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UGC
C-HUMAN RESOURCE
R
E DEVELOPMENT CEN
NTRE(HRDC
C)
UNIVERSIITY OF CAL
LCUTTA
92, A. P.C. Road,
R
Kolkatta-700 009
Ph
hone and Faxx : 033- 2351--9754; [email protected]
@gmail.com
m
Website: http:///www.calun
niv.ac.in/AS
SC
App
plication Forrm
For Special
S
Sum
mmer Schooll/ Winter Scchool /O.P.N
No : ----------/R.C. in-----------------------/STC in ___________
_
_
Durration : --------------------- to ------------1. Fulll Name of thhe Applican
nt (block letteer):
2. Adddress for com
mmunication (block lettter):
witth Phone Noo. & E-mail
3. Daate of Birth :
4. Cateegory : Geneeral/SC/ST/O
OBC
5. Maale/Female
6. Religionn :
7. Naame and addrress of the College/:
C
Unniversity/Insttitution with Ph.
8. The type of Coollege/University/ Govt.//Govt. Sponssored/Autonnomous/Privaate
9. Designation & date of joining to currennt position:
(Suubstantive/Temporary/Paart time/Conntractual)
10. Teaching experience :
D
of OP
P/RC attended before :
11. Details
12. Whether
W
accoommodation is required: Yes/No
13. Weathher awarded Ph.D/ M.Phhil degree:
14. Prromotion duue on :
Declaaration : I hereby declarre that the innformation giiven above is
i true to the best of my knowledge
k
a that I shall
and
abidee by the ruless and regulattions of the UGC-Human
U
Resource Deevelopment Centre
C
, Univeersity of Callcutta.
Placee :
Date :
_________________________________
__
Signatture of the Applicant
A
COMMEND
DATION OF THE FORW
WARDING AUTHORIT
A
TY
REC
I recoommend Dr.//Mr./Mrs---------------------------------------------------------------------------------------------------------------for paarticipation in
i Summer School/
S
Wintter School/ O.P.No
O
: ---------R.C. in------------------------/STC in------------i
-Durattion :-------------------to ------------------ He/She will be releaseed from the College/Inst
C
titution/Univversity for thhe
duratiion of the abbove course.
Placee :
Date :
Signature of the
t Principall/Teacher-Inn-Charge/
Registrar/Heaad of the Insstitution (witth official seeal)