NAME OF THE STUDY CENTER
CENTER HEAD / DIRECTOR'S NAME:
COMPLETE ADDRESS OF THE PROPOSED SIGHT:
BLOCK :
TEHSIL :
DISTT :
STATE :
PIN CODE :
PH./ MOBILE (STD CODE) :
E-MAIL :
ESTABLISHMENT YEAR OF STUDY CENTER, SINCE
TICK ON THE CLASS OF STUDY CENTERS :
  • METRO CITY BLOCK DISTRCIT PANCHAYAT 
TOTAL SPACE AVAILAIBLE IN THE STUDY CENTER (In Sq. Ft.) :
Room Types No. Of Rooms Available Area In Sq. Feet
CENTER HEAD / DIRECTOR'S OFFICE:
CLASS ROOMS:
LAB ROOMS:
LIBRARY ROOMS ( IF ANY ):
COUNCELLOR ROOM / RECEPTION:
STAFF ROOM:
PC'S AVAILAIBLE IN THE STUDY CENTER ( Minimum No. 5 ):
ARE YOU PRESENTLY ( Franchisee / Franchiser / NGO / Trust /
Society / Pvt. Firms / Partnership Firm ) FILL UP :
NUMBER OF STUDENTS IN CURRENT SESSION :
Name Of FACULTIES QUALIFICATION
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Qualification Document