NOTICE:

Vocational Education

Indira Gandhi Board of High School & Intermediate Certificate Examinations

An autonomous organisation reg. under TR Act Govt. of India

A Complete Self autonomous & Self Learning Private Organization

Academic Centers Online Application Form

Name & Address of the Institution/Academic Centers:

Name

Address

Email ID

Mobile Number

Telephone Number

District

State

Pin code

Nearest Bus Stand

Nearest Railway Station

Nearest Airport

Registration No. (If Registered copy to be attached)

Registration Doc (max size: 2MB)

Details of the authorized person of the Institute / Academy (i.e. Coordinator) who will work with the Board on behalf of the Institute / Academic Centre

Name

Father's Name

Mother's Name

Date of Birth

Full Address

Mobile No

E-Mail ID

Adhar Card / Voter Card (max size: 2MB)

Pan Card (max size: 2MB)

Passport Size Photograph (max size: 2MB)

Infrastructure Details of the Institution / Academic Centers

Water Arrangement

Yes

Toilet Facility

Yes

Internet Facility

Yes

Total Number of Computer

Total Room for Examination

Details of Staff

(Attach the staff details in your Centre Letter Head with Seal & Signature of the Authorized Person)
(max size: 2MB)

Bank Account Details of the Institution/Academic Centers:

Name of the Bank

Branch

IFSC Code

Account Number

Name of Signatory

Is your Institute/ Academic Centre Authorized with any other Educational Board/University? If yes, give details?

Details

Affidavit (Type & Print in the official Letter Head of the Institution/Academic Centre with Signature of the Authorised Person)

Attach Affidavit

Any Other Information :

Other Information

DECLARATION

I, hereby undertake to comply with the Norms and Standards and Regulations of Indira Gandhi Board of High School & Intermediate Certificate Examinations. I do undertake to furnish the documents as and when required by the Board. I agree to fulfill all the conditions as may be stipulated by Board form time to time.

I hereby confirm that all the information furnished in the application is true to the best of my knowledge and belief and if any information is found to be false, my application may be rejected.

I Agree with the above mentioned Terms

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