Kushi Institute Of Education Center

National Board of Computer Education Centre(NBCEC)

RUN BY:- IMDADKUSHI FOUNDATION (CIN NO - U85500AS2023NPL024836 & PAN NO - AAHCI1900P, TAN NO-SHLI01504G & Unique Id of VO/NGO No: AS/2023/0350305)

Registered Under Ministry of Corporate Affairs, Govt. of India

Regd. Office : Purbakittarbond Part-II,P.O:-Amala, P.S:-Lala,Pin:-788164, Hailakandi(Assam)


APPLICATION FORM FOR AFFILATION

Institute Location :
Study Centre Applied For
State
District
City / Town / Village

Institute Information :

Name of the Institute

Year of Establishment

Status of The Institution

P.O.

P.S.

Pin

Postal Address of the Institute

Institute Contact No.

Business Phone No.

Whatsapp No.

Email Address

Information About Centre Head :

Name of the Centre Head

Designing / Position Hold of the Centre

State

District

P.O.

P.S.

Postal Address of the Centre Head

Pin

Mobile

Email Address of the Centre Head

Date of Birth of the Centre Head

Nationality

Religion

Sex

Marital Status

Educational Qualification of the Centre Head

Professional Experience of the Centre Head

Centre Director OR Centre's Pan No.

Centre Director Aadhar No

GSTIN No.

Available Infrastructure Facility of the Centre :

PARTICULAR	NO. OF ROOMS
Office Room
Theory Room
Practical Room
Staff Room
Library
Reception
Toilet
Waiting Room
Any Other

Faculty Information of the Centre :

(As on date of proposal)

Name	Qualification	Teaching Experience	Status Full time / Part time

Details of Available Facilities of the Centre :

No. of Computer

No. of Reference Books

Licensed Software

No. of Journal

No. of CD's

No. of Projector / LED

Internet Facility with Speed

Inverter / Generator Facility

Drinking Water Facility

Upload Documents :

Colour Passport Size Photograph of The Head of The Institute

Voter Card of The Institute Head (Both Side in One Page)

Pan Card of The Institute Head

Trade License / Registration Certificate of The Institute

Colour Photograph of Theory Room

Colour Photograph of Practical Room

Colour Photograph of Office Room

Colour Photograph of Front Side of The Institute

DECLARATION

I hereby certify that the context stated above are correct and true to my knowledge and belief and hereby confirm that our Organization / Society / Trust is free from any legal / official disputes whatsover.I accept that any facts stated above. I found incorrect will automatically result in cancellation for nominations associate.However I will have no right whatsover to fight / challenge legally against the judgment in any court of law. All disputes are subject to Ranaghat Jurisdiction only.

Whatsapp Message

Institute Location :