Centralised System
Application for Affiliation of LODL Collaborative Centre

Notes :

****Please Fill up the below form and then submit
Details of Institution
1.Details of Institution :
Name of the Institution/College :
Year of Establishment :
Registration No :
District :
State :
Institute Head Name :
E-mail ID : (Please make sure you give your active E-Mail ID as this will be used for sending the login details.)
Alternate E-mail :
Website Address :
Country :
Office Number :
Mobile Number :
2. Details of existing Affiliation with University/Institution. Please write one program in each row.
Sl No.Name of The University/InstitutionProgrammes Being OfferedProgram TypeAssociated SinceNo. of Students
01
02
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04
05
06
07
08
09
10
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12
3. Address :
Regd. Address :
City :
Postal Code :
State :
Country :
Office Number :
Mobile Number :
Correspondence Address :
City :
Postal Code :
State :
Country :
Office Number :
Mobile Number :
4.Connectivity :
Nearest Airport Name :
Airport Distance(K.M) :
Nearest Railway Station :
Station Distance(K.M) :
Nearest Bus Stand :
Bus Stand Distance(K.M) :