FACULTY EMPANELMENT

IMPORTANT NOTE:
Service providers, faculty members, and institutes must pay their empanelment fees within 30 days from the date of RO approval. Failure to make the payment within the specified period will result in removal of their names from the database, and they will be required to apply for empanelment again. This rule will be effective from 01.04.2026.

Faculty Information

First Name*

Middle Name*

Last Name*

Qualification*

Designation

Experience

Department

Department Location

Qualification Documents (PDF Only)*

Photo (JPG Only)*

TRAINING METHODOLOGY

Lecture Group Discussion Power Point Presentation Simulation Exercise

Training Preferences*

Would you like to share your Presentation/Training Material with trainees?

YES NO

Your choice of Training Mode *

OFFLINE ONLINE BOTH

Would you like to use your own laptop for training?

YES NO

PREFERRED LANGUAGE *

English Marathi Hindi

Employer Details & Fee Structure *

Government Faculty Private Faculty Entrepreneur Retired MCED Officer

Total Empanelment Amount

₹ 0

Subject Expertise *

Address & Contact Details

House No.

Area & Colony

Landmark

District *

Taluka

Pincode

Mobile Number *

Email Address

Bank Details *

PAN Number

Aadhaar Number

Bank Name

Branch

Account Number

IFSC Code

GST Number

Empanelment Period (From Payment Date) *

Attach Passbook (PDF/JPG) *

Select Officer Name *