1/9/2020 Application form for RC/ OC/ STC: HRDC, Dr.

BAM University, Aurangabad(MH)

UGC-Human Resource Development Center

Dr.Babasaheb Ambedkar Marathwada University, Aurangabad-431004
APPLICATION FORM FOR PARTICIPATION IN THE UGC-SPONSORED COURSE

NAME OF COURSE :Workshop on MOOCs, e-content development and open Educational

Resources for one Week. (2019-20)

Duration of the Course: 17-02-2020 to 22-02-2020

Candidate ID: 40798
Name of Applicant: BADRINATH DATTUJI DHAKNE
Designation: LIBRARIAN
Nature of Appointment: PERMANENT
Subject: LIBRARY SCI.
Qualification: M.LIB. (Passed in:25-06-2005)
Other Qualification: NET MPHIL
M.Phil Passed in:(if applicable) 26-12-2008
NET/SET Passed in:(if applicable) 23-06-2012
Ph.D. Completed in:(if applicable)
Date of Birth: 23-03-1982
Gender: MALE

Processing Fees Details (Non Refundable):

DD No.& Date: Date:
Amount & Bank Name: 450 Bank:BANK OF MAHARASHTRA

Address for Correspondence:

Address line: RAJARSHI CHHATRAPATI SHAHU COLLEGE,KOLHAPUR
Tq./Dist.: KARVEER/ KOLHAPUR
State: MAHARASHTRA
Whether your college having approval of
YES *
12(b)2(f):
Mobile:9423344333 Email:BDDHAKNE@GMAIL.COM
Phone Office:9423344333 Residence:7972240187

Name of Affiliating University: SHIVAJI UNIVERSITY

Date of Appointment in Senior College:
Category:
Have you attended RC/OC ?
1.Orientation Courses:
Name of Course
111THORIENTATION PROGRAMME
2. Refresher Courses:
Name of Course
(01)-CHANGING DIMENSION OF
HIGHER EDUCATION IN INDIA:
SPECIAL WINTER PROGRAM
13-04-2013
OBC
Both RC and OC attended
Month & Year Name of ASC/University
UGC-HRDC , DR. BABASAHEB
25-04-2019 AMBEDKAR MARATHWADA
UNIVERSITY,AURANGABAD
Month & Year Name of ASC/University
UGC-HRDC,RANI DURGAWATI
DD-MM-YYYY
VISHWAVIDYALAYA, JABALPUR
Undertaking by the Teacher

1st Placement- AGP:7000 Date:13-03-2018

2nd Placement- AGP: Date:
3rd Placement- AGP: Date:

Why do you want to do the course ? ---------------------------------------------------

The information given by me as above is correct and if selected I undertake to participate in all the academic sessions and
assignment work during the course and will abide by the rules and regulations of the UGC-ASC

Place:

www.hrdcbamu.edu.in/ascmgmt/newmgmt/appprint_enrol_new.php?candidateid=40798&sec_code=3eb23 1/3
1/9/2020 Application form for RC/ OC/ STC: HRDC, Dr. BAM University, Aurangabad(MH)
Date: Signature of the Applicant

www.hrdcbamu.edu.in/ascmgmt/newmgmt/appprint_enrol_new.php?candidateid=40798&sec_code=3eb23 2/3
1/9/2020 Application form for RC/ OC/ STC: HRDC, Dr. BAM University, Aurangabad(MH)

FORWARDING CUM EXPERIENCE CERTIFICATE

This is to certify that Dr. / Mr. / Mrs. / Miss/ Smt. BADRINATH DATTUJI DHAKNE is working as Asst. Professor / Associate
Professor/ Professor / Non-Teaching Since _____________________. His/Her total teaching experience as on today
is_______________________.
His/Her application is forwarded for consideration.

Registrar of University/
Date:
Principal or Director of College/Institute

(with University/ College Stamp)

UGC 2(f) 12 (b) RECOGNITION CERTIFICATE

This is to certify that this University / College _______________________________________
A. is included under section 2(f)/12(b) of the UGC Act.
B. is included under section 2(f) but not 12(b) of the UGC Act.
C. is not include under section 2(f) and 12(b) of the UGC Act
and affiliated to ____________________________________________________ university since ______________ and
the Teacher / Non-Teaching Staff will be relieved if selected for the Orientation Course / Refresher Course/ Short Term
Course

Registrar of University/
Date:
Principal or Director of College/Institute

(with University/ College Stamp)

* Note: Teachers from University/ Colleges those are not included under Section 2(f) and 12(b) or not in 12(b) will not be
paid TA/DA for participants.
Print Application Form

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