Application Form - Collaboration for Skill Education 1) Role* Select Domain Expert Academic Facilitators Industry Partner Academic Facilitator Collaboration Process and Guidelines 2) Choose Vertical* A)* Select B) Select C) Select 3) Name of Organisation * 3) Name of Organisation/Individual* 4) Organisation Profile 4) Organisation Profile/Individual Profile* Kindly upload a note or brochure of the organisation 5) Number of students trained or facilitated so far in Skill Development Select None 0-500 500-2000 2000-5000 5000-10000 10000 and above 6) Year of Incorporation 6) Total Experience in years* 7) Total years of experience in Domain* 7) Registered Address/Permanent Address* 8) Registered Address/Permanent Address (will be used for correspondence)* Select State Andhra Pradesh Andaman and Nicobar Islands Arunachal Pradesh Assam Bihar Chhattisgarh Chandigarh Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadeep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Punjab Pondicherry Rajasthan Sikkim Tamil Nadu Tripura Uttaranchal Uttar Pradesh West Bengal Telangana Uttarakhand Ladakh District* Select District Pincode* 8) Contact Person* Select Mr Ms 9) Contact Person Select Mr Ms Designation* Email ID* Mobile 10) Mobile* Official Landline* 11) Office Landline Apply Now
