Application form for Orientation Programmes/ Refresher Courses/ Short Term Courses (2019-20)
Kindly fill this form and submit online. Please also submit the hard copy of the application form for selection procedure.
1. Select the course you are applying for. *
2. If Refresher course, please select the course. *
3. If Short Term Course, please select the course *
4. Your title *
5. Your name *
Please write your First name, middle name and Surname
6. Gender *
7. Caste/Community *
8. Name of the College/Department with postal address and PIN code. *
9. Name of University/Affiliating University *
(Please write the full name of your university, no short forms please)
10. Your college email address
11. Your office phone number
12. Your residential address *
13. Your Mobile number *
14. Your email address
15. Location of your college *
16. Your designation *
Required
17. Faculty *
18. Discipline/ Subject
(For eg. mathematics, sociology etc.,)
19. Details of courses already attended.
Yes
No
Orientation Programme
Refresher Course 1
Refresher Course 2
Refresher Course 3
Short Term Course 1
Short term Course 2
Clear selection
19. Receipt number and date of online payment
Please make online payment through the 'online payment of registration fees ' link given in our website www.hrdcnagpur.org . Kindly write SBCollect Reference Number generated in e receipt for State bank Collect Payment Portal.
20. 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. *
Required
Please download the Application form (PDF) uploaded on hrdcnagpur.org and submit the hard copy signed by the Principal/ Registrar at UGC-Human Resource Development Centre, Rashtrasant Tukadoji Maharaj Nagpur University, Justice Niyogi Bunglow, Ambavihar, Subhash nagar, Nagpur.
Submit
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