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Section 2

Address and Telephone Number: -

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2. Address and Telephone Number: - So 3. (i) Name of the Act under which the institute is already registered, (ii) Registration number. And date of Registration: . - (Please attach a photocopy) 4, Memorandum of association and bye-laws of the institutions; ~-+ (Please attach a photocopy) .5. Name, Address, Occupation and other particulars of the SEAN members of the Board of f Manggement/Governing body of the. Institution; Present Activities of the Institutions: Present Membership strength and Categorization of the Institution. List of documents to be attached (a) A copy of the annual report for the previous year, (b) Audited statement of Account duly certified by Chartered Accountant for the last two years : (c) Details of Staff Employed by the Institutions. @ Detail of beneficiaries . to be covered by the eel, ...... of the Institutions. (¢) If Hostel is maintained, the number of hostelers, - (f) Whether the Institute is located on its own / rented building (Necessary evidence to be attached) 8. In case of renewal original certificate shall be attached. Cari, No Name: . ’ : Designation: Signature of Applicant Address: - a } "Date: Office Stamp: +123(24) RISA _X[S—Y7, Sal 24, 2019 qT -4_(7) ~ Form B : ‘Registration Certificate - © (Seerule 7) Government of Rajasthan ER Directorate, Special Abled Persons - Serial No. ho 3 } Nn oo Dated: Under sub- section @ of section 51 of the Rights of Persons with Disabilities Act, 2016 ...... as ererrraea is registered by the Director, Special Abled Persons. This certificate -is valid from : date........c....