Rajiv Gandhi University of Health Sciences, Karnataka: Proforma For Recognition of Post Graduate Teacher
Rajiv Gandhi University of Health Sciences, Karnataka: Proforma For Recognition of Post Graduate Teacher
Rajiv Gandhi University of Health Sciences, Karnataka: Proforma For Recognition of Post Graduate Teacher
6. QUALIFICATION:
(Attested Xerox copies of all the certificates to be enclosed)
Sl No. Name of the Degree. Year of Name of the University and Apex body
and Specialization Passing Place recognition
UG
PG
Ph.D.
ANY OTHER
7. TEACHING EXPERIENCE:
Designation Name of the Institution Duration of teaching Subject / ‘s
UG PG Taught
From -- To From -- To
Years/Months Years/Months
Total teaching experience
Total teaching experience Before PG______ After PG______ Total_____
Note:
1. Only full time teaching in a teaching institution affiliated to RGUHS / other universities
established by law in India is considered as teaching experience.
2. Attested copies of appointment order, relieving order, service certificate, promotion
order & PG degree council registration certificate etc., to be enclosed to claim
teaching experience.
3. Qualifications and eligibility for appointment and promotion shall be as per Apex body
guidelines / RGUHS guidelines where there is no Apex body.
8. Any other relevant information: (Attach a separate sheet)
(Regarding additional qualifications, achievements, publications awards etc.,)
Declaration by the Teacher
I hereby declare that the above information provided by me is true and correct. I
shall take the sole responsible for any wrong information provide and liable for any
action taken by the university.
Place :
Date :
Signature of the Teacher
Endorsement by the Principal
The information provided by the teacher is verified from the office records and
found to be correct. He/She is eligible to be recognized as a PG teacher to guide the
dissertation work of PG students as per the latest Apex body/RGUHS regulations.
Place :
Date : Signature of the Principal
INSTRUCTIONS:
1. The Prescribed Performa must be duly filled by the applicant in his own handwriting and
submitted to the university through the principal’s office.
2. The Principal should verify all the information provided especially the date of birth,
qualification, experience, and service details before sending the proforma to the university.
3. Ensure that attested copies of all relevant documents are furnished along with the application.
4. The Principal will be held responsible for any false information provided.
5. Incomplete and incorrect applications and applications with false information will be rejected
and they are liable for disciplinary action by the university.