Norms to Open Study Center.pdf - VMOU, Kota
Norms to Open Study Center.pdf - VMOU, Kota
Norms to Open Study Center.pdf - VMOU, Kota
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Annexure-III<br />
VARDHAMAN MAHAVEER OPEN UNIVERSITY, KOTA<br />
Rawatbhata Road, <strong>Kota</strong> - 324021 (Rajasthan)<br />
www.vmou.ac.in<br />
FORMAT FOR BIO-DATA OF ACADEMIC COUNSELLOR<br />
(Supporting Documents may be provided as Annexure)<br />
NAME OF PROPOSED STUDY CENTRE:<br />
___________________________________________________________________________<br />
___________________________________________________________________________<br />
FIELD OF SPECIALIZATION:________________________________________________<br />
COURSE(S) TO BE ASSIGNED:_______________________________________________<br />
1. NAME (IN BLOCK LETTERS) ______________________________________________<br />
2. DESIGNATION: __________________________________________________________<br />
3. ORGANIZATION/EMPLOYER: _____________________________________________<br />
4. TYPE OF APPOINTMENT: REGULAR/TEMPORARY/CONTRACTUAL:___________<br />
5. ADDRESS (RESIDENCE) :__________________________________________________<br />
____________________________________________________<br />
_____________________________PIN___________________<br />
Phone:___________________________Mobile:_____________________Fax____________<br />
E-mail:_____________________________________________________________________<br />
6. ADDRESS (OFFICE) : ____________________________________________________<br />
____________________________________________________<br />
_____________________________PIN___________________<br />
Phone:___________________________Mobile:_____________________Fax____________<br />
E-mail:_____________________________________________________________________<br />
7. DATE OF BIRTH : DD_______MM________YY_______<br />
8. PRESENT PAY SCALE :____________________________________________________<br />
BASIC: ______________________________________<br />
GP/AGP: _____________________________________<br />
ALLOWANCES:_______________________________<br />
TOTAL: ______________________________________<br />
9. ACADEMIC QUALIFICATIONS:-<br />
EXAMINATION/<br />
DEGREE<br />
BOARD/UNIVERSITY YEAR SUBJECT(S)<br />
DIVISION/<br />
PERCENTAGE<br />
10. EMPLOYMENT DETAIL:-<br />
DURATION<br />
(MONTH, YEAR) ORGANIZATION<br />
FROM TO<br />
DESIGNATION<br />
NATURE OF JOB/<br />
TYPE OF DUTIES<br />
17
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