ALC Application Form | UIPT

★ ISO 21001:2018 | ✅ Regd. Govt. of India

Universal Institute of Professional Training

📍 Shahjahanpur, Uttar Pradesh

✦ Application Form — Authorized Learning Partner

Fill all details carefully · UIPT Authorized Training Center (ATC)

1

Step 1Partner Info

2

Step 2Director Info

3

Step 3Infrastructure

4

Step 4Payment

🏢

Information About Training Partner

Basic institute details

⚠️ Required

Applying For *

Fixed option (Authorized Training Partner)

Affiliation Plan *

Select your affiliation fee plan

Training Partner Name *

Training Partner Address *

Tehsil / City *

District *

UP districts auto-load

State *

Pin Code *

Country

Mobile *

Email *

Status of Institution *

🏛️ Trust

👥 Society

📋 Other

Select one option only

Year of Establishment *

👤

Chief Executive / Principal / Director

Person in charge of the institute

⚠️ Required

Full Name *

Photo *

JPG/PNG only, max 2MB

Designation / Position *

Education Qualification *

Professional Experience (Years) *

Date of Birth *

🏗️

Infrastructure Facility

Agar kuch nahi hai to N/A hi rehne do

✓ Optional

Facility	No. of Rooms	Seating Capacity	Total Area (Sq.Ft.)
🪑 Staff Room
🏫 Class Room
💻 Computer Lab
🏢 Reception
🚿 Toilets
➕ Any Other

💳

Payment Mode

How you will pay the affiliation fee

⚠️ Required

📱

Google Pay (G-Pay)

UPI — instant transfer

🏦

Online Payment

Net Banking / NEFT / RTGS

✅ Preview verified. You may now submit your application.

* Preview karo pehle, phir Submit enable hoga