Empanelment of Organization(s) / Agency(s) / Institution(s)

As recorded in the registration certificate of the organization/institute.

As recorded in the registration certificate of the organization/institute.

As per the audited balance sheets


Applicant should fill the correct address for communication, including his/ her mobile number and e-mail address. The candidates are requested to give a valid email-id and ensure that the email id is in use. The landline phone number should be provided with appropriate STD code

Additional Information(Optional).


 
Contact Details Of CEO/Head Of Organization

Please click the appropriate boxes for Expertise from the given Choices

Please click the appropriate boxes of Sector as per your Area of Expertise

Details Of Projects


Note:-Project details are to be filled in chronological order

S.No. Project Name Company Name Duration Title Cost Tools and techniques Benifits Achieved Document

Synopsis Of overall Achievements

Undertaking

The organization should declare that all information furnished in this application are true, complete and correct to the best of their knowledge and belief. In the event of any information being found false or incorrect, or ineligibility being detected before or after the submission, their application will be cancelled.

Important Instruction For Photo:

  1. Dimensions should be 110 pixels (Width) X 140 pixels (Height) and the digital size of file must be less that 40 kb and greater than 3 kb.
  2. Please note your photograph should be properly cropped / clear and should not be hazy or illegible
  3. The photograph file should contain your photograph only without any other mark such as signatures etc.
  4. In case of poor quality images, not properly cropped or swapping of photograph, the application is liable to be rejected

Important Instruction For Signature:

  1. Dimensions should be 140 pixels (Width) X 110 pixels (Height) and the digital size of file must be less that 40 kb and greater than 3 kb.
  2. Please note your signature should be properly cropped / clear and should not be hazy or illegible
  3. In case of poor quality images, not properly cropped or swapping of signature, the application is liable to be rejected
Upload Signature

Date