APPLICATION FORM FOR AFFILATION

Institute Information :

Institute Contact No.

Information About Centre Head :

Available Infrastructure Facility of the Centre :

DOCUMENTS :

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.