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"E-Learning and ICT For Teaching Learning": Application Form Short Term Course On

This document is an application form for a short term course on "E-Learning and ICT for Teaching Learning". It requests information such as the applicant's name, date of birth, gender, qualifications, teaching experience, contact details, previous participation in courses, and payment details.

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mass1984
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
16 views

"E-Learning and ICT For Teaching Learning": Application Form Short Term Course On

This document is an application form for a short term course on "E-Learning and ICT for Teaching Learning". It requests information such as the applicant's name, date of birth, gender, qualifications, teaching experience, contact details, previous participation in courses, and payment details.

Uploaded by

mass1984
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION FORM

Short Term Course on


E-Learning and ICT for Teaching Learning
1. Name: .
2. Date of Birth & Age: .
3. Gender (M / F):
4. Qualifications:..
5. Category:

SC/ST/OBC/Any other.

6. Teaching Experience:..
7. a)Designation :
b)Department:
c)Pay Scale & Present Basic :
8. a) Institution :
b) Affiliating University:
9. Whether your Institution/University is approved by UGC : YES / NO
10. Address for Communication:
...................................................
......................................................................
..
11. College Address: ......
....................................................................... ................
.............................................................................................................................
.
12. Phones Nos: (O)..........................................................(R).....
MOBILE:...............................................Fax:.....
E - mail ID: ...........
13. D.D.No., Date and Bank details: ..........................................................................................
14. Nearest Railway Station: .....
15. Previous Participations in UGC-ASC
S.NO

Course Title

Orientation & Refresher Courses:


Date

Place

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