UGC - Human Resource Development Centre, Punjabi University Patiala

UGC - Malaviya Mission Teacher Training Centre
Punjabi University Patiala

UGC-MMTTC PROFORMA SHORT TERM PROGRAMME/FACULTY DEVELOPMENT PROGRAMME/WORKSHOP

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 : Workshop/Short Term Course in

Dates :

*Name : * *

Miss

Mrs

*Date of Birth : *

*Gender :*

Male

Female

Other

* Upload your photo here

*Category : *

BC/OBC

General

*Qualification : *

*Subject : *

*Specialization :*

Phone (with STD code) : (R)

*(M) *

Fax :

*E-mail :* *

*College/University *

*Affiliating University *

*Place : *

*Type of Institution : *

Govt.

Private

Autonomous

*College Recognise under Section 12B and 2F *

Yes

*College Affiliation From : *

*Designation : *

Assistant Prof.

Associate Prof.

Others

10.

*Due Date of Promotion :

/ /

11.

*Nature of Appointment : *

Regular

Part time

Ad hoc

Contract

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/Refresher Course attended : (Specify clearly the courses done)

Date and Duration	Course	Institution

17.

*Whether accomodation is required : *

Yes