Institute Information : Study Centre Name* Address State* Pin Code* District* Phone No* Block* Email* Information About Centre Head : Name of Study Centre head Upload Photo Phone No* Upload ID Proof (voter/Aadhar) Email* Upload Pan Card Address* Upload Trade Lisence of Centre Block* Upload Payment Slip District* Pin* DECLARATION I hereby certify that the context stated above are correct and true to my knowledge and belief and hereby confirm that our Organization / Society / Trust is free from any legal / official disputes whatsover.I accept that any facts stated above. I found incorrect will automatically result in cancellation for nominations associate.However I will have no right whatsover to fight / challenge legally against the judgment in any court of law. All disputes are subject to Ghatal Jurisdiction only. Submit