RGNYCLM

Centre Director Details

Name of the Centre Director

Name of the Computer Centre

Date of Birth

Gender Male Female

E-mail ID

Village

P.S

District

State

P.O

Block

Pin

Phone

Centre Details

Village

P.S

District

State

P.O

Block

Pin

Phone

Colour Passport Size Photo of Director (Image Size Should be under 1mb)

Voter Id/ Adhaar Card of Center Director (Image Size Should be under 1mb)

Pancard of Center Director ( Image Size Should be under 1mb)

Trade License of Center ( Image Size Should be under 1 mb )

Licence Fees Bank Deposit Copy ( Scan Image Size Should be under 1mb)

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 I Trust is free from any legal I 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 I challenge legally against the judgment in any court of law.

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