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Application No Application for proposal to start RANM/B.Sc./P.C. B.Sc./M. Sc. /
specialty Nursing programme for Academic Year 2010-11 1. Name and Address _____
___________________________ of the Trust Society _______________________________
_ ________________________________ ________________________________ 2. Name and
Address of Chairperson: ________________________________ _______________________
_________ ________________________________ ________________________________ Tele
phone No. With STD Code _________________ E-mail _______________________________
_ 3. Name and Address of the prop. Institute: ________________________________ _
_______________________________ ________________________________ _______________
_________________ 4. Proposal Submitted for: New institute New Course (Tick Appr
opriate) Increase seats Closing of institute Page 1 of 1 INDEX Sr. No. Contents
Page No. 1 Section-I Information about Society /Trust and the Institute. 2 Sect
ion-II; Information about the proposal for the Academic year 2010- -2011. 3 Sect
ion- III: Infrastructural facilities available. 4 Section-IV: Declaration to be
given by the Chairperson and Secretary of the Society/Trust 5 Any Proofs/Documen
ts attached to the proposal 6 APPENDIX â A:-Instruction for submission of proposals:
7 APPENDIX-B: Terms and conditions for the proposals. Note: Please donâ t take print
of this form and donâ t fill it by hand. Use the word file and type all information
in the form on Trust Letter head on the computer and then take a print.
Page 2 of 2 SECTION -1 A. Information about Society/Trust and the Institute 1.
Name and Address of the Society/ -----------------------------------------------
------------- Trust Name -------------------------------------------------------
----- ------------------------------------------------------------ Address: ----
-------------------------------------------------------- -----------------------
------------------------------------- ------------------------------------------
------------------
Pin Code
Tel. No with STD Code
Fax No
E-mail address:
2. Registration No. & Date of the Society/Trust:--------------------------------
---------------------
With Charity Commissioner
(Attach copy of Registration Certificate)
3. Name of the present chairperson and Secretary of the society / Trust along wi
th tenure Chairperson :__________________________________________________ Secret
ary :__________________________________________________ Duration of Tenure:-from
______________________to______________________ Name of Trustees and Addresses (e
nclosed trust deed) Sr. No. Name of Trustee Address of Trustee 1234567 4. Name a
nd Address of the proposed new or existing Institute Name: ---------------------
---------------------------------------------- ---------------------------------
---------------------------------- Address: ------------------------------------
------------------------------- ------------------------------------------------
------------------- ------------------------------------------------------------
------- Pin code --------------------------------- Phone No with STD Code ------
--------------------------- Fax No --------------------------------- E-mail addr
ess --------------------------------- Page 3 of 3
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Reads:1,424
Uploaded:11/24/2009Category:Uncategorized.Rated:
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