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
*
YES
NO
Internet Connection
*
YES
NO
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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