Center Registration

Referral Details
Referral Code ( As Username )
 
 
Personal Details
Name
Father Name
Date Of Birth
Address
Email
Mobile
Pancard No.
Qualification
Experience Year
Firm Details
Firm Type
Firm Name
Registration No.
Running Center
  • If Running Center
Center Details
Center Name
Center Address
Primary Mobile
Secondary Mobile
State
District
Pin Code
City
Premise [ Owned, Rented ]
Center Email
Total Area
Student Sitting Capacity
No. Of Theory Lab
No. Of Computer Lab
No. Of Computer
  • Other Course Lab
 
Upload Document
Owner Aadhar CardMax Upload Size 300KB
Photo Max Upload Size 50KB
Signature Max Upload Size 50KB
Stamp Max Upload Size 50KB
Center Logo Max Upload Size 100KB
Sample Logo
Center Print Header Upload width 900px Height 200px Or Max Size (300 KB)
Sample Header
 
I AGREE