Schedule -1
(Related to Sub-rule (4) of Rule 10)
Application for the Approval of Operation of Rehabilitation Center
Date:
Sub: Center Establishment / Approval for Operation
The Coordinator,
District Committee against Human Trafficking and Transportation
………………..
Since our institution is interested to establish /operate a rehabilitation center pursuant to the Human Trafficking and Transportation (Control) Act 2064 and Human Trafficking and Transportation (Control) Rules 2065, an application is, hereby, filed including the following descriptions.
(a) Name of the Institution :
(b) Address of the Institution:
(c) Name, Caste and Address of the Officials of the Institutions:
(d) Contact Person:
I, hereby, agree to abide by the guidelines made pursuant to the Human  Trafficking and Transportation (Control) Act, 2064 and Human Trafficking and Transportation (Control) Rules, 2065 as well as the directives given by the
National Committee and the District Committee.
Authorized Person of the Institution
Signature:
Name, Caste:
Contact Address: