrastructure Facility of the Centre :
Office Room
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Theory Room
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Practical Room
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Staff Room
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Library
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Reception
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Toilet
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Waiting Room
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Any Other
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Faculty Information of the Centre :
Name of the Faculty
Qualification
Teaching Experience
Working Type
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
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-- Select Work--
Full Time
Part Time
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
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-- Select Work--
Full Time
Part Time
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
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-- Select Work--
Full Time
Part Time
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
-- Select Experience --
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-- Select Work--
Full Time
Part Time
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
-- Select Experience --
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-- Select Work--
Full Time
Part Time
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
-- Select Experience --
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-- Select Work--
Full Time
Part Time
-- Select Qualification --
H.S.
DOEACC 'O' Level
DOEACC 'A' Level
DOEACC 'B' Level
Graduate in BCA
Graduate in MCA
Graduate in PGDCA
Post Graduate
Others
-- Select Experience --
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-- Select Work--
Full Time
Part Time
Details of Available Facilities of the Centre :
No. of Computer
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No. of Reference Books
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Licensed Software
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No. of Journal
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No. of CD's
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No. of Projector / LED
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Internet Facility with Speed
-- Select Internet Facility with Speed --
Yes
No
Inverter / Generator Facility
-- Select Inverter / Generator Facility --
Yes
No
Drinking Water Facility
-- Select Drinking Water Facility --
Yes
No
Upload Documents :
(Maximum Upload Size 100 KB )
Colour Passport Size Photograph of The Head of The Institute.
*
Voter Card of The Institute Head
(Both Side in One Page) *
Pan Card of The Institute Head.
*
Trade License / Registration Certificate of The Institute
Colour Photograph of Theory Room.
Colour Photograph of Practical Room
Colour Photograph of Office Room.
Colour Photograph of Front Side of The Institute
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