Application for Industrial Collaboration / Information Cum Training Centre

Name of the Organisation

Address
City
State Pin Code
Email ID
Website

Contact Number

Name of the Trust/NGO

Registration No
PAN Card No
Details of Member
Member 1 Name Mobile No
Member 2 Name Mobile No
Member 3 Name Mobile No
Member 4 Name Mobile No
Member 5 Name Mobile No

Contact Person Details

Address
City
State Pin Code

Email ID
Contact Number
Current Status of Organisation

Affliction Details

Brief Introduction of Organisation

Infrastructure Details

Sr.No Numbers Area (Sq. M) Other Details

Class Room
Lab 1.
Lab 2.
Computer Lab
Staff Room
Counselling Room
Other Space

Staff Details

Teaching Faculty

Non Teaching
Faculty

Photograph of

Owner Co-Owner Staff Staff

Documents:-

1. Demand Draft of Rs. 55000/-

2. Copy of Registration Certificate of Trust/NGO/Firm/Company etc.
3. Copy of PAN Card Trust/NGO/Firm/Company etc.
4. Current Address Prof