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    Application Cum Data Sheet

    Uploaded by

    Abhishek Frederick
    This document contains an application form for participation in an Orientation Programme or Refresher Course organized by UGC-Academic Staff College at Kumaun University, Nainital. The form requests information such as name, designation, institution, contact details, previous participation in similar programmes, and details of bank draft for registration fees. It also states the eligibility criteria for participation and important instructions regarding evaluation, grading and repetition of the course if required.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Application Cum Data Sheet

    Uploaded by

    Abhishek Frederick
    39 views2 pages
    This document contains an application form for participation in an Orientation Programme or Refresher Course organized by UGC-Academic Staff College at Kumaun University, Nainital. The form requests information such as name, designation, institution, contact details, previous participation in similar programmes, and details of bank draft for registration fees. It also states the eligibility criteria for participation and important instructions regarding evaluation, grading and repetition of the course if required.

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    This document contains an application form for participation in an Orientation Programme or Refresher Course organized by UGC-Academic Staff College at Kumaun University, Nainital. The form requests information such as name, designation, institution, contact details, previous participation in similar programmes, and details of bank draft for registration fees. It also states the eligibility criteria for participation and important instructions regarding evaluation, grading and repetition of the course if required.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    39 views2 pages

    Application Cum Data Sheet

    Uploaded by

    Abhishek Frederick
    This document contains an application form for participation in an Orientation Programme or Refresher Course organized by UGC-Academic Staff College at Kumaun University, Nainital. The form requests information such as name, designation, institution, contact details, previous participation in similar programmes, and details of bank draft for registration fees. It also states the eligibility criteria for participation and important instructions regarding evaluation, grading and repetition of the course if required.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    UGC-Academic Staff College Affix

    Kumaun University, Nainital Recent


    The Hermitage, Mallital, Nainital- 263001 Photograph
    Uttarakhand Kindly enclose an extra
    Phone & Telefax - 05942-236410 passport size photograph
    with the application form
    Website :www.ascnainital.org
    E-mail- [email protected]
    Application Form for Orientation Programme/ Refresher Course
    01. Name of Orientation Programme/ Refresher Course with subject O. P.- /R.C. in
    .
    02. Date of Commencement of the Programme/ Course
    for which you are an applicant
    ____________________________________________________
    03. State whether you need hostel accommodation?
    (Limited accommodation available)
    _____________________________________________________
    BIO-DATA
    01. Name of applicant with qualification
    _____________________________________________________
    02. Address for Correspondence
    _____________________________________________________
    _____________________________________________________
    _________________________
    State_______________________
    E-mail
    _____________________________________________________
    03. Phone No. (STD code) ________________(Off)____________________
    (Res.)_______________________
    (M) _________________________________-
    ____________________
    04. Sex √ Male / Female
    05. Date of Birth

    06. Designation & Institution

    _____________________________________________________

    07. Subject _____________________________________________________

    08. Date of regular selection and appointment

    _____________________________________________________

    09. Is appointment on contract basis? √ Yes / No


    ________________________
    (If yes kindly mention date of appointment)
    10. State whether you have attended any other Orientation
    Programme / Refresher Course in the past, if yes, give
    details____________________________________________________

    11. Any chronic medical problem (please state)


    _____________________________________________________

    12. Details of Bank Draft


    _____________________________________________________

    I certify that the above information and particulars are correct to the best of my knowledge.
    Signature of the
    Applicant
    I certify that our college is affiliated to the University of …………………….
    ………………............................................,and further
    recommended and forwarded that if the candidate is selected in the course, he/ she will be relieved.

    Signature of the forwarding Office Seal


    authority with Seal

    The application should reach the office of the Director, UGC-Academic Staff College, The Hermitage,
    Kumaun University, Nainital three weeks before the commencement of the course.
    IMPORTANT INSTRUCTIONS
    1. Please enclose a Demand Draft of Rs. 500/- payable at Nainital favoring the Director, UGC-Academic Staff
    College,
    Kumaun University, Nainital towards Registration fees. (Non-refundable)
    2. Every participant will be evaluated and grades “A” to “D” will be awarded. Participants getting grade “D”
    will be
    required to repeat the course without financial commitment to UGC-ASC.
    3. Part time/ Ad hoc/temporary/contract teachers who have been teaching for at least three academic
    sessions in an institution which has been affiliated to a University for at least two years may be
    permitted to participate in the Orientation Programme/ Refresher Course to enhance their skills.
    Office-05942-236410, Mobile-9412086515, 9410591695

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