UGC - Human Resource Development Centre
Punjabi University Patiala


APPLICATION FORM FOR WORKSHOP/SHORT TERM 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 Human Resource Development Centre (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) Certificates of completion of course will be given to those participants who attend the course for the full duration. There is no provision of any kind of leave.
(g) TA/DA will be paid as per UGC rules.
(h) Application form should be addressed to Director, Human Resource Development Centre (HRDC), Punjabi University, Patiala - 147002.
Select a Programme :
Course Name : Workshop/Short Term 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.
*College Recognise under Section 12B and 2F  
8.
*College Affiliation From :    
9.
*Designation :     
10.
Due Date of Promotion :  
11.
*Nature of Appointment :  
12.
*Teaching Experience :     Years   Months
13.
Scale of Pay :    Basis Pay :    or, Fixed Pay :  
14.
*Official Address :  
Department:   Name of Institute:   Place: 
 
Tehsil:   District:    State:    Pin:  
15.
*Residential Address :    
16. Details of the Orientation/Refresher Course attended : (Specify clearly the courses done)
   
 
Date and Duration Course Institution
     
     
     
17.
*Whether accomodation is required :