BECOME A NEW CENTER





Applicant Profile

Name of Applicant (Company/Society/Trust/Other)

Correspondence Address:

City

Pin code

State

Owner Personal Details

Owner Name

Designation

Phone:

Mobile:

Email:

Project Co-Ordinator Details:

Name of Co-Ordinator

Co-Ordinator Mobile No:

Co-Ordinator Email:

Bank Account Details:

Account No:

Account Type:

Account Holder Name:

Pan Card No:

Bank Name:

Branch Name (city):

IFSC code:

Infrastructure Details:

Total Area:

Details of Area to be used Exclusively for Bhagat Singh Computer Education Associate Centre:

Description Units Total area (in sq.ft.) Sitting capacity
Classroom
Lab
Counseling
Reception
Library
Staff room
Audio visual room
Toilet & circulation

Technical Infrastructure Details to be used for Bhagat Singh Computer Education:

Details of Computer /Lab:

Type Processor Ram HDD Brand Number
Server
Client pc

Type of Internet Facility:  Leased Line Broadband Dial Up Other

Office Automation Details:

Equipment’s Printer Generator Ups HeadPhone Scanner
Select  yes  yes  yes  yes  yes

Attachments

(Max size = 150kb)

Registration of firm

Rent Agreement

Pan Card

Bank copy or cancel check

Electricity bill

Center Head Resume

Photo of Front view

Photo of Lab

Photo of classroom

Photo of Reception