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.
*College Recognise under Section 12B and 2F
8.
*College Affiliation From :  
9.
*Nature of Appointment :
10.
*Official Address :
Department:   Name of Institute:  Place:
 
Tehsil:   District:   State:   Pin:  
11.
*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.