Training Centre Registration

Name of the Center Owner:

Father's Name:

Date Of Birth:

Name of the Trust/Society/Registered Institute/Others:

Postal Address :

City

State

PIN CODE

Email Address:

Mobile Number of the Director:

Alternate Number of the Firm:

Name of the Study/Information Center:

Address of the Study/Information Center

City

State

PIN CODE

Assessment of the Center with respect to the location :

Commercial/ Residential:

CommercialResidential

Owned/On lease/ Rented etc:

OwnedLeasedRented