West Bengal State Council of Vocational Education & Training

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)