Rojgar Bharat » SPA Registration

1. Registration Details (Mandatory fields)

Name of the Institution^*

Post Address of the Institution^*

Country^*

State/U.T. where situated^*

Disctrict

Pin Code^*

2. Institution Head:

Name^*

Phone

Mobile^* (Used as Primary Contact)

Mobile

Fax No.

Email^*

Aadhar No.^*

3. Institution Details:

Nature of Institution^*

Registration Number (if any)

Date, Month & Year of Registration

Does the organization have any previous experience in Any work?^* Yes No

If yes, was any grant sanctioned from Government or other Organization?

Whether the office of the organization is located in own building or rented building?^* Own Rented

Brief History of the Agency, list objective and activities.(200 Words)

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I, hereby declare that the particulars submitted by me in the online application form of PMFDP, ROJAS BHARAT- AATMANIRBHAR BHARAT (ESSC) are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of Council and also to the decision of Council regarding any action. I will not held Council responsible for any damages.

Application For Service Provider Agency (SPAs)

1. Registration Details (Mandatory fields)

2. Institution Head:

3. Institution Details:

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