Four Weeks Induction Training Program for Faculty of Higher

Educational Institutions (HEIs)

Teaching and Learning Centre (TLC@CURaj)
Ministry of Human Resource Development
Pandit Madan Mohan Malviya National Mission on Teachers and Teaching
(PMMMNMTT)

st th
1 - 26 May, 2018
Registration Form
Name (IN CAPITALS): _________________________________________________________________

Age: ________________ Gender: Male Female

Designation: _________________________________ Discipline_________________________________

Department: ____________________________________________________________________________

Area of Specialization: __________________________________________________________________

University/Institute/College: _____________________________________________________________

Complete Address: ______________________________________________________________________

E-mail: _________________________________________ Ph: __________________________________

Accommodation Required: Yes No

Date of Joining to the Current Institution: ____ /_____ /_______.
Teaching Experience: (in years) ___________________________________________________________
Research Experience: (in years) ___________________________________________________________

Registration Fee Details:

Fee Submitted: Yes No Amount Paid: _______________________________

UTR No./ Transaction No.: _____________________________________ Date: __________________

Place:
Date: Signature of the Applicant

Note: Please attach proof of Registration Fee paid along with Registration Form. Duly filled in
Registration Form may be sent through email to tlcprogram@curaj.ac.in. Incomplete registration form in
any respect will not be considered. Participants will be informed about the programme through email.

Organized by
Teaching and Learning Centre (TLC@CURaj)
Central University of Rajasthan
Bandarsindri, Ajmer 305817 (Rajasthan)
www.curaj.ac.in
Email: tlcprogram@curaj.ac.in