Centre Registration Form

     
  Centre Id *   Centre Name *
 
   
 
   
  Centre Director *   Centre Email ID *
 
   
   
     
  Land Line Number   Contact Number *
     
   
  Country *   State *
 
   
 
  District *   Centre Address *
   
   

HR Login Details

 
  HR Coordinator Name *   Designation In Centre *
 
  
 
  
Primary Contact Number * Alternative Contact Number
 
  
Login Mail ID *  
 
    
 
Password * Confirm Password *
 
  

    
   
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