School / College / Institutions (Registration)

School / College / Institute Name :

Director / Principal / Manager Name :

Coordinator/ Direct :

Requirement Area (Min 1000 sq/feet) :

Contact

Full Address:

Pin Code:

Email:

Institution Front Image:

Office Image:

Class Room Image:

Principal Photo :

Declaration

The above information is true to the best of my knowledge and belief. I shall be responsible for any misleading information in the application. I understand and agree that in case of any wrong information in the application, the application shall be liable for rejection. I also agree that, if the license is granted on the basis of information which is later found to be incorrect, the license shall be liable for cancellation