AUTHORISED TRAINING CENTRE EMPANELMENT
PROPOSED SECTOR / TRADES DETAILS
--------Select--------
Hair & Skin Care
Fashion Designing
Two Wheeler Repair & Maintenance
Mobile Reparing
Video Shooting & Photography
Computer/Laptop Chip Level Repair & Maintenance
Food Sector
Operating Location
Full Name
HouseNo.
Area
Pincode
District
State
Mobile
Email
Training Institute Name :-
Training Institute Address :-
Type of Institution :-(Attach Copy in JPG or PDF Format):-
Date of Establishment :-
-PAN/TAN No.:-(Attach Copy in JPG or PDF Format):-
-GST No.:-(Attach Copy in JPG or PDF Format):-
Total Area(Sq.ft):-(Attach Photo):-
-Canteen Facilities(Distance from Training hall attach minimum 2-3 photos):-
Training Facilities(Distance from Training hall attach minimum 2-3 photos):-
Training Programme Name/Trade:-
Total no.of Staff(Please Attach Bio-data in Pdf Format):-
Name of Faculties with Bio-data(Please Attach copy of Education Certificate,Experience Certificate):-
Name of Resource Person available for this Programme (Enclose Profile):-
Do you provide any post training support to your present participants?:if yes Please Specify:-
Yes
No
Training Hall facilities:-
YES
NO
Drinking Water Facilities :-
YES
NO
Toilet Facilities :-
YES
NO
Bio Metric Facilities:
YES
NO
Web Cameras:
YES
NO
Computer/Laptop:
YES
NO
Proper Internet connection:
YES
NO
CCTV:
YES
NO
Printer/Scanner:
YES
NO
Projector/LCD display:
YES
NO
Speakers:
YES
NO
Licensed software on each machine:
YES
NO
Battery Backup(Hours):
YES
NO
Adhar No
Bank
Branch
Account No
IFSC
Select Period
Select Period
2023-2024
Total Amount To be Paid
Select Officer Name
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