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APPLICATION FOR INSTITUTIONAL MEMBERSHIP

PLEASE FILL UP IN CAPITAL LETTERS.
1. Name of the Applicant:*
2. Name of the Institution:*
3. Institution Address:*
4. Telephone No.:*
5. Fax No.:*
6. Mobile No.:*
7. E-mail Address:*
8. Applicant Residential Address with Telephone Number:*
9. Building Type:*
10. If rented, provide rent agreement If owned, provide ownership deed:*
11. Do you have any experience in the field of education & training:*
12. Name of the Courses:*
13. Details regarding Teaching Faculty:*
14. Details regarding Class Rooms and Facilities:*
15. Any other Relevant Information:
If necessary, use additional sheets for entering details.
I hereby accept all the terms and conditions of CCVTE* Correspondent Signature

Note: The following documents to be enclosed with application

  • Photograph of infrastructure like Building, Class Room and Other Facilities

  • Correspondent Photo 2 Nos. (Passport size)

  • Aadhaar Card, Voter ID and Driving License copy