1.

Name of the Institution. (In capital Letter)

:-

2.

Category (Please ‘tick’ mark)

:-

Govt. (     )/ Govt. Aided (     ) / Others (     )

3.

a) Postal Address with PIN Code, District &

    Telephone No. (At least one contact number.) 

(In Capital Letter)

:-

b) Name of the Gram Panchayat and Block or

    Municipality   and   Ward   No.  where   the

    institute is situated.

:-

c) Name of the Police Station

:-

4.

Name of the discipline(s) along with the Vocational Subject(s) likes to introduce (Choose from the list on reverse)  : -

(X+2) Vocational Level

(Proposed Vocational Subjects indicating Code)

i)

ii)

(VIII+) STC Level

(Proposed Trade indicating Code)

i)

ii)

iii)

5.

Weather affiliated to W.B.B.S.E. / W.B.C.H.S.E.

:-

If Yes, quote Code No……………………, & Code No……………………..   enclose Photocopy of the document. 

6.

Whether the Institution is Co – Educational

:-

Yes (        ) / No. (          )

 (Please ‘tick’ mark)

7.

Infrastructural facilities to be made available by the Institute to run Vocational course.  

:-

a) No. of Class room :

b) Equipment: (List to be attached.)

c) Laboratory: (Whether exists )

d) Teaching Staff (Including Trainer & others) :

e)  Whether electricity is already existing

     in the Institute.

(Separate Sheet may be enclosed)

8.

In case of Aided Institutions, composition of MC/GB/COUNCIL

:-

(Separate Sheet may be enclosed)

9.

Name  of  the   Institutions   affiliated  by   this Council within your Block / Municipality, with distance from your institution.

:-