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One Week Faculty Development Programme On Effective Teaching ...

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<strong><strong>On</strong>e</strong> week Staff <strong>Development</strong> <strong>Programme</strong> on<br />

<strong>Effective</strong> <strong>Teaching</strong> through Outcomes-based Curriculum<br />

- A Road Map for Excellence<br />

December 04-08, 2009<br />

REGISTRATION FORM<br />

Full Name (in Block Letter):<br />

Male/Female:<br />

Designation:<br />

Branch:<br />

Institute with address:<br />

<strong>Teaching</strong> Experience:<br />

Years<br />

Phone(off)- ( ) Mobile:<br />

E-mail:<br />

Accommodation required: Yes / No<br />

I shall attend the training programme for the entire duration. I also undertake the responsibility<br />

to inform the coordinator to attend the training programme. I am giving my commitment to<br />

implement the best practices learnt during training and respond to all Follow up and Feed back.<br />

Signature of the Applicant:<br />

Signature of the Head of the Institution with seal:<br />

Address for Correspondence: Dr. Mrs. S. S. Kulkarni,<br />

Course Coordinator & Chairman, IUCEE Islampur Regional Centre<br />

Rajarambapu Institute of Technology, Rajaramnagar, Sakharale,<br />

Islampur, (MS) - 415 414<br />

Email: Sushma.Kulkarni@ritindia.edu

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