BHARAT YUVA COMPUTER

FRANCHISE APPLICATION

APPLICATION FORM FOR AFFILIATION

Institute Location:

Study Center 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 Institute*

Institute Contact No. *

Whatsapp No. *

Email ID *

Information About Centre Head :

Name of Centre Head *

Position Hold of Centre *

P.O *

Address of Centre Head*

Pin*

P.S *

Mobile*

Email of Centre Head*

Date of Birth of Centre Head*

Nationality *

Religion *

Gender*

Available Infrastructure Facility of the Centre :

PARTICULAR	NO OF ROOMS
Ofiice Room
Theory Room
Practical Room
Staff Room
Reception
Toilet

Faculty Information Of the Center:

Name	Qualification	Teaching Experience

Details Of Available Facilities of the Center :

No. of Computer *

No. of Reference book *

Licensed Software*

No. of Journal*

No. of CD's*

No. of Projector/LED*

Internet Facility with Speed *

Invertor/Generator Facility*

Drinking Water *

UPLOAD DOCUMENTS :

Color Passport Size Photo Of The Centre Head*

Voter Card Of The Institute Head*

Pan Card Of The Institute Head*

Aadhar Card Of The Institute Head*

Trade License Of The Institute*

Color Photo Of Theory Room*

Color Photo Of Practical Room*

Colour Photograph of Front Side of The Institute*

DECLARATION

I hereby certify that the context started above are correct and true to my knowledge and belief and hereby conform that our organization / society / trust is free any legal / official disputed whatsoever . I accept that any facts started above . If found incorrect will automatically result in cancellations for nominations associate. However I will no right whatsoever to fight / challenge legally against the judgement in any court of low. All disputes are subject to Howrah Jurisdiction only.