UGC - Human Resource Development Centre
Punjabi University Patiala


Application Form for Faculty Development Programme with the Collaboration of Mahatma Gandhi National Council of Rural Education
 
Please read the Instructions before filling in this form:
(a) The Registration fee for the course is Rs.1000/- (One Thousand only) to be paid through online payment mode after his/her selection.

Account Name: Director, Human Resource Development Centre, Punjabi University, Patiala
Account Number 65067372627
IFSC Code SBIN0050009
MICQ:147002022

(b) This form must be filled in completely and no column should be left blank.
(c) This form must be forwarded through proper channel. (d) Strike out which is not applicable.
(e) Only the teachers who are selected for a particular course will be informed about the programme.
(f) Certificates of completion of course will be given to those participants who attend the course for the full duration i.e. for 6 day.
(g) TA/DA will be paid as per Mahatma Gandhi National Council of Rural Education Institute rules.
(h) Application form should be addressed to Director, Human Resource Development Centre, Punjabi University, Patiala - 147002.
Course Name :  Faculty Development Programme
Dates : 18-04-2022  to 23-04-2022
Online Transaction Fee Receipt No.  Date  
 
1.
*Name :
 
2.
*Date of Birth :   *Gender :  



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3.
*Category :
4.
*Qualification :   *Subject :  
 
*Specialization :    
5.
Phone (with STD code) : (R)   *(M)  
 
Fax :   *E-mail :    
6.
*College/University    *Place :  
 
*Type of Institution :
7.
*Designation : 
 
8.
*Due Date of Promotion :  
9.
*Nature of Appointment :
10.
*Teaching Experience :   Years   Months
11.
Scale of Pay :    Basis Pay :    or, Fixed Pay :  
12.
*Official Address :
Department:   Name of Institute:  Place:
 
Tehsil:   District:   State:   Pin:  
13.
*Residential Address :  
14. Details of the Orientation and Refresher Courses attended:
   
 
Course Date and Duration Institution
15.
*Whether accomodation is required :
*Food Preference: