Institute Information

Study Centre Name*

State*

District*

Block*

Address*

Pin Code*

Phone Number*

Email*

 

Information about centre head

Name of the Centre Owner Name *

Phone Number*

Email*

Address*

Block*

Class Range*

Centre Category*

District*

Pin*

Upload Photo*

Declaration
I do hereby declare that the above information or statement given by me is true to the best of my knowledge, if any statement showing false so my candidature will be cancelled without any notification.