School / Institute Empanelment

Email * School / Institute Name * Address of School / Institute * Locality /Area * Pin Code (Agra) * Number of Rooms / Classes / Halls * Nature of Business * Select Nature of Business Day Care Center / Creche Play School School College Coaching Center Academy Other Other Nature of Business Premises Status * Select Premises Status Owned Rented / Leased Other Premises Status Established Period * Select Established Period Less than 1 yr 1 yr to 5 yrs 5 yrs to 10 yrs 10 yrs +

Owner / Director Name * Director Mobile Number * Official Email * Center Head / Principal Name (if any) School / Institute Contact Number * Website (if any)

Class Levels *

Day Care Center / Creche Play School / Pre-Primary up to Senior KG Primary School up to Class 5 Middle School up to Class 8 Secondary School up to Class 10 Senior Secondary School up to Class 12 Day Boarding School Other

Other Class Level

Age Groups *

Pre Primary upto UKG Primary (upto 5th Class) Middle School (upto 8th Class) Secondary (upto 10th Class) Senior Secondary (upto 12th Class) College (upto Post Graduation) Other

Other Age Group Fee Collection Mode * Select Fee Collection Mode Online and Cash Cash Only Online Only, including UPI or Bank Transfer Other Other Fee Collection Mode Demo Class Availability * Select Demo Class Availability Yes No Maybe Not Applicable