Annexure A Data
Effective Date
Business Name (Authorized Training Centre – ATC)
GST of the Business -
PAN of the Business -
Proprietor/Partner/Director/Trustee Name:
Registered / Office Address:
ATC Location
ATC Exclusivity Status
Exclusivity Range [Kilometres (Kms)]
Exclusivity Terms & Conditions
Exclusivity Exceptions -
Exclusivity Start Date
Exclusivity End Date
First License Fee (Non-refundable)
Student Wallet Balance included with First License Fee
Annual Renewal License Fee (Non-refundable)
Minimum Business Targets* (indicative)

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