PARTICIPANTS
EXPRESSION
OF INTEREST
Note : Fields marked with * are mandatory
Title:
--Select--
Mr.
Mrs.
Miss.
*
First name :
*
Middle name :
Last name :
*
Gender :
Male
Female
*
Phone :
STD:
Phone:
City/Town :
State :
--Select State--
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Delhi
Diu and Daman
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerla
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orrisa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
*
District :
--Select District--
*
Pincode :
*
Mobile No.
Email:
*
Web Site:
Name of the Organization:
*
Address for Correspondence:
Business Profile:
(Eg 1: My IT business consists of 4 owned institutes and a network of 30 institutes. My turnover is approximately 50 lakhs. We teach basic as well as high end courses. Our people strength is 20.
Eg 2: I run a small institute and I take only basic courses.)
YOUR CHOICE OF PARTNERSHIP
Please tick(✔) at appropriate choice.
State Master Franchisee
State Master Franchisee should be a leading organization having a good experience in providing IT education. Presence or contacts all over the State through Authorised Training Center network/Franchisee network and should have at least one network of institutes associated with the organization each District.
District Master Franchisee
District Master Franchisee should be a district level leading organization having a good experience in providing IT education. Presence or contacts all over the district through Authorised Training Center network/Franchisee network and should have at least one network of institutes associated with the organization each majour.
Single Franchisee
A Tranning Institute having more than 3 Desktops