UGC - Human Resource Development Centre
Punjabi University Patiala
APPLICATION FORM FOR SUMMER/WINTER SCHOOL
Please read the Instructions before filling in this form:
(a) The Registration fee for the course is R. 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) Teachers will pay the registration fee online or through Draft only after getting the selection letter.
(f) Every teacher is required to present a research paper during the course.
(g) Certificates of completion of course will be sendthrough speed post to those participants who attend the course for the full duration i.e. 25 working days for FIP and 12 Working days and 72 Hours for RC. There is no provision of any kind of leave.
(h) Application form should be addressed to Director, Human Resource Development Centre (HRDC), Punjabi University, Patiala - 147002.
Select a Programme :
-Select-
Summer School
Winter School
Course Name : Summer/Winter school.
Dates :
to
1.
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Name :
*
*
Dr
Mr
Miss
Mrs
2.
*
Date of Birth:
*
*
Gender :
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Male
Female
Other
*
Upload your photo here
3.
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Category :
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SC
ST
BC/OBC
General
4.
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Qualification :
*
*
Subject :
*
*
Specialization :
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5.
Phone (with STD code) : (R)
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(M)
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Fax :
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E-mail :
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*
6.
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College/University
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Affiliating University
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Place :
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Type of Institution :
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Govt.
Private
Autonomous
7.
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College Recognise under Section 12B and 2F
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Yes
No
8.
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College Affiliation From :
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9.
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Designation :
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Assistant Prof.
Associate Prof.
Others
10.
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Due Date of Promotion :
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11.
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Nature of Appointment :
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Regular
Part time
Ad hoc
Contract
12.
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Teaching Experience :
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Years
Months
13.
Scale of Pay :
Basis Pay :
or, Fixed Pay :
14.
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Official Address :
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Department:
Name of Institute:
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Place:
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Tehsil:
District:
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State:
*
Pin:
15.
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Residential Address :
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16.
Details of the Summer/Winter/Orientation and Refresher Courses attended:
Course
Date and Duration
Institution
Summer/Winter School
Orientation Course
Refresher Course1
Refresher Course2
Refresher Course3
17.
*
Whether accomodation is required :
*
Yes
No