Academic Collaboration Application

Trust/Society/Registered Institution Details
Please enter Trust/Society/Registered Institution details.
 
Name of the Trust/Society/Registered Institution: *
Registration Number * Pan No:*
Address*   District*
State*   Pin Code 
Contact No*   Email*
Fax No    Website
 
Details of Institute where Training will be imparted:
Address*   District*
State*   Pin Code 
Contact No*   Email*
Fax No    Website
 
Head of Institute's Details
Name of Head(Authorized Signatory)*   Email*
Contact No.*   Qualification *
Pan No.*
Academic Experience     Industry Experience
Physical Status of the Institute     If Ready for Operation, Year of Establishment
 
Activities
 
Please Enter Name of Course with Proposed Strength.
S.No. Course Name Proposed Strength
1.
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