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Franchise Form

Franchise Form

Center Name *

Institute Name *

Date of birth *

Mobile Number *

Whatsapp Mobile Number

Email Id *

Qualification of institure head *

Pancard Number *

Adhaar Card Number *

Gender *

Center Address *

Address *

State *

District *

City *

Pincode *

Faculty

Computer Lab *

Theory Room(Area in sq) *

Class Room *

Total Computer *

Pratical/Lab Room *

Staff Room *

Water Supply *

Toilet *

First Aid *

Upload

Username *

Passowrd *

Upload Photo *