APPLICATION FORM FOR SOPHISTICATED INSTRUMENTS TRAINING (Basic Sciences) 11-13th March 2020
This is an Online Application Form for SOPHISTICATED INSTRUMENTS TRAINING
SANT GADGE BABA AMRAVATI UNIVERSITY, AMRAVATI
A. PERSONAL INFORMATION
Name: Dr./Mrs./Miss/Mr *
Designation
College/Institute Address
Gender *
Required
Educational Qualifications (Teaching experience in years ________________________) , (Research experience in years_________________________) *
Subject *
Subject Specialization
Whether he/she is ICT tools user *
Required
Category *
Required
Have you attended such kind of training? *
Required
Contact Details (Residence along with STD Code/Mobile/Fax) *
E-mail ID *
Declaration of Applicant
I hereby declare that all information furnished in this application form is true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false, incomplete or incorrect, my application/admission is liable to be rejected/cancelled at any time.


Place _______________

Date _______________ (Signature of the Applicant)



ENDORSMENT BY AUTHORITY



I recommend that Dr./Mr./Mrs. ___________________________(Designation)______________ (Institution)________________________________________________________________________________________________ interested to participate in Sophisticated Instruments Training Programme and he/she will be relived on the time to participate in the above programme/workshop at UGC – HRDC, Sant Gadge Baba Amravati University, Amravati, if selected. This is also certify that the details mentioned in the application form by him/her were verified and found correct.


Place: _______________

Date: ________________ Signature of Principal
With Seal

Submit
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