TP/TC Declaration For Exclusive Skill Training of Persons With Disability Under PMKVY 2.0

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TP/TC Declaration for Exclusive Skill Training of Persons with Disability under PMKVY 2.

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(Kindly Note - This dully filled and signed Declaration needs to be printed on official letter head of the
Training Provider and needs to be provided to SCPwD ([email protected] and [email protected]
) while submission of CAAF on Skill India Portal)

I, ………………………………. (TC Name) of the organization ……………………………. (TP Name) hereby declare that
the below information provided by me in this declaration is factual and correct to the best of my
knowledge and belief.

A. Basic Information:

Training Provider Name –


Training Center Name –
Training Center ID (As per SIP) –
Complete Address of Training Center (As per SIP) –
TC SPOC Name –
TC SPOC Email ID –
TC SPOC Mobile No. -

B. Information on Type of Disability for the Job Roles opted by the Training Center

Disability Name
S.N. Job Role Name QP Code (Under which the
Training will be
conducted)

C. Infrastructure & Accessibility Related Information

S.N. Particulars Remarks


1. Is the proposed training of PwD at this Training Center would be
operational at the Ground Floor Only? (Yes/No)
2. In case, the training of PwD at this Training Center would be
operational at other floor level/levels as well (other than Ground
Floor) then mention the floor levels (ex. – Basement, First Floor,
Second Floor etc.)

TP SPOC signature

TP SPOC Name (in Bold Letters) Training Provider Stamp

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