namely National Institute for Entrepreneurship and Small Business Development (NIESBUD)- Noida, National Institute of Micro, Small and Medium Enterprises (NI-MSME)-Hyderabad & Indian Institute of Entrepreneurship (IIE), Guwahati
Sl.
No. |
Particulars |
Details |
1. |
Name of national level EDI (please tick) |
NIESBUD- Noida /
NI-MSME-Hyderabad /
IIE, Guwahati |
2. |
Name of the applicant Institution |
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3. |
Address of the applicant Institution |
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City |
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Tehsil |
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District |
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State |
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Pincode |
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Phone |
0 |
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Fax |
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e-mail |
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Web-site |
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4. |
Contact person of the applicant Institution |
Name |
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Designation |
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Phone |
0 |
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Mobile |
+ |
9 |
1 |
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e-mail |
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5. |
Status of the Institution/
(Please attach Certificate of Registration/ Memorandum/ Articles of Association/ Byelaws and Annual Report/ Audited Accounts for the previous year, if any. |
Society/
Trust |
6. |
Year of Establishment |
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7. |
Geographical area in which established (please tick) |
Rural area or
SC/ST/Minority dominated district or North- Eastern Region or
other areas |
8. |
Details of branch(es), if any |
Please provide details in a separate sheet for each branch as per sl no. 3 & 4 above. |
9. |
Details of training centres, if any |
Please provide details in a separate sheet for each centre as per sl no. 3 & 4 above. |
10. |
Infrastructure details |
No. of classrooms with built-up area |
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Built-up area of Conference Hall, if any |
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Hostel facilities with capacity |
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Training equipments |
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Any other |
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11. |
Main activities of the Institution |
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12. |
Details of core faculty with specialization |
Enclose separate sheet |
13. |
Details of Guest Faculty/ Visiting faculty |
Enclose separate sheet |
14. |
Experience in conducting Entrepreneurship and Skill Development Training |
Provide details for the last 3 years |
15. |
Whether provision is there for arranging e-classes, if yes, please give details |
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16. |
Whether the Institute has linkages with industries and Financial Institutions, if yes, please give details |
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17. |
Bank Details |
Name in bank |
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Account No. |
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Type |
Saving/ Current |
IFS code |
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MICR code |
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Name of Bank |
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Branch |
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City |
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18. |
Details of Application Fee (Non-Refundable) of ` 2,500/- |
Cheque/ draft No._________________ dated____________ drawn on ___________________. |
19 |
Details of Processing and Inspection Fee (Non-Refundable) of `2,500/- , payable after scrutiny and shortlisting. |
Cheque/ draft No._________________ dated____________ drawn on ___________________. |
20. |
If considered as Partner Institution, further the following are payable by the applicant: |
- Institutional Membership fee
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` 5000/- |
- Security Deposit (Refundable, Non-Interest bearing)
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Training Institutions set up in Rural areas and in North Eastern Region |
` 50,000/- |
Training Institutions set up in SC/ ST/ Minority predominant Districts |
` 1,00,000/- |
Training Institutions set up in other areas |
` 2,00,000/- |
I agree to abide all the instructions of National level EDI with respect to training programmes. I further agree that I will not use the name of Partner Institution of National level EDI for programmes other than programmes approved by the National level EDI. I know the fact that in case I Conduct the unapproved programme by useing the name of National level EDI/ Ministry of MSME/ Government of India in any way, my security is liable to be forfeited.
