REGISTRATION VERIFICATION

FRANCHISE FORM

Institute Owner Name

Institute Name

Date of birth

Pan Number

Aadhar Number

Institite Full Address

Pincode

Upload Image of franchise Owner

Select State

Select Distric

Number of computer operators

Number of class rooms

Total Computers

Space of Computer Center

Whatsapp Number

Contact Number

E-Mail ID

Qualification of institute head

Reception

Staff Room Yes No

Water Supply Yes No

Toilet Yes No

Username

Password

Institute Campus - Kalgachia, Near nabajyoti College, Barpeta (Assam) 781319
Registered Office - Gunialguri, House No -18 , Kalgachia,, Barpeta( Assam) 781319
sm76721@gmail.com
919957290813