APPLICATION FORM FOR SOPHISTICATED INSTRUMENTS TRAINING (Life Sciences) 11-13th March 2020
This is an Online Application Form for  SOPHISTICATED INSTRUMENTS TRAINING
SANT GADGE BABA AMRAVATI UNIVERSITY, AMRAVATI
A. PERSONAL INFORMATION
Name: Dr./Mrs./Miss/Mr *
Designation
College/Institute Address    
Gender *
Required
Educational Qualifications    (Teaching experience in years ________________________) ,   (Research experience in years_________________________) *
Subject *
Subject Specialization          
Whether he/she is ICT tools user *
Required
Category *
Required
Have you attended such kind of training? *
Required
Contact Details (Residence along with STD Code/Mobile/Fax) *
E-mail ID *
Declaration  of Applicant
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 at any time.  

 
Place _______________
 
Date _______________                                                            (Signature of the Applicant)


                                                                       
                                                                     ENDORSMENT BY AUTHORITY

 
 
I recommend that Dr./Mr./Mrs. ___________________________(Designation)______________  (Institution)________________________________________________________________________________________________ interested to participate in Sophisticated Instruments Training Programme and he/she will be relived on the time to participate in the above programme/workshop at UGC – HRDC, Sant Gadge Baba Amravati University, Amravati, if selected. This is also certify that the details mentioned in the application form by him/her were verified and found correct.  


Place: _______________

Date: ________________                                                            Signature of Principal
                                                                                                                             With Seal


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