PMKVY Center Application Form

download PMKVY Center Application Form

of 5

description

Form

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