UGC - Malaviya Mission Teacher Training Centre
Punjabi University Patiala


UGC-MMTTC PROFORMA FACULTY INDUCTION PROGRAMME (FIP) / REFRESHER COURSE (RC)
 
Please read the Instructions before filling in this form:
(a) This form must be filled in completely and no column should be left blank.
(b) This form must be forwarded through proper channel.
(c) Strike out which is not applicable.
(d) Every teacher is required to present a research paper during the course.
(e) Certificates of completion of course will be sendthrough speed post to those participants who attend the course for the full duration i.e. 24 working days for FIP (earlier known as Orientation Course) and 12 Working days for RC. There is no provision of any kind of leave.
(f) Application form should be addressed to Director, UGC-Malaviya Mission Teacher Training Centre (MMTTC), Punjabi University, Patiala - 147002.
Select a Programme :
Course Name : OP (General)/OP (IT)/Refresher Course in
Dates :  to
   
 
1.
*Name :      
2.
*Date of Birth :     *Gender :   



  Upload your photo here
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.
*Correspondence Address :    
  (all the communication will be on correspondence address)
So kindly fill complete address including house no, city, tehsil, district, pin code so that certificate etc. may be delivered appropriately
16. Details of the Orientation and Refresher Courses attended:
   
 
Course Date and Duration Institution
Orientation Course   
Refresher Course 1
Refresher Course 2
Refresher Course 3
17.
*Whether accomodation is required :