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Name of the Applicant:*

Name of the Institution:*

Institution Address:*

Telephone No.:*

Fax No.:*

Mobile No.:*

E-mail Address:*

Applicant Residential Address with Telephone Number:*

Building Type:*

Rented Owned

If rented, provide rent agreement If owned, provide ownership deed:*

Do you have any experience in the field of education & training:*

Name of the Courses:*

Details regarding Teaching Faculty:*

Details regarding Class Rooms and Facilities:*

Any other Relevant Information:

I hereby accept all the terms and conditions of CCVTE* Upload Signature

Note: The following documents to be enclosed with application

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