SKILL
DEVLOPMENT DIVISION

Service Partner Form

A. Service Partner Details

Name of Director*:
Name of district*: Name of State:
Address: (full address of the proposed site)
Pin Code: Mobile No* :
Official Contact Details*: Res. Contact:
Email ID*: Aadhaar No:

B. Centre Manager Details

Name of Centre Manager *:
Name of district: Name of State *:
Address: (full address of the proposed site)
Pin Code: Mobile No *:
Official Contact Details: Res. Contact:
Email ID : Aadhaar No:

C. Infrastructural details:

If multi-storied building, the floors being proposed for training
Total built-up area (in Sq Ft)
Total compound area (in Sq Ft)
Type of Ownership
If Leased/Rented, Lease or rent tenure left::
Approach Road
Front View
Back View
Reception Area
Domain Lab
Classroom
Washrooms
IT Lab

DECLARATION

This to certify that all the above information furnished regarding the Institution/ Collage is Correct and authentic to the best of my knowledge