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1. Center details
2. Admin details
3. Infrastructure
4. Bank details
Step1
Please enter all the details of the center
Center Name
Center Description(About Center)
Center’s Postal Address?
Center’s Latitude
Center’s Longitude
Any nearby Landmark
Could be a Metro or Police station, a building etc.
Name of Railway Station
Distance from the main Railway Station Select distance
Name of Bus Station
Distance from the nearby Bus Station Select distance
Name of Metro Station
Distance from the main Metro Station Select distance
Name of Airport
Distance from the main Airport Select distance
Step2
Please enter the details of the points of contact at the center
Step3
Please enter the required information
General Lab details
Total number of systems
Select Yes No
Select 0 1 2 3 4 5 6 7 8 9 10
Lab Infrastructure details
Name of the Primary ISP
Primary ISP Connection Type Select Broadband Lease line Fibre Optics Air Fibre
Primary Internet Speed
Name of the Secondary ISP
Secondary ISP Connection Type Select Broadband Lease line Fibre Optics Air Fibre
Secondary ISP Speed
Generator Available Select Yes No
Generator Capacity (in KVA) Generator Fuel Tank Capacity (in Ltr.) Select Capacity
UPS Backup (KVA) UPS Backup Time (in mins) Select time
Lab details
Step4
Please enter your bank details
Beneficiary name
Name of the bank Select Bank ALLAHABAD BANK ANDHRA BANK AXIS BANK BANK OF BARODA BANK OF INDIA BANK OF MAHARASHTRA CANARA BANK CENTRAL BANK OF INDIA CITY UNION BANK CORPORATION BANK FEDERAL BANK HDFC BANK ICICI BANK IDBI BANK INDIAN BANK INDIAN OVERSEAS BANK INDUSIND BANK ING VYSYA BANK JAMMU & KASHMIR BANK KARNATAKA BANK KARNATAKA BANK LTD KARUR VYSYA BANK KOTAK MAHINDRA BANK ORIENTAL BANK OF COMMERCE PUNJAB & SIND BANK PUNJAB NATIONAL BANK SOUTH INDIAN BANK STATE BANK OF BIKANER & JAIPUR STATE BANK OF HYDERABAD STATE BANK OF INDIA STATE BANK OF MYSORE STATE BANK OF PATIALA STATE BANK OF TRAVANCORE SYNDICATE BANK TAMILNAD MERCANTILE BANK LTD UCO BANK UNION BANK OF INDIA UNITED BANK OF INDIA VIJAYA BANK YES BANK LTD Punjab & Maharashtra Co-operative Bank Ltd Standard Chartered The Muslim Co-Operative Bank Ltd ABHYUDAYA CO-OPERATIVE BANK LTD DELHI CO-OPERATIVE BANK RBL BANK KAVERI GRAMEENA BANK KARNATAKA GRAMEENA BANK LAKSHMI VILAS BANK DENA BANK BHARATI SAHAKARI BANK LTD THE NAINITAL BANK LIMITED THANE JANTA SAHAKARI BANK DBS BANK IDFC FIRST BANK BANDHAN BANK SHIVALIK SMALL FINANCE BANK BARODA UP GRAMIN BANK
Bank Account number
Bank IFSC code
PAN number
Do you have a GST number? Yes No
GST number
Upload GST Document
GST State code
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UIDAI Number
Do you have an MSME number? Yes No
MSME Number
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