UGC - Human Resource Development Centre
Punjabi University Patiala


APPLICATION FORM FOR ORIENTATION/REFRESHER COURSE
 
Please read the Instructions before filling in this form:
(a) Form will be accepted only if a Bank Draft of Rs. 1,000/- as Registration Fee (Non-refundable) in favour of Director, Human Resource Development Centre (HRDC), Punjabi University, Patiala payable at Patiala is enclosed. The draft will be refunded if the course is cancelled or the application is rejected by the HRDC.
(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) Every teacher is required to present a research paper during the course.
(g) Certificates of completion of course will be given to those participants who attend the course for the full duration i.e. 144 contact hours i.e. 6 hours daily for 4-week programme and a minimum of 108 contact hours for a 3-week programme. There is no provision of any kind of leave.
(h) TA/DA will be paid as per UGC rules.
(i) Application form should be addressed to Director, Human Resource Development Centre (HRDC), Punjabi University, Patiala - 147002.
Select a Programme :
Course Name : OP (General)/OP (IT)/Refresher Course in
Dates :  to
Bank Draft No.  Date  Name of the Bank
 
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     *Affiliating 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
Orientation Course
Refresher Course 1
Refresher Course 2
Refresher Course 3
15.
*Whether accomodation is required :