Application for British Council IELTS Registration Centre

 Incomplete forms will not be accepted.

 Prospective registration centre should ensure all mandatory information along with
the supporting documents have been sent (please see checklist at the end of this
form)
Please note that all copies needs to be self-certified with a signature and seal/stamp
(on all pages).
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Part A Registration Centre details:

Please select relevant Sole Trader University/ Institution

type of your Business
Partnership Not for Profit/ Charity
Public Limited Company
Private Limited Other Public/ Government organisation
Company Other, please specify

*Registration Centre Name: ---------------------------------------

*Owned / Franchisee:------------------------------------

*Name(s) of the Owner / Partners /Director / Authorised signatory :----------------------------------

-----------------------------------------

*Designation:………………………………………………

*Contact Number: Mobile……………………… Land Line………………………

*Email id:……………………………………………………………………………………….

*Name of the key contact: …………………………………………………………………...

*Designation:………………………………………………………………………………….

*Contact Number: *Mobile………………………… Land Line………………………..

*Email id:…………………………………………………………………………………

If Franchisee, please state the details of franchisor:……………………………..

*Name of the Franchisor:………………………………………………………………

*Director:----------------------------------------------------------------------------------------------

*Contact Number:……………………………………………………………………….

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 *Email Id:………………………………………………………………………………….

*Address of the Franchisor HO:………………………………………………………..

*Number of Branches and address of each branch, if any:………………………….

1)………………………………………………………………………………………….

2)………………………………………………………………………………………….

3)…………………………………………………………………………………………..

4)………………………………………………………………………………………….

5)………………………………………………………………………………………….

*Date of incorporation:………………………………………………………………….

Services provided: GRE, GMAT Immigration services

PTE TOEFL

Coaching Other, please specify

Study abroad
consultancy

Affiliations if any :

1)……………………………………………………………………………………………….

2)………………………………………………………………………………………………..

Part B- Bank and tax details:

*Bank Details

Bank name Indicate full Bank name (E.G. State Bank

of India not just SBI)

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Branch Address : Please provide complete address

City

Account Number State clearly, use spaces after 3 or 4

digits

Account Type Current or Savings

IFSC Code For vendors in India

IBAN / SWIFT For overseas vendors only

CODE
Account Holder’s Should match Part A
name

*PAN Number:………………………………………………………………………………..

Service tax registration:……………………………………………………………………..

TIN:……………………………………………………………………………………………

Applicant’s name Title/Designation

I confirm that the details provided above are full and accurate. I understand that missing or incorrect
information may result in attempted payments made by the British Council being returned from your bank
as unsuccessful. I also agree that the British Council will accept no responsibility for any delays or loss
that occurs as a result.

Signature
Date

Attachments:

1) Declaration form on the letter head with seal and authorised signatories signature if
the bank account and PAN number is not in the name of the Registration Centre
2) Cancelled Cheque
3) PAN copy
4) Proof of address
5) Photo of Shop façade
6) Visiting card of the owner

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For office use:

Any past or existing relationship with British Council:

Staff strength:

Number of partners in 2 KM radius:

Assessment of Business potential: Monthly business potential

Background of the owner:

Competitor products sold

Attach Photo: a) shop façade b) shop interiors c ) visiting card of the owner