Monday 12 March 2012

Revised Application

 


                                                    MADURAI KAMARAJ UNIVERSITY    
(University with Potential for Excellence)

                                UGC-Academic Staff College

                                                              Palkalainagar, Madurai-625 021
Phone: 0452-2458251
  Application for Short term Course/Orientation Programme/Refresher Course   
        in……………………during ………………………(period of the course)

1.      Name (in Block Letters)                                       :
2.      Gender                                                                  :           Male / Female
3.      Age                                                                       :
4.      Community (SC/ST/MBC/BC/Others)                 :
5.      Religion                                                                 :
6.      Minority Status                                                     :         Yes/No
7.      Academic Qualifications                                      :
a)       Masters Degree
b)      M.Phil/Ph.D. Degree
6.  Name of the College/University where in :
    employed
7.  Name of the Department                                       :
8.  Designation                                                            :
9.  Date of Permanent Appointment                           :
10. Total Years of Teaching Experience                     : Years……..    Months ……..
11. Whether the College in which the                                   
     applicant is employed offers
     PG Course in the Subject Taught                            :         Yes / No
12. Residential Address, Phone No. & e-mail ID         :

13.  Any Career advancement held up because of
       non participation in OP/RC                                   :        Yes / No


14.  Date of the next Career advancement due              :



15.  Details of the Orientation Programmes/Refresher Courses attended earlier

S.No.
Details of OP/RC
Name of the
Academic Staff College
Duration of participation

From………To………..
1.       



2.       



3.       



The details given above were verified and found to be correct.



College Office Assistant                                            College Office Superintendent
_____________________________________________________________

Declaration by the Applicant

I understand that the attendance for all sessions is compulsory. Therefore, I assure you that I will attend all the sessions and will not ask for leave or permission to come late or leave earlier during the sessions under any circumstances. I will abide by the rules and regulations of the UGC in this regard.

Place :

Date  :                                                                                         Signature of the Applicant
Certificate

1.  Certified that the above information is correct to the best of my knowledge.
2.  Certified that the College is included in the list of Colleges under Sec.2(f) / 12(B) of
     the UGC Act 1956 / Self Finance.
4.      Certified that the applicant is a permanent / self finance teacher and will be relieved
for the  Programme / Course if selected.      
5.      Specific recommendation of the Principal.
6.      Declaration by the Principal to relieve the applicant for the course applied




Signature of the Principal & Seal







 INSTRUCTIONS:

  1. Application must be forwarded through proper channel.
  2. The dates of Permanent Appointment and next Career Advancement, Phone Number (Mobile Number), E-mail ID and the declaration by the Principal to relieve the applicant are must to consider the application.  
  3. Cell phone is completely prohibited inside the Seminar hall of the ASC building.
  1. Participants are encouraged to bring their laptops.
  2. The filled in application should be sent to The Director, UGC - Academic Staff College, Madurai Kamaraj University, Madurai – 625 021.
  3. Demand Draft should be in favour of The Director, UGC - Academic Staff College, Madurai Kamaraj University payable at Madurai from any Nationalized Bank. Participant must write his/her name, address and course name on the reverse of the Demand Draft (Non Refundable).  Suppose the Academic Staff College is not in a position to conduct the scheduled program due to insufficient number of applicants, the DD may be returned to the applicants by certificate of posting.
  4. Advance Copy of the Application will not be considered for selection.
  5. The Teacher participants are advised to forward their filled-in application in the prescribed format well in advance prior to the date of commencement of the respective course. The last will be fixed by the Director, depending upon the response to the course/seats available.  
  6. The TA and DA of the participants will be paid as per the UGC rules.


Declaration by the Principal
Name of the institution _____________________

I certify that I will relieve _______________________(Name of the applicant) of _______________________ Department to attend the OP/RC/STC to be conducted by the Academic Staff College of MKU during __________ (Period of the course). In case, the applicant is not selected for this course, he/she may be considered for the course in future.


Date:                                                                                       Signature of the Principal
Station:                                                                                                            with Seal

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