National Board of Computer Education Centre(NBCEC)

RUN BY:- IMDADKUSHI FOUNDATION (CIN NO - U85500AS2023NPL024836 & PAN NO - AAHCI1900P, TAN NO-SHLI01504G & Unique Id of VO/NGO No: AS/2023/0350305)   Registered Under Ministry of Corporate Affairs, Govt. of India   Regd. Office : Purbakittarbond Part-II,P.O:-Amala, P.S:-Lala,Pin:-788164, Hailakandi(Assam)

 

APPLICATION FORM FOR AFFILATION
Institute Location :
Study Centre Applied For
State		Select State Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal
District		Select District
City / Town / Village

Institute Information :
Name of the Institute	Year of Establishment	Status of The Institution
	Select Year of Establishment19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024	TrustRegd. SocietyPartnership FirmProprietorship FirmPvt. Ltd.Others
P.O.	P.S.	Pin
Postal Address of the Institute
Institute Contact No.
Business Phone No.	Whatsapp No.	Email Address
Information About Centre Head :
Name of the Centre Head	Designing / Position Hold of the Centre	State
		Select State Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujrat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal
District	P.O.	P.S.
Select District
Postal Address of the Centre Head	Pin
Mobile	Email Address of the Centre Head	Date of Birth of the Centre Head
Nationality	Religion	Sex
Select NationalityINDIAN	Select Religion Hinduism Islam Christianism Others	Select GenderMaleFemale
Marital Status	Educational Qualification of the Centre Head	Professional Experience of the Centre Head
MarriedUnmarried	Select Educational QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers	Select Professional Experience0123456789101112131415161718192021222324252627282930
Centre Director OR Centre's Pan No.	Centre Director Aadhar No	GSTIN No.
Available Infrastructure Facility of the Centre :
PARTICULAR NO. OF ROOMS Office Room Select No. of Rooms123456789101112131415161718192021222324252627282930 Theory Room Select No. of Rooms123456789101112131415161718192021222324252627282930 Practical Room Select No. of Rooms123456789101112131415161718192021222324252627282930 Staff Room Select No. of Rooms123456789101112131415161718192021222324252627282930 Library Select No. of Rooms123456789101112131415161718192021222324252627282930 Reception Select No. of Rooms123456789101112131415161718192021222324252627282930 Toilet Select No. of Rooms123456789101112131415161718192021222324252627282930 Waiting Room Select No. of Rooms123456789101112131415161718192021222324252627282930 Any Other Select No. of Rooms123456789101112131415161718192021222324252627282930
Faculty Information of the Centre :
(As on date of proposal)
Name Qualification Teaching Experience Status Full time / Part time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time Select QualificationClass VIIIMadhyamikH.S.GraduatePost GraduateOthers Select Teaching Experience>123456789101112131415161718192021222324252627282930 Select StatusFull TimePart Time
Details of Available Facilities of the Centre :
No. of Computer	No. of Reference Books	Licensed Software
Select No. of Computer123456789101112131415161718192021222324252627282930	Select No. of Reference Books123456789101112131415161718192021222324252627282930	Select No. of Licensed SoftwareYesNo
No. of Journal	No. of CD's	No. of Projector / LED
Select No. of Journal123456789101112131415161718192021222324252627282930	Select No. of CD's123456789101112131415161718192021222324252627282930	Select No. of Projector / LED123456789101112131415161718192021222324252627282930
Internet Facility with Speed	Inverter / Generator Facility	Drinking Water Facility
Select Internet FacilityYesNo	Select Inverter / Generator FacilityYesNo	Select Drinking Water FacilityYesNo
Upload Documents :
Colour Passport Size Photograph of The Head of The Institute
Voter Card of The Institute Head (Both Side in One Page)
Pan Card of The Institute Head
Trade License / Registration Certificate of The Institute
Colour Photograph of Theory Room
Colour Photograph of Practical Room
Colour Photograph of Office Room
Colour Photograph of Front Side of The Institute
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 Ranaghat Jurisdiction only.
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