INFORMATION FOR EXAMINATION CENTRE

General Instructions
  1. All the columns must be filled up or the applications may be rejected.
  2. Certified copies of all the relevant documents as per the checklist given at the end of this form should be enclosed with the application form.
A. General Information About
1 Name of the Institution
2 Address
Town/Village District/City State Pincode
3 Phone No. Mobile No.
Email
4 Name of the Principal/Head of Institution
5 Up to what level is the Institution/school imparting education? (Please Tick)
 
Middle Secondary Sr. Secondary Other  
6 Is the Applying Institution/School boys/ girls or Co-educational
7 Medium of instruction (Please Tick)
 
English Hindi Regional Language  
8 Computer Lab avilable
9 Internet Facility available
10 Webcam available
B. Recognition and Affiliation Status
11 Is the School/ Institution registered with a regional Board/ Council/ government authority
12 If Yes, please mention the following: (Certified Copy of the affiliation letter to be attached. Enclosure-IV)
a Name of the Board/ Council/ government authority with which affiliated:
b Affiliation Registration No.
c Year of Affiliation / Registration
d Is the Affiliation / Registration permanent or temporary?
e If the Affiliation / Registration is temporary, up to what period?
14 State if there is any conditions for Affiliation / Registration?
C. DECLARATION
This to certify that all the above information furnished regarding the Institution/ School is correct and authentic to the best of my knowledge.
08-Nov-2025