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Application Form for Education Counselors

1. Name and Address of the Applicant :
* Name :
* Email :
* Address :
Pincode :
* Mobile Number :
Phone Number :
* Interested in :
2. Programmes (Courses) :
Tentative seats to be filled initially :
3. Address of the Off Campus :
4. Land Detail - Area ( Whether owned or on lease by the applicant )
5. Building: - Details of availability of Built up space (in sqm)
S.No. Particulars of Built-up Space at proposed permanent site Area (in Sq. Ft.)
1 Total Instructional Area
2 Total Administrative Area
3 Total Workshop and Lab Area (If applicable)
Total Area (in Sqm)
6. Your Vision (in 50 words) :
7. Your Mission (in 100 words) :
8. Your skills to manage the Faculty :
9. Educational Facilities available with you :
10. Any Other Information :

I, hereby undertake to comply with the Norms and Standards and Regulations of Himalayan University. I do undertake to furnish the documents as and when required by the University. I agree to fulfill all the conditions as may be stipulated by Himalayan University form time to time.

I hereby confirm that all the information furnished in the application is true to the best of my knowledge and belief and if any information is found to be false, my application may be rejected.

* Security :
I Agree