UGC - Human Resource Development Centre
Punjabi University Patiala


APPLICATION FORM FOR PRINCIPAL CONFERENCE
Date :
 
1.
*Name :      
2.
*Date of Birth :     *Gender :   



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3.
*Category :  
4.
*Qualification :  
5.
Phone (with STD code) : (R)   *(M)    
 
Fax :   *E-mail :      
6.
*College/University     *Place :    
 
*Type of Institution :  
7.
*Nature of Appointment :  
8.
*Official Address :  
Department:   Name of Institute:   Place: 
 
Tehsil:   District:    State:    Pin:  
9.
*Residential Address :    

I hereby declare that all information furnished in this application form is true, complete and correct to the best of my knowledge and belief.