NIESBUD
APPLICATION FOR REGISTRATION OF
ENTREPRENEURSHIP DEVELOPMENT CENTRE (EDC)
THROUGH PARTNER INSTITUTIONS (PIs)
I. 1. Name of the organization
2. Complete Postal Address
E Mail Address
Web Site
Phone No. and Fax No.
3. Registration No. & Date (Attach
Regn. Certificate, MA & Rules,
Brochure etc.)
4. Type/Category of Institution
Educational
Professional
Technical
NGO/Voluntary Organization
5. Date/Year of Establishment
6. Area of Operation
7. Affiliation / recognition given by
(give address & copy of affiliation)
(i)
(ii)
II 8. Type & No. of Education/Training
Programmes Conducted (Enclose
detailed list with Calendar) for the
previous 3 years
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9. Financial Details (Enclose
Balance sheets/assets liabilities
etc. for the last 3 years)
10. Bank Details
11. Structure of fee collected from Total Amount
participants for different type of
Programme
(i)
(ii)
(iii)
(iv)
Add if any
III 12. Infrastructure Facilities (Enclose
details about Building, Trainers,
Office Staff, expansion
possibilities etc.)
13. No. of Trainers & their
Qualification (complete details to
be enclosed)
14. Whether penalized/punished or
derecognised by any legal
authority. If yes give details
indicating, authority with date and
type of default etc.
15. Details of Computers, Internet etc.
available in the Centre
IV 16. Linkages established
(i) Upward (give details)
(ii) Downward (give details)
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17. Ability (Financial & Physical) to
establish infrastructure, with
regard to “E-learning System” and
Distant Education Learning
18. Ability to meet the cost of training
your faculty by NIESBUD
19. Are you ready to enter into
“Partnership/Franchise
Agreement’ with NIESBUD
20. Mention the Plan, modes, strategy
of publicity methods adopted by
your Institution.
21. Are you willing to share the 20%
of the fee received from
Participants under programmes
sponsored by NIESBUD & 10% of
the total fee of your own
programmes.
22. How do you recruit and pay
salaries to trainers
- Recruitment Process
- Period of Recruitment
- Salary Structure
23. Any other relevant information you
want to be sent to NIESBUD
Note: Application form may be down loaded/obtained and submitted along with Registration
Fee of Rs. 2500 + Processing Fee of Rs. 7500 (non refundable) is to be remitted through
crossed Bank Draft favouring NIESBUD, payable at NOIDA/DELHI. Application incomplete in
any manner will be rejected/not entertained. Security Deposit amount (non-interest bearing
and refundable) will be payable after approval of admission as Institutional Member.
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FOR OFFICE USE ONLY
Sl. No. Application Form No. Date of Receipt
Amount of Registration Cash/Cheque Details of Cheque/Draft Cheque
fee received No., Date, Amount, Bank Name,
Branch, Place and Date of Credit
Application Checked Remarks Whether Recommendation for Admission
by (Name) complete & Fulfills all Recommended/Not
requirement/Formalities recommended
(documents, fee etc.)
Approved in Principal Details of Fee Received Final Approval of Membership
As Institutional (Receipt No. & Date) and entry in Membership
Member Register
Signature Amount Receipt ED/Dir/Prog. Dir.
(Name & Designation) (Rs.) No. &
Date
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