Online Application Form – Open and Distance Learning Council (odlc)

Institutional Affiliation Form

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Institution Name:

Type:-

Year of Establishment:

Registered With:

Date of Registration:

Registration Number:

Address:

City/District:

State:

PIN Code:

Official Landline:

Mobile (Authorized Contact):

Email ID (Official):

Website:

Principal’s Name:

Designation:

Principal’s Mobile:

Principal’s Email:

Principal’s Qualification:

Experience (in years):

Name of Managing Body:

No. (Authorized

Address of Managing Body:

Total Land Area (sq. ft./acres):

Built-up Area (sq. ft.):

Number of Classrooms:

Facilities Available:

Proposed Courses/Subjects:

No. of Teaching Staff:

No. of Non-Teaching Staff:

Previous Affiliations:

Name of Authorized Signatory:

Designation:

Date:

Place