1.Details of Institution :
Program Applied For :
*
Any Specialization :
Name of the Institution :
*
Name of the Parent Body :
Year of Establishment :
*
Registration No :
*
District :
State :
*
Institute Head Name :
*
Institute Head Designation :
*
E-mail ID :
*
*
Alternate E-mail :
*
*
Proof of Identity(Identitiy Card/Passport) :
*
Website Address :
*
*
Country :
Office Number :
Mobile Number :
2.Are You Associated with any University/Institution for Distance or Regular Education ? If so,give Details.
3.About the Proposed Institution :
Regd. Address :
*
City :
*
Postal Code :
*
State :
*
Country :
*
Office Number :
*
Mobile Number :
*
Correspondence Address :
*
City :
*
Postal Code :
*
State :
*
Country :
*
Office Number :
*
Mobile Number :
*
4.About Location :
Prime Location :
*
Total Carpet Area(In Sq.ft) :
*
5.Connectivity :
Nearest Airport Name :
*
Airport Distance(K.M) :
*
Nearest Railway Station :
Station Distance(K.M) :
Nearest Bus Stand :
*
Bus Stand Distance(K.M) :
*