Registration Form for Private Training Agency

Required *

1. Details of Agency:

Note: All documents to be self attested

Name of the Organization

Year of Establishment:

Registration /License Number:

Registration /License Number - Upload PDF

Phone:

Email:

Complete Address (Registered) (with district and Pin code):

Address (Operational) (with district and Pin code):

Name and Designation of the Single point of contact (SPOC):

Contact of SPOC: Email, Phone No

Logo of the organization (upload jpg/jpeg/png file)

Letter of Empanelment from NSDC/ FSSAI/ MSDE-PMKVY indicating period of Validity - Upload PDF

Brief on the role and function the organization (Upload Details in a separate Sheet) - Upload PDF

2. Details of the past trainings conducted - Upload Excel File

Sample format - (Name of TP) - Details of the trainings conducted

3. States for which you would like to apply

3.1. Districts for which you would like to undertake training

For selecting multiple districts, select ctrl + click

4. Facilities available for Classroom Training

5. Infrastructure available for Practical training - Upload Excel File

Sample format - (Name of TP) - Infrastructure available for Practical training

5.1. Upload Photographs of Infrastructure

(Paste photographs in a single word file, save as pdf and upload here)

6. No. of resources/ manpower engaged with the organization for implementation of the training at district level (as per the eligibility criteria in Annexure 2A of Revised Capacity Building Guideline of PMFME Scheme)

6.1. Upload details of manpower as mentioned above

(.xls/ .xlsx format only) Sample Format

7. Estimated total number of trainees that can be trained (quarterly)

7.1. Quarterly target Beneficiary category 1 (50 hrs)

7.2. Quarterly target Beneficiary category 2 (24hrs)

8. Kindly provide the details of Infrastructure for Training

8.1 Classroom area (The minimum space requirement for each classroom is 200 sq ft – 20 participants min – minimum space requirement per trainee in each classroom is 10 sq ft)

YesNo

8.2 Whiteboard with projectors/ Big screen in classrooms

YesNo

8.3 Venue for theory and practical/ demonstration session to be either at same or nearby place

YesNo

8.4 Arrangement of equipment to be utilized during practical sessions as given in the Capacity building handbook

YesNo

8.5 Separate washroom facility for male and female trainees

YesNo

8.6 Availability of safe/clean drinking water facility

YesNo

8.7 Health and Safety Facilities: First-Aid Kit

YesNo

8.8 Measures to be taken to follow Covid Protocols during training

YesNo

8.9 CCTV cameras (with CCTV recording facility)

YesNo

8.10 Internet Connectivity

YesNo

Remarks

Declaration:

I hereby confirm that the above-mentioned details are correct. If engaged for undertaking training under PMFME, I shall abide by the Capacity Building Guidelines dt. 20.01.2022, Guidelines for Engagement of Private Training Partner dt. 19.01.2022 and any other instruction from SNA/MoFPI for undertaking training under Capacity Building Component of PMFME Scheme.

Declaration

YesNo

Upload Document (only for the use of State Nodal Agency)