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Center Information

Center Name

Director's Name / Owner Name

Centre City

Total Student Strength

Centre Establishment Date

Total No. of Computer Setup

Mobile No

Alternate Mobile No

Email ID

Full Centre Postal Address

Personal Details

Date of Birth

Gender

Caste

Religion

Nationality

Addhar Card No.

Postal Residential Address

Upload Director/Owner Photo

Upload Aadhar Card / Voter ID / Driving License

PAN Card

I hereby declare that all the above statements are true and correct the best of my knowledge and belief. I shall obey all the rules and regulations of the organization.

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Center Information

Personal Details

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