UGC HUMAN RESOURCE DEVELOPMENT CENTRE

Aligarh Muslim University Photo

Aligarh-202002 (UP)
Phone: 0091-571-2400991, E-mail: asc_amu@yahoo.com,
Web: www.ascamu.ac.in
For Office Use Only
Application Form for Admission to Serial No: …...…….
Reg. No. ………….
ORIENTATION PROGRAMME
Beginning on ________________________ finishing on ________________________

REFRESHER COURSE in _________________________________________ (Subject)

Beginning on ________________________ finishing on ________________________

I PERSONAL INFORMATION
1. Name : Surname/ Family name
(in block letters)
Name

2. AADHAR Number :

3. Date of Birth :
Date Month Year
4. Sex : Male Female
5. Educational Qualifications : …………………………………………………………………………
6. Community : SC ST OBC Minorities General
7. Mailing Address :House/Flat No.
(For Correspondence : Locality:
regarding this Application Town:
Form) DISTRICT
STATE
PIN
Mobile …………………………… Fax …………………….. email: …………………………………
8. Residential Address : …………………………………………………………………………
…………………………………………………………………………
II Details of Employment
1. Designation and Subject : …………………………………………………………………………
2. Department : …………………………………………………………………………
3. Basic Pay & Scale of Pay : …………………………………………………………………………
4. Address of the College/University: ………….……………………………………………………….
District: ………….......... State: ……………….. PIN ………….
Phone No.: STD Code …………………Tel: ….………………..
Fax …………………….. email: ……………………………………
5. Name of the Affiliating University : ………………………………………………………..
III Details of Teaching Experience
1. Date of first Appointment : …………………………………………………………………………
2. Date of regular Appointment : …………………………..……………………………………
3. Status of Appointment : Permanent Temporary Adhoc

Details of UGC ASC/HRDC Courses Attended

Dates
Course Institution
From To
Orientation
Programme
1.

Refresher Course 2.
3.

Date: Signature of the Applicant

RECOMMENDATION FROM THE PRINCIPAL/HEAD OF THE DEPARTMENT

I recommend Dr./Mr./Ms. …………………………………………………………………………………

(Designation)……………………………………… (Institution)……………………………………………
………………………………for the Orientation Programme/Subject Refresher Course in
……………………………………. He/She will be relieved on time to participate in the above
course at UGC Human Resource Development Centre, if selected. Certified that this College
is affiliated to …………………………………………... University for the last five years. Also
certified that the details of courses attended by him/her were verified and found correct.

Date:____________ Signature of the Principal/Head

With Official Seal

__________________________________________________________________________________________

Note: Kindly note that in addition to sending this recommendation along with your
application, you must produce a relieving certificate from your Head of the
Department/Principal of your institution at the time of registration for course. Without
the relieving letter you will not be permitted to join the course. This certificate is not a
substitute relieving letter.

In short, two documents are needed:

1) Recommendation along with the application form.

2) Relieving letter at the time of joining the course.
UGC Human Resource Development Centre
Aligarh Muslim University
Aligarh

APPLICATION FORM
(Please fill the form in BLOCK LETTERS)

Short Term Course

On
______________________________________________________
(from _______________ to __________________)

1. Name of the Participant : ____________________________________

2. Designation : ____________________________________

3. Date of Appointment : ____________________________________

4. Subject : ____________________________________

5. College/Department : ____________________________________

____________________________________

6. Residential Address : ____________________________________

____________________________________

____________________________________

Tel: _________________________________

Mobile No. ___________________________

Email ID: ____________________________

Signature of the Participant

Counter Signature
Chairman /Head of the Department /Principal

Date: __________
 UGC Human Resource
Development Centre
Aligarh Muslim University
Aligarh
APPLICATION FORM
(Please fill the form in BLOCK LETTERS)

Induction Course

(from 11.04.2016 to 18.04.2016)

1. Name of the Participant : ____________________________________

2. Designation : ____________________________________

3. Date of Appointment : ____________________________________

1. Subject : ____________________________________

5. College/Department : ____________________________________

____________________________________

6. Residential Address : ____________________________________

____________________________________

____________________________________

Tel: _________________________________

Mobile No. ___________________________

Email ID: ____________________________

Signature of the Participant

Counter Signature
Chairman/Head of the Department/Principal

Date: __________
 UGC Human Resource
Development Centre
Aligarh Muslim University
Aligarh
Proforma for Participation
(Please fill the form in BLOCK LETTERS)

Induction Course

(from 08.10.2015 to 14.10.2015)

1. Name of the Participant : ____________________________________

2. College/Department : ____________________________________

3. Residential Address : ____________________________________

____________________________________

____________________________________

Tel: _________________________________

Mobile No. ___________________________

Email ID: ____________________________

Signature of the Participant

Date: __________
 UGC Human Resource
Development Centre
Aligarh Muslim University
Aligarh

Proforma for Confirmation of Participation the Short Term Course

(17 – 23 August 2016)

Note: To be submitted by 8th August 2016

1. Name of the Participant : ____________________________________

2. Designation : ____________________________________

3. Department : ____________________________________

____________________________________

____________________________________

Tel: _________________________________

Mobile No. ___________________________

Email ID: ____________________________

4. D.D. Number : ____________________________________

Signature of the Participant

Date: __________
 Centre of Academic Leadership and Education Management
UGC HUMAN RESOURCE DEVELOPMENT CENTRE
Aligarh Muslim University
Aligarh-202002 (UP)
Photo
Phone: 0091-571-2400991, E-mail: asc_amu@yahoo.com,
Web: www.ascamu.ac.in

Under the Govt. of India’s Scheme of

Pandit Madan Mohan Malaviya National Mission on Teachers & Teaching

Application Form for Admission to For Office Use Only

Serial No: …...…….
Reg. No. ………….
SHORT TERM COURSE
Beginning on ________________________ finishing on ________________________

I PERSONAL INFORMATION
1. Name :
(in block letters) Surname/ Family name

Name
2. Date of Birth :
Date Month Year
3. Sex : Male Female
4. Educational Qualifications : …………………………………………………………………………
5. Community : SC ST OBC Minorities General
6. Mailing Address :House/Flat No.
(For Correspondence : Locality:
regarding this Application Town:
Form) DISTRICT
STATE
PIN
Phone No.: STD Code ……………Residence….………………
Mobile ………………………………….. Fax ……………………..
email: …………………………………………………………………
7. Residential Address : …………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
II Details of Employment
1. Designation : …………………………………………………………………………
2. Department : …………………………………………………………………………
3. Basic Pay & Scale of Pay : …………………………………………………………………………
4. Address of the College/University: ………….……………………………………………………….
District: ………….......... State: ……………….. PIN ………….
Phone No.: STD Code …………………Tel: ….………………..
Fax …………………….. email: ……………………………………
5. Name of the Affiliating University : ………………………………………………………..

III Details of Teaching Experience

1. Date of first Appointment : …………………………………………………………………………
2. Date of regular Appointment : …………………………………………………………………………
3. Status of Appointment : Permanent Temporary Adhoc

Details of UGC ASC/HRDC Courses Attended

Dates
Course Institution
From To
Orientation
Programme
1.

Refresher Course 2.
3.

Date: Signature of the Applicant

CERTIFICATE OF RECOMMENDATION FROM THE PRINCIPAL/HEAD OF THE DEPARTMENT

I recommend Dr./Mr./Ms. …………………………………………………………………………………

(Designation) …………………………………………………………………………………….……………..
(Institution)………………………………………………………………………………………………………
for the Short Term Course. He/She will be relieved on time to participate in the above
course at the Centre of Academic Leadership and Education Management, UGC Human
Resource Development Centre, if selected. Certified that this College is affiliated to
…………………………………………... University for the last five years. Also certified that the
details of courses attended by him/her were verified and found correct.

Date: Signature of the Principal

With Official Seal
 Office of the Director
UGC Human Resource
Development Centre
A.M.U., Aligarh

RECEIPT

Received with thanks from the office of the Director, UGC Human Resource
Development Centre, Aligarh Muslim University, Aligarh as follows:

HONORARIUM

An amount of Rs. ______________ ( Rupees

_______________________________only) IN CASH to deliver lecture/s in the SHORT
TERM COURSE ON ____________________________________ under the scheme
of Pandit Madan Mohan Malaviya National Mission on Teachers and Teaching
(PMMMNMTT), MHRD, Govt. of India on _____________________________ for
__________ day/s and __________ session/s.
@ Rs. 1500/- per session.

CONVEYANCE ALLOWANCE

An amount of Rs. 1000/- (Rupees One thousand only) IN CASH on ____________for

one day

@ Rs. 500/- each way.

 Vide UGC XII Plan guidelines for HRDC & RCCB

Name : __________________ Signature ________________

Designation ______________ I.D. No. _________________

Address _________________ PAN No. ________________

Passed for payment for Rs. _________ ( Rupees ___________________________ only)

Director
UGC Human Resource Development Centre
Aligarh Muslim University
Aligarh
 Centre for Academic Leadership and Education Management (CALEM)
(Under the Scheme of PMMMNMTT HRD Ministry, Govt. of India, New Delhi)
Aligarh Muslim University, Aligarh – 202002 UP (India) Phone No. 0571-2400991
=============================================================================================================

Application Form for Admission to PHOTO

CALEM Training Programme on Academic Leadership

Beginning on 9th April 2018 finishing on 15th April 2018

I PERSONAL INFORMATION
1. Name :
(in block letters) Surname/ Family name

Name
2. Date of Birth :
Date Month Year
3. Sex : Male Female
4. Educational Qualifications : …………………………………………………………………………
5. Community : SC ST OBC Minorities General
6. Mailing Address :House/Flat No.
(For Correspondence : Locality:
regarding this Application Town:
Form) DISTRICT
STATE
PIN
Phone No.: STD Code ……………Residence….………………
Mobile ………………………………….. Fax ……………………..
email: …………………………………………………………………
7. Residential Address : …………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
II Details of Employment
1. Designation : …………………………………………………………………………
2. Department : …………………………………………………………………………
3. Basic Pay & Scale of Pay : …………………………………………………………………………
4. Address of the College/University: ………….……………………………………………………….
District: ………….......... State: ……………….. PIN ………….
Phone No.: STD Code …………………Tel: ….………………..
Fax …………………….. email: ……………………………………
5. Name of the Affiliating University : ………………………………………………………..

III Details of Teaching Experience

1. Date of first Appointment : …………………………………………………………………………
2. Date of regular Appointment : …………………………………………………………………………
3. Status of Appointment : Permanent Temporary Adhoc

Date: Signature of the Applicant

CERTIFICATE OF RECOMMENDATION FROM THE PRINCIPAL/HEAD OF THE DEPARTMENT

I recommend Dr./Mr./Ms. …………………………………………………………………………………

(Designation) …………………………………………………………………………………….……………..
(Institution)………………………………………………………………………………………………………
for the CALEM training Programme on Academic Leadership. He/She will be relieved on
time to participate in the above course at CALEM Centre, AMU, Aligarh if selected. Certified
that this College is affiliated to …………………………………………... University for the last five
years. Also certified that the details of courses attended by him/her were verified and found
correct.

Date: Signature of the Principal/HOD

With Official Seal