Enquiry Form for Service Delivery Point

Important Instructions

   1) Fields with * are mandatory
   2) You are requested to fill all details correctly.

A. Details of the Center

Applied for State *    Division *    District * 
Location / Area of working  Example: colony name, area etc.
Name of the Person *
Address *
Contact Number *  With STD code
Mobile Number *  Without 0 or leading +91
Email *  

B. Details of the Infrastructure

Space Available *
Furniture *
Internet Connection *
Total number of PC *    Printer *    Scanner *   

C. Details of Manpower

Total No. of Manpower *

D. Financial Capabilities

Yearly Income *

  I certify that the above information is true to the best of my knowledge and belif.

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