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
Your answer
6. Gender *
7. Caste/Community *
8. Name of the College/Department with postal address and PIN code. *
Your answer
9. Name of University/Affiliating University *
(Please write the full name of your university, no short forms please)
Your answer
10. Your college email address
Your answer
11. Your office phone number
Your answer
12. Your residential address *
Your answer
13. Your Mobile number *
Your answer
14. Your email address
Your answer
15. Location of your college *
16. Your designation *
Required
17. Faculty *
18. Discipline/ Subject
(For eg. mathematics, sociology etc.,)
Your answer
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
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.
Your answer
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.
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