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APPLICATION FORM OPENING EDUCATIONAL CENTRE UNDER ASSRA
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NAME
*
Your answer
Contact no.
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Your answer
Email Id
*
Your answer
Education/qualification
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Your answer
Place for opening centre (area, state)
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Your answer
Approx. no. of students available
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Your answer
Age group of students
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Primary
Secondary
Higher
No. of Teachers
*
One
Two
More than two
Where did you hear about ASSRA?
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Your answer
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