Application for College Student Relationship Partner (CSRP)

1. Registration Details (Mandatory fields)

1.1- Name of the Company/NGO/Institution*

1.2- Post Address of the Company/NGO/Institution*

1.3- Select Country

1.4- State

1.5- City

1.6- Zip

1.7- Company/NGO/Institution Email*

1.8- Mobile No.*

2. Company / NGO / Institution Head:

2.1- Head name*

2.2- Head Phone*

2.3- Mobile(Used as Primary Contact) *

2.4- Mobile(Used as Secondary Contact)

2.5- Fax Number

2.6- Head Email ID

2.7- Aadhar Number

3. Institution Details:

3.1- Company/NGO/Institution*

3.2- Registration number (if any)

3.3- Date of Registration*

3.4- Whether the office of the organization is located in own building or rented building? * Own Rented

3.5- Brief History of the Agency, list objective and activities.

3.6- Upload Registration Certificate *

4. Bank Details (Mandatory fields)

4.1- Bank Name

4.2- Account No.*

4.3- IFSC Code*

4.4- Branch Name*

4.5- Bank Address*

4.6- District*

We, hereby declare that the particulars submitted by me in the online application form of CollegeLo are true to the best of my knowledge and belief. We agree to abide by the rules and regulations of CollegeLo and also to the decision of CollegeLo regarding any action. We will not held CollegeLo responsible for any damages. And we are aware that our security amount will be refunded only when we get the verification and agreement of at least 25 colleges and refund process will be completed within 90 Days of receiving the authorized letter. Only then security amount be refunded to my account, Otherwise My security amount security will be seized in which we don't any objection. We're also aware that we will be given 4% of the amount per successful student admission through us. We accept all the policies of CollegeLo.