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Application for Business Association

Version #1.3 :: 28th

March 2013

Planet EDU represents

This form is to be completed by an organisation / institution who wish to become a business associate of Planet EDU.

Institution Information (Please write clearly in BLACK INK using CAPITAL LETTERS)

1. Institution Name : ____________________________________________________________________________

2. Institution was established in the year : __________________________

3. Address : __________________________________________________________________________________

4. City : __________________________________ State : _____________________ Pin: _________________

5. Telephone: ISD code :__________ STD code ___________ No._______________________________

6. Fax: ISD Code: _______________ STD code ___________ No. ______________________________

7. Name of the Head of institution: _____________________________________________________________

8. Title of the Head of the institution: ____________________________________________________________

9. E-mail : _____________________________________@__________________________________________

10. Mobile : ________________________________________________________________________________

Details about current business activities

Please provide details regarding the current qualification(s) being offered by the institute and other information

Details of existing business activities Yes / No Remarks / Details

Existing Planet EDUInput Node Since (Year): _____________

Existing school (please mention upto which class)Upto grade 5

Upto grade 8

Upto grade 10

Upto grade 12

Existing English Language Training institute No. of candidates / year: ____________

Existing Private College / Management Institution Qualifications offered

_________________________________

_________________________________

_________________________________

_________________________________

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Planet EDU: Application for Business Association

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Details of existing business activities Yes / No Remarks / Details

International student recruitment for Universities abroad No. of candidates / year: ____________

Immigration services No. of candidates / year: ____________

Any other, please specify

Type of Association

Please tick the appropriate type of association you are looking with Planet EDU.

Enrolment Centre(will provide information, counseling and register students). No association fee is applicable.

QAI Approved Centre(will provide information, counseling and register students and will also provide trainingfor courses offered by QAI, INCLUDING Management Courses). An association fee will be applicable which canbe checked with the Business Development Team.

Activities for which the institution proposes to associate with Planet EDU

This is applicable only if you tick the Learning Centre or Partner Institution type of association mode.

Name of Qualification you are interested in associating for (tick as applicable)

English Language Courses Management Qualifications ( QAI & Cardiff Met)

Professional Awards in Soft Skills (validated byQAI )

Diploma for Teachers & Trainers (validated by QAI)

Name of the signatory: _________________________________________________________________

Designation: _________________________________ Signatures: _______________________________

Please forward the completed form to:

Business Development

Planet EDU Network Pvt. Ltd.

304, 3rdFloor, Park Centra, NH-8, Sector 30, Gurgaon122001, Haryana

Tel: +91.124.468 4800 :: Toll Free 1800 102 1050 :: Email:helpdesk@theplanetedu.com