Institute Information

Franchise Type *

Select One Computer Institutes Competitive Institutes Academic Institutes Professional Institutes

Name of the Institute *

Year of Establishment *	Select One 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Postal Address of the Institute *
Pin Code *
City / Town / Village

State Name & District Name *

-----------Select State--------------- Bihar Uttar Prdesh

--------------Select Distt------------- AMBEDAKAR NAGAR Azamgarh BALIYA Deoria Faizabad Faizabad Ghazipur Ghazipur Gorakhpur Kanpur Dehat Mau Mirzapur Sant Ravidas Nagar VARANASI VARANASI VARANASI

State Sort Name & District Sort Name *

Date.Of.Registration * (dd/Mon/yyyy)

Mobile *

+91

Email *

Information About Centre Head

Name of the Centre Head *
Designing / Position Hold *
State *	--------------Select State------------- Bihar Uttar Prdesh
District *	--------------Select Distt------------- AMBEDAKAR NAGAR Azamgarh BALIYA Deoria Faizabad Faizabad Ghazipur Ghazipur Gorakhpur Kanpur Dehat Mau Mirzapur Sant Ravidas Nagar VARANASI VARANASI VARANASI
Postal Address of the Centre Head *

Pin Code & Mobile Number *

Email & Date of Birth of the Centre Head *

Gender *	Select One Male Female
Educational Qualification of the Centre Head *
Experience of the Centre Head *

Marital Status & Religion of the Centre Head *

Select One Yes No

Select One Hinduism Islam Christianism Others

Available Infrastructure Facility of the Centre

Room Type

Indicate

Number Of Room

Quantitative Data Remark

Director Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Office Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Theory Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Practical Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Staff Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Library *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Reception *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Waiting Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Toilet *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Any Other Room *

Select Indicate Yes No

Select Number Of Room NA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Connectivity & Software of the Centre

Internet Connectivity *

Select One Yes No

Select Connectivity Type Hotspot ISPs Line/Brodband Other

Number Of Servers *

Select One Yes No

Operating system *

Select One Yes No

Antivirus *

Select One Yes No

Printers Scanner *

Select One Yes No

Power Backup *

Select One Yes No

Faculty Details (Please see eligibility in the Guidelines):

Type of Faculties *

Select One Full Time Part Time

Number of Faculties *

Indicate *

Select One Yes No

Upload Documents

Colour Passport Size Photograph of the Head *   (Only JPG,JPEG,PNG File Upload)
Aadhar Card of The Institute Head *   (Only JPG,JPEG,PNG File Upload)
Trade License / Registration Certificate of The Institute *   (Only JPG,JPEG,PNG File Upload)
Colour Photograph of Lab Room *   (Only JPG,JPEG,PNG File Upload)
Colour Photograph of Office Room *   (Only JPG,JPEG,PNG File Upload)
Colour Photograph of Front Side of The Institute *   (Only JPG,JPEG,PNG File Upload)
Upload Last Qualification *   (Only JPG,JPEG,PNG File Upload)

Declaration

* I read the Terms & Conditions