EDUCARE COMPUTER LEARNING INSTITUTION

An ISO Certified 9001: 2015 / Regd. Under MSME/ National Career Service – Ministry of Labour & Employment

Unit of Educare Computer Learning Institute (OPC) Pvt. Ltd. (Ministry of Corporate Affairs, Govt. of India)

CONTACT NO: 9083755391 | 9083731515 / EMAIL ID: ecliorgin@gmail.com

FRANCHISE REGISTRATION FORM

DETAILS OF THE TRAINING CENTRE

Name of The Training Centre *

Registered Under *

For Others Registered Under *

Centre Ownership *

For Others Centre Ownership*

Business Contact Number *

Business Email ID *

Select Country *

Select State *

Select District *

Police Station *

Post Office *

Pin / Zip code *

Address *

DETAILS OF THE DIRECTOR

Name of The Director *

S/O, D/O, W/O *

Contact No. *

Whatsapp No. *

Email Id *

Select Gender *

Select Religion *

Select Marital status *

Date of Birth(MM/dd/yyyy) *

Select Qualification *

For Others Qualification*

Select Occupation *

For Others Occupation*

Aadhar No. *

Block / Area *

Address *

Identity Proof Documents Upload * i. Adhar Card, ii. Voter ID ,iii. PAN Card, iv. Passport, v. Others

Entre Identity Proof Number *

PHOTO UPLOAD

Upload Director’s Photograph (50Kb) *

Upload Adhar Card Photo (50Kb) *

Upload Voter ID Photo (50Kb) *

Upload PAN Card Photo (50Kb) *

Upload Passport Photo (50Kb) *

Upload Others Photo (50Kb) *

Upload Center Lab Photo (50Kb) *

Upload Center Class Room Pic.*

Upload Trade License/Reg. Certificate of Centre

Upload Color Photograph of front side of Centre

DECLARATION

I hereby declare that the above mentioned context is correct and true to the best of my knowledge and belief and hereby confirm that our Organization/Society/Trust is free from any legal/official dispute. I acknowledge that any information find incorrect in the above will automatically invalidate the nomination for Associates. But I shall have no right to legally contest/challenge the judgment in any court of law.