Franchise Form

DSK EDUCATION MEDICAL AND HEALTH CARE COUNCIL OF INDIA > Franchise Form

Affiliation Application For Collaboration / Study , Training & Placement Centre.

Affiliation Application For Collaboration / Study , Training & Placement Centre.

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Admission Details

Select Category *

Organization Registration Number *

Full Address of the Organization *

State *

Email *

Name of the Organization *

Date of Registration *

Pin Code *

Contact No *

Website / URL ( If Any )

President of the organization

Pan no. *

District *

Mobile No *

Details of Institute where Training will be imparted :

Details of Institute where Training will be imparted :

Institute Name : *

State *

Mobile No *

Institute Address *

Pin Code *

Email *

District *

Contact No *

Head of Institute Details :

Head of Institute Details :

Name of Head of the Institute *

State *

Mobile No *

Pan No. *

Physical Status of the Institute : *

Employees From the Organizer :

Are Regular
There are contracts

The Organization has any other Facilities :

Are there any other educational activities of the Institute :

Address *

Pin Code *

Email *

Qualification *

Number of staff available to the organization ( Teaching / Non Teaching ):

The Building from the Organizer :

Owned by the organizer
Rented

District *

Contact No *

Aadhar No. *

Academic Experience *

UPLOAD DOCUMENT :

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Certificate of Registration of the organization ( pdf )

Click or drag a file to this area to upload.

Pan Card of the Organization ( pdf) *

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Certificate of being a building (pdf) *

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Electricity Bill ( pdf)

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Photo of Counselling/ Staff Room (pdf)

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Photo of Class Room (pdf)

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Passport Photo of President ( jpg) *

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Aadhar Card of the President (pdf) *

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Regular audit report of the organization (pdf)

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Photo of Building from outside (pdf)

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Photo of Counselling/ Staff Room (pdf)

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Photo of Labs (pdf)

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List of Courses for which Collaboration is required :

DECLARATION : I Declare that all the information given in the Application form is true to the best of my knowledge & belief and that if found guilty I shall be liable to any action by the DSK Education Medical and Health Care Council of India including the cancellation of collaboration now or infuture.