PMKVY Center Application Form
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Transcript of PMKVY Center Application Form
Training Center Application FormTraining Center Information
Training Center Name:
Address:
Name of the city/Town :
PIN Code :
District :
State :
Parliament Constituency :
Name of the Member of Parliament :
Training Center present on which floor:
(Attach photo from front)
Major Landmark near the Training Center:
INFRASTRUCTURE DETAILSNumber of class rooms :
S.No.Dimensions (in Sq. ft) pls specify length x WidthTotal AreaNo. of student chairsProjector (Y/N)White Board (Y/N)
TOTAL AREA OF ALL CLASSROOMS = ________ Sq. Ft.
Kindly attach the photograph of each classroom
Number of Workshops/Lab:
S.No.Dimensions (in Sq. ft) pls specify length x WidthTotal AreaCapacity to accommodate how many candidatesProjector (Y/N)White Board (Y/N)
TOTAL AREA OF ALL CLASSROOMS = ________ Sq. Ft.
Kindly attach the photograph of each WorkshopOTHER AREA
Toilets
Gents : Y/N
Women : Y/N
Counselling Area: __________ Sq. Ft.
(Attach Photo)
Library : ___________Sq. ft.
(Attach Photo)
GROSS TOTAL AREA OF THE TRAININH CENTER : ________________ Sq. Ft.
WORK SHOP/ LAB EQUIPMENTSAttach list of all tools, equipment, computers etc with their photographs
TRAINING CENTER POINT OF CONTACTTraining Center SPOC / Coordinator name:Designation :
Training Center SPOC / Coordinator Email Address: Contact number of SPOC / Coordinator
Training Center Phone Number:
5 Pictures of the Center
Picture 1: Approach Road
Picture 2: Outside of Classroom
Picture 3: Inside of Classroom
Picture 4: LabsNOTE : Kindly provide the transaction ID made towards the centre verification fee : ---------
TICK SECTORS APPLIED FOR (Kindly tick the relevant sector/s)TELECOM
RETAIL
AUTOMOBILE
GEMS & JWELLERY
MEDIA & ENTERTAINMENT
FURNITURE & FIXTURE