Inst. Reg. Form

Name of Institute
Establised Year/New Registration


Nature Of Inst.
Course Name


Institute Mobile Number
Institute Whatsapp Number


Institute Email Id
Institute Website


Institution Address-
Village
Post


Sub-Division
District


Pin
State


Director/Manager Name
Mobile/Whatsapp Number



I declare that all the information is correct as per information received. If any information is found to be false or wrong at any stage, registration of the candidate may be cancelled and any further action may be taken by authorithy .