west bengal state council of vocational education _ training

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					                          WEST BENGAL STATE COUNCIL OF VOCATIONAL EDUCATION & TRAINING.
                                      (A Statutory Body under West Bengal Act VII of 2005)
                             APPLICATION FORMAT FOR AFFILIATION OF VOCATIONAL COURSES
   1.      Name of the Institution. (In Capital Letter) : -


   2.      Category (Please „tick‟ mark)                                    :-             Govt. (    )/ Govt. Aided (     )
   3.      a) Postal Address with PIN Code, District &                      :-
              Telephone No. (At least one contact number.)



           b) Name of the Gram Panchayat and Block or             :-
              Municipality and Ward No. where the
              institute is situated.
           c) Name of the Police Station                          :-
   4.      Name of the discipline(s) along with the Vocational Subject(s) proposed to be introduced (Choose from the
           list on reverse) : -
                             (X+2) Vocational Level                                  (VIII+) STC Level
              (Proposed Vocational Disciplines & Subjects                    (Proposed Trade indicating Code)
                                indicating Code)                       i)

           i)                                                                    ii)

           ii)                                                                   iii)

   5.      Whether affiliated to W.B.B.S.E. / W.B.C.H.S.E /                 :-   If Yes, quote Code No……………………, &
           MADRASAH Board.                                                       Code No……………………………….. enclose
                                                                                 Photocopy of all the documents, duly attested
   6.      Whether the institute is running science stream at               :-                Yes (       ) / No. (          )
           H.S. level.                                                                          (Please „tick‟ mark)
   7.      Whether the Institution is Co – Educational                      :-                Yes (       ) / No. (          )
                                                                                                (Please „tick‟ mark)
   8.      Infrastructural facilities to be made available by the           :-   a) No. of Class room :
           Institute to run Vocational course.                                   b) Laboratory: (Whether exists)
           (4 – 5 photographs of the institute in support of the                 e.g. Physics ( ), Chemistry( ), Biology( ),
           proposal need be attached).                                           Computer(       ) etc. (Please „tick‟ mark )
                                                                                 With list of machinery / equipment available.
                                                                                 c) Whether electricity is already existing
                                                                                    in the Institute.
                                                                                         (Separate Sheet may be enclosed)
   9.  In case of Aided Institutions, composition of   :-
       MC/GB/COUNCIL                                                                     (Separate Sheet may be enclosed)
   10. Name of the Institutions affiliated by this :-
       Council within your Block / Municipality, with
       distance from your institution and vocational
       courses running there (separately X+2 and VIII+
       STC level)
                             The information furnished above in respect of our institution is true. I undertake on behalf of the
   Institution to abide by the Rules & Regulations of the Council in conducting the proposed courses, if the Recognition is
   granted.


   Date:________________                                                  __________________________________
                                                                 Signature of the Head of the Institution with office seal.

    Bank Draft of Rs. 200/- (On Nationalised Bank) is enclosed in favour of “West Bengal State Council of
    Vocational Education & Training (Gen).” Payable at Kolkata.
    Draft No. …………………………………, Dated: ……………………………..,
    Name of Bank & Branch: - …………………………………………………………………………………….

                                                         FOR OFFICE USE ONLY
Affiliation Granted / Rejected : -                                Institution Code No. allotted :-
Course Offered                 :-
No. of Student Admitted        :-
                                                                                          _______________________________________
                                                                                         Signature of the authorised Officer of Council
   Note:         1) Filled in Application Form along with all enclosures is to be submitted, to the Council Office on or before
                 20.03.2009.
                 2) For (X+2) level choice is restricted to 2 disciplines and three subjects, For VIII+ level maximum 3 trades may
                 be chosen.
                      The Form may be downloaded & printed in paper size of Legal (8.5 x 14 inch)