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    Ugc Academic Staff College: Application Form

    Uploaded by

    Lalbiakngheta Chawngthu
    Signature of the Forwarding Authority Designation This document is an application form for participation in orientation programs or refresher courses sponsored by the University Grants Commission (UGC) Academic Staff College at Mizoram University. The form requests personal details of applicants such as name, date of birth, education qualifications, employment details, and teaching experience. It also includes a recommendation section where the forwarding authority recommends the applicant and certifies information about the college they are employed at.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Ugc Academic Staff College: Application Form

    Uploaded by

    Lalbiakngheta Chawngthu
    25 views2 pages
    Signature of the Forwarding Authority Designation This document is an application form for participation in orientation programs or refresher courses sponsored by the University Grants Commission (UGC) Academic Staff College at Mizoram University. The form requests personal details of applicants such as name, date of birth, education qualifications, employment details, and teaching experience. It also includes a recommendation section where the forwarding authority recommends the applicant and certifies information about the college they are employed at.

    Original Description:

    Application Form

    Original Title

    Apllication Form

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    Signature of the Forwarding Authority Designation This document is an application form for participation in orientation programs or refresher courses sponsored by the University Grants Commission (UGC) Academic Staff College at Mizoram University. The form requests personal details of applicants such as name, date of birth, education qualifications, employment details, and teaching experience. It also includes a recommendation section where the forwarding authority recommends the applicant and certifies information about the college they are employed at.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views2 pages

    Ugc Academic Staff College: Application Form

    Uploaded by

    Lalbiakngheta Chawngthu
    Signature of the Forwarding Authority Designation This document is an application form for participation in orientation programs or refresher courses sponsored by the University Grants Commission (UGC) Academic Staff College at Mizoram University. The form requests personal details of applicants such as name, date of birth, education qualifications, employment details, and teaching experience. It also includes a recommendation section where the forwarding authority recommends the applicant and certifies information about the college they are employed at.

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    © All Rights Reserved
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    UGC ACADEMIC STAFF COLLEGE

    Passport Photo

    MIZORAM UNIVERSITY
    Tanhril, Aizawl, Mizoram 796009
    (Incomplete form will not be entertained)

    APPLICATION FORM
    For Participation in the UGC sponsored
    ORIENTATION PROGRAMME

    REFRESHER COURSE

    SHORT TERM COURSE

    IN SUBJECT OF
    Commencing from

    To
    First Name

    Middle Name

    1. Name of the applicant


    (In Capital letters)
    2. Date of Birth
    4. Category

    3. Sex

    ST

    5. Whether Minority:

    SC
    Yes

    If Yes, Christian
    Sikh
    6. Education Qualification:

    OBC

    General

    No
    Muslim

    Buddhist

    Others
    PG

    M.Phil

    Ph.D

    7. Corresponding Address of the Applicants:


    Street/Locality :
    Village/Town :
    State :

    Phone No :

    Pin Code :

    Email

    8. Name and address of the College/Institution where applicants is employed :

    Phone No:
    Pin Code :
    9. University to which the College/Institution is affiliated :
    10. Designation: Assistant Professor

    Assistant Professor (Senior Scale)

    Assistant Professor (Selection Grade)/Associate Professor


    11. Date of appointment as Assistant Professor:
    12. Nature of Appointment:

    13. Pay Band

    Surname

    Parmanent

    Temporary/Adhoc

    Part Time

    Contract

    and AGP

    OR Consolidated Pay

    Parsi

    14. Date or due date of placement in :


    Asst. Prof. (Senior Scale)

    and or

    Asst. Prof. (Selection Grade)/ Assoc. Prof.


    Degree Classes

    15. Teaching Experience : Total

    PG Classes

    (In years) at Senior College / University


    Teaching subject

    Specialization

    16. Have you attended any Orientation Programme or Refresher Course so far ? If Yes, give dates
    and name and address of the Academic Staff College/Institute .
    Orientation Programme
    To

    (1)Date
    Address
    Refresher Course

    To

    (2) Date
    Address
    (3) Date

    To

    Address
    To

    (4) Date
    Address
    17. Hostel Accommodation: Required

    Not Required

    I declare that the information given above is correct to the best of my knowledge.
    I hereby undertake to participate in all the academic sessions and assignment work during the
    course and will abide by the rules and regulations of the UGC Academic Staff College.

    Place:
    Date:

    Signature of the Applicant

    RECOMMENDATION OF THE FORWARDING AUTHORITY


    (1) I recommend Dr./Mr./Ms. _________________________________________ for the Orientation
    Programme/Refresher Course in the subject of _____________________________ who has a total
    teaching experience of __________ years_________ months in our Institutions. He/She will be
    relieved on time to participate in the above course at UGC Academic Staff College. If selected and no
    work will be allotted to him/her during the duration of the programme.
    (2) Certified that this college is affiliate to _____________________University for the last 5 years.

    Place

    Office
    Seal

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