Land Owner’s Partnership Program for Schools Registration Form

Land Owner’s Partnership Program for Schools

Registration Form

Personal Details

Name of Respondent
Address of Respondent
City
District
State
Pin
Primary Contact Number
Secondary Contact Number
Primary Email ID
Secondary Email ID

Advertisement Details

(In which newspaper did you see the advertisement?)
Newspaper Reference
Advertisement Date	Tip: The date format is mm/dd/yyyy and a Calendar is also available for date selection

Land Details

City in which land is located
District in which land is located

(Tick Mark the appropriate option)

Available Land Area (Acres)	a) 5 Acres b) 5 - 10 Acres c) 10-15 Acres d) More than 15 Acres

Location of Land	a) Inside Municipality Limit b) Inside NAC Limit c) Inside Panchayat Limit

Distance from city centre	a) Within 5 Km of city centre b) Within 10 Km of City Centre c) More than 10 Km of city centre

Land Ownership Detail	a) Individual Owner b) HUF (Hindu Undivided Family) c) Group of people related by blood d) Group of people not related by blood e) Business House f) Trusts/Foundations g) Quasi Govt. / Govt. Land

Nature of Land	a) Agricultural Land b) Commercial Land c) Land Marked for Educational Institute d) Non-Agricultural (Barren Land) e) Land inside planned townships
Topography Details
Any Other specific information
Number of days required for conversion of land for the purpose of school

I do hereby give my consent for exploring the possibility of entering into a partnership with Everonn Education Limited for setting up schools in my district.