APPLICATION FORM FOR OPENING INSTITUTION & STUDY CENTER
This Form must be submitted in Triplicate and filled in CAPITAL LETTERS only
1. Name of the Institute / Study Centre:__________________________________________
2. Postal Address with Pin Code(Mention the nearest land mark also)
_____________________________________________________________________________
_____________________________________________________________________________
City/Town: ______________ P.S.______________ Dist.:_____________ State: ____________
Pin:
3. Telephone No. Office:
Landline:______________________
Fax. No.: ______________________
Mob.: _____________________________
Email Id.: __________________________
4.Website Address: _________________________________
5. Name of the Registered Society / Trust (Enclose copy of registration):
_____________________________________________________________________________
6. Address:
_____________________________________________________________________________
_____________________________________________________________________________
_
City/Town: ______________ P.S.______________ Dist.:_____________ State: ____________
Pin:
7. Name of President / Chairman of the Society:
_____________________________________________________________________________
8. Details of President / Chairman of the Society:
_____________________________________________________________________________
9. Whether the Study Centre / Institution is for Educational purpose.(If yes, please state the yr.
of Commencement):
______________________________________________________________
____________________________________________________________________________
10. Current Infrastructure in details of the Institute/ Study centre (Enclose attested copies of
information & Building Plan with permission of Local Authorities):
Sl.No.
i)
ii)
iii)*
iv)*
Particulars
Total area of the Institute / Centre (in sq. ft.)
Total covered area (in sq. ft.)
No. of floors
No. of rooms, toilets(Gents & Ladies)etc. in
each floor
v)
Power Backup
vi)
No. of Computers available
{N.B. * (Enclose attested approved plan)}
Information Details
10. Whether the land & building are owned by the Centre, ( If yes, Enclose proof): __________
11. Whether the building is rented, ( If yes, Enclose proof): _____________________________
12. Whether your centre is associated with any other University / Institution. ( If yes, Enclose
details with proof):__________________________________________________________
13 .i) Name of Nearest Railway Station:
______________________________________________
ii) Distance of the Institution from the Railway Station:
_______________________________
14. Name of the Nearest Bus Stopage:
________________________________________________
15. Distance from the Bus Stopage: _____________ Nearest Land Mark: _________________
18. Latest Passport Photograph of Chairman & Director with Signature & Seal:
a) Chairman:
b) Director:
_____________________
Signature with Seal
of Chairman
_____________________
Signature with Seal
of Director
DECLARATION
I / we hereby declare that the details provided by me / us herein above are true to the best of my /
our knowledge and if at any point of time it is found false then the action taken against me / us will
be abide me / us naturally.
Date: _________________
Place:_________________
i) ______________________
Signature
ii) ______________________
Signature
Note: Filling up the above application form does not indicate that the applicant has given the authorization
to open the RABINDRA PATH BHABAN affiliated Institution or Centre, it is on the sole discretion of
the RABINDRA PATH BHABAN.
Fill the form fully, neatly & properly. Write N.A (Not Applicable) where the information is not available.
Please provide the following :
a) A copy of the Driving License / Voter Id Card / Passport.
b) One set of Visiting Card, Letter Head, Profile of your Institute etc. as per the requisition of the
above form given.
RABINDRA PATH BHABAN
COURSES
Course Details
Min. Eligibility
Approved
A. TEACHERS TRAINING COURSES
1. Montessori Teachers Training
H.S.
2. Craft Teachers Training
H.S.
3. Nursery Teachers Training
H.S.
4. Computer Teachers Training
H.S.
B. CIVIL ENGINEERING DIPLOMA & DEGREE
1. Diploma in Civil
10th Pass
H.S. with Pure sc./ Diploma in
2. Degree in Civil
Civil
3. Diploma in Surveyor
4. Civil Diploma Lateral entry
5. B.Tech Civil
6. B. Tech Automobile
7. Diploma in Automobile
8. Diploma in Fire safety
9. Diploma In Auto-Cad Designing
10. Advance Diploma in Fire & safety.
C. ITI (under N.C.V.T)
1. Draughtsman Civil with Auto Cad
2. Surveyor Civil with Auto Cad
D. CERTIFICATE
1. Civil Site Supervisor
10th Pass
I.T.I/ Vocational
H.S. with Pure sc.
H.S. with Pure sc.
10th Pass
H.S.
H.S.
H.S.
BSS(Govt. of India)
S.C.T.E(Govt. of W.B.)
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
UGC University
10th Pass
N.C.V.T (Govt. of India)
10th Pass
N.C.V.T (Govt. of India)
10th Pass
S.C.T.E(Govt. of W.B.)
th
2. Construction Supervisor
10 Pass
S.C.T.E(Govt. of W.B.)
3. Field Survey with Auto Cad
4. Certificate in Early Childhood
Education
10th Pass
N.C.V.T (Govt. of India)
10th Pass
UGC University
th
5. Tally 9.0
10 Pass
N.C.V.T (Govt. of India)
6. Desk Top Publishing
10th Pass
S.C.T.E(Govt. of W.B.)
7. Print Publishing
10th Pass
N.C.V.T (Govt. of India)
8. Web Designing
10th Pass
N.C.V.T (Govt. of India)
9. CCA
10th Pass
N.C.V.T (Govt. of India)
10th Pass
N.C.V.T (Govt. of India)
10th Pass
N.C.V.T (Govt. of India)
10th Pass
UGC University
10th Pass
UGC University
10.FA
11.Spoken English & Communication
Skill
E. DIPLOMA
1. Diploma in Early Childhood
Education
2. Diploma in Arts & Craft
We also offer General Graduation & Master Degree Level Courses
i.e. B.S.C, B.A, B. COM., M.Sc., M.A., & M.COM
(recognized by UGC University)
FRANCHISE OFFERED COURSES
First Stage:
A. TEACHERS TRAINING COURSES
1. Montessori Teachers Training
2. Computer Teachers Training
3. Nursery Teachers Training
B. CIVIL ENGINEERING DIPLOMA &
DEGREE
1. Diploma in Civil
2. Degree in Civil
3. Diploma in Surveyor
4. Civil Diploma Lateral entry
5. Diploma in Automobile
6. Diploma in Fire Safety
7. Diploma in Autocad Designing
8. B.Tech Civil
9. B. Tech Automobile
10.Advance Diploma in Fire & safety.
C. CERTIFICATE COURSES
1. Tally 9.0
2. Desk Top Publishing
3. Print Publishing
4. Web Designing
5. CCA
6. FA
7. Communication & Spoken English
D. GENERAL COURSES
1. B.Sc., B.A, B.COM.
2. M. Sc., M.A, M.COM.
Completion of the First Stage successfully Second Stage Courses will be offered according on the sole
discretion of the RABINDRA PATH BHABAN.
Second Stage:
A. TEACHERS TRAINING COURSES
1. Craft Teachers Training
B. ITI (under N.C.V.T)
1. Draughtsman Civil with Auto Cad
2. Surveyor Civil with Auto Cad
C. CERTIFICATE
1. Civil Site Supervisor
2. Construction Supervisor
3. Field Survey with Auto Cad
Govt. Regd No.S/IL/25389
ISO 9001 CERTIFIED ORGANISATION
52,Old Nimta Road, Kolkata – 83
: 2541 2244
2541 5628
Montessori & Computer Teachers Training Institute
Terms & Condition to open a New Franchise
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
3 Nos.(Three) Class Room of min. 250 sq. ft. each
1 No.(one) Practical Lab of min. 400 sq.ft
Computer Practical Lab. of min. 250 sq. ft. & having at least 10 Computers
1 No.(one) Audio Visual Room having capacity of sitting min. 50 student
1 No.(one) Library Room
Teacher’s Common Room (1)
Reception / Front Office
Two Toilets for ladies & gents separately
Drinking Water Facilities
Joining Fees is non refundable.
Annual Renewal Charge is non refundable.
All Materials & Instruments related to Montessori teaching are available from the Institute
at the reasonable price and it should be paid in advance to the institute.
13. Study Materials viz. Book, CD set, Admission forms, Money receipt books, Student I-cards
etc. will be provided from the Institute by tendering the exact amount of registration fee,
university charge & other items each.
14. Inspection Expenses of Inspection Team should be borne by the concern Institute /
Franchise
15. Fees Details :a. Registration fees.
b. University Charge additional as per the University chosen
i) KSOU UNIVERSITY
:
ii) BHARAT SEVAK SAMAJ( BSS)
:
c. I -card & Prospectus Fees
d. Examination Fees
e. Excursion Fees
{N.B. The fees amount of no. (d & e) above will be decided every year. }