Annexure M - Format for Capturing Center & Batch Details (To be filled by Assessor)
Assessment Agency Name : Assessor’s Name :
Assessor’s Aadhar number : No of candidates in the batch :
Training Partner name : Training Center name :
Center SPOC Name : SPOC mobile no :
Center Id : Batch id :
Job role for which assessment
Sector Name :
conducted :
Student Preferred language of Assessment conducted in the
assessment : language :
Center Address on SDMS : Actual Date of Assessment:
Actual Center Address :
S.N Tick the appropriate Answer Yes No Remarks
1 Is the center located at the same address as mentioned on SDMS ?
Is the Infrastructure (No. of classrooms, State of Laboratories, etc.) present at the
2 Training Center adequate and satisfactory to conduct the training ?
3 Is the assessment being conducted at same center, where trainees got trained ?
4 Assessment is conducted on the Scheduled Date ?
5 If No , Reasons for change of Date ?
6 Are the Trainees being assessed for same job role, for which they were trained ?
7 Each Trainee’s identity checked before conducting assessment ?
8 Are the trainees confirming that they paid the Assessment Fee ?
9 Are the trainees aware they are enrolled under PMKVY Scheme ?
10 Are the trainees aware of the Certification Process ?
11 Are the trainees aware of Reward Disbursement?
12 Are the trainees aware of the Course fee ?
13 Are the trainees aware of Auto Debit Facility ?
14 Are the trainees aware of the Placement opportunities ?
15 Trainee Feedback form available, and signed by the trainee ?
16 Trainee Attendance Record Available, and signed by the trainees ?
Trainees Enrolment Forms available , with PMKVY logo and PMKVY Disclaimer ?
17 Are the forms signed by trainees?
Are the names on Enrolment forms tallying with the Attendance records of the batch
18 ( check any 5 forms)
19 Are the trainees given a PMKVY booklet/ Pamphlet for information?
20 Posters of PMKVY displayed in Counseling room ?
21 Posters of PMKVY displayed in Classroom ?
22 PMKVY signage displayed outside the Center ?
Over all Remarsk :
I hereby confirm that details filled above are thoroughly checked by undersigned
Signature of Asessor :
To be filled by the Training Center SPOC :
Assessor’s identity checked ( Yes/ NO ) : ………………………………Signature : …................................................
