SCSM

SARVA COMPUTER SAKSHARTA MISSION

(Regd. Govt. of India, NCT, New Delhi), AN ISO 9001:2008 certified)
101, 2nd Floor, Anjani Plaza, Bhanwar Kuan Main Road, Above ICIC Bank, Indore(M.P.)
APPLICATION FORM FOR SETTING UP SCSM AUTHORIZED CENTER/DISTRICT /
STATE/COUNTRY MASTER FRANCHISE
1. Application for (Kindly tick in the box) :
a) Authorized Training Center
b) District Master Franchise
c) State Mster Franchise
d) Country Matser Franchise
All future correspondence shall be addressed to (Address of the Center) :
Name of the center owner/owners :
1.
2.
3.
Name of the center (if any) :
Postal Address of the Center :
Place :
Country :
Contact Numbers :
Fixed line-Country Code
STD code
Phone no
Cellphone no
Email ID :
Alternate email ID :
Web site :
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