Application Form for Accounting World Financial Accounting Program Study Centre

(To be completed by the applicant)

To, The President Accounting World Society Jabalpur (M.P.) India Date :________________ Subject : Application for the establishment of Accounting World Financial Accounting Program Study Centre Dear Sir, I submit here with an application to open Accounting World Financial Accounting Program Study Centre. I am sending herewith the application in the above given prescribed format. Thanking you and hope for early favorable reply. CERTIFICATE Certificate that the information provided by me is correct and complete to the best of my knowledge. Yours sincerely

(Signature) (NAME IN BLOCK LETTERS) Designation Office Stamp

Note : Application received in an incomplete form or after the prescribed date will not be entertained.

APPLICATION
SUB : APPLICATION FORM BECOMING A STUDY CENTRE Please fill up this form and attach supporting documents. 1. Name of Applicant : Name of Organization : Age :

Type of Organization : Proprietorship / Partnership / Private Limited / Public Limited

(NGO / Trust / Institute / Cyber Caf / School / Individual) : 2. NGO/Trust/School Reg.No. (Please attach Certificate)

3.

Address : Landmark Pin : email ID : City/Distt. Phone : Mobile : Designation Mobile State

4.

Primary Contact : Name Email Id

5.

Educational Detail of Applicant : Name of Applicant ................................................................... Qualification Year of Passing Name of University/Institution

6. Current Occupation a) Service 7. b) Business Yes c) Both No

Are you currently associated with education division of Tally ?

8. Assessment of the Center with respect to location : (Attach Lease/Rent Deed) a. Location b. Owned/On Lease/Rent etc 9. Infrastructure of Center : No. of Computer Lab No No Counsellor Cabin : Yes Wash Room : Tables : Yes Whiteboards : use thin client : Yes No No No No Projector in classroom No. of Faculty Total area (sq.ft.)

a. No. of Class Rooms Director Cabin : Yes Staff Room : Yes

b. No. of Seats in classroom :

c. No. of Pc (Attach configuration details) : d. Software source (Tally Serial No.) : f. Internet Connection : Yes No Printers : No. Type

Library : Yes

g. Number of Scanner : h. Power backup facility : Yes

Parking Space : Yes

No

I. Statutory Details Service Tax No. j. Business Details Type of Business No. of Year in Business k. Bank Details Account No. Name of Bank Branch 10. a. b. 11. a. Name of the organization Programs being undertaken Proposed Marketing Plan : Please describe the various promotional and marketing activities : ____________________________ _________________________________________________________________________________ _________________________________________________________________________________ Please confirm the number of annual targeted learning Enrollments Certifications Payment Details : Amount Ch./DD.No. Bank Name Date Remarks Type of Account : Saving Yes Current No Any collaboration with any other organization for IT or any other programs : Name of A/c. Holder No. of Customer/Student Last Year Turnover : Pan No.

b.

Placements

12.

Total Amount

DECLARATION
I hereby declare that the information furnished in this application are true, complete and correct to the best of my knowledge and belief. In the even of any of the above information being found false at any stage, my study centre will automatically be cancelled & I will be wholly responsible for the action taken against me by the Accounting World Society. Date : Place : Seal & Signature Name Designation Contact No.