National Council for Social Development & Education (NCSDE)

Agency Application Form

1. Training Center Overview

Agency Type

Application Number

Application Date

Agency Name

Agency Legal Type

Year of Establishment

Registration Number

PAN Number

GST Number

2. Location & Address

Address Line 1

Address Line 2

City/Town

District

State

Pincode

Google Maps Link / Latitude & Longitude

3. Contact Details

Agency Mobile

Agency Alt Mobile (optional)

Agency Email

No. Of Staffs

Area of Premises (sq. ft.)

4. Bank Details

Account Holder Name

Bank Name

Branch Name

Account Number

IFSC Code

Account Type

Cancelled Cheque (Upload)

5. Authorized Representative Information

Full Name

Designation/Position

Email ID

Contact Number

5. Courses Applying For

Select Course

Course Duration

6. Required Documents

Agency Registration Certificate

PAN Documents

GST Documents

7. Declaration & Consent

I certify that all information provided is true to the best of my knowledge.

I understand that false declarations may result in rejection of this application.

8. Application Fee Payment

Please pay the non-refundable application processing fee below to proceed.

Application Fee Amount (INR)

* Data will be inserted only after successful payment confirmation.