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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