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Annual Refresher Programme in Teaching

ARPIT Examination - 2020


Confirmation Page

Application No. 2007 1000 3002 -


DO NOT SEND THIS PAGE TO BOARD.
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF ACKNOWLEDGEMENT PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name MOHD AVAISH Date of Birth 11-05-1983
Mother's Name RIZWANA BEGUM Category General
Father's Name MOHD HANIF Gender Male
Person with Disability (PwD) with more No Document Type for Uploading Appointment Letter
than 40% disability
Learner Category Faculty learner Nationality Indian
State of Residence UTTAR PRADESH

Apply For
Apply For Annual Refresher Programme in Teaching Course 1 (SHIFT 1) Introduction to Quantum Physics & its
(ARPIT) Applications (arp19-ap83)
Course 2 (SHIFT 2) Refresher Course on Teacher and Teaching in 1st Choice for Exam City UTTAR PRADESH - LUCKNOW
Higher Education (arp19-ap67)
2nd Choice for Exam City UTTAR PRADESH - KANPUR 3rd Choice for Exam City UTTAR PRADESH - BAREILLY
4th Choice for Exam City UTTAR PRADESH - GHAZIABAD

Work Experience Details


Are you presently Employed ? : Employed
Sno Institute Name, Department/ Designation Scale/ Basic Pay From (DD/MM/YYYY) To (DD/MM/YYYY)
Division Name and Address
1 Govt. Raza PG College, Assistant Professor 15600-39100 06/10/2015 18/11/2016
Rampur epartment Of Physics
2 Govt. Degree College, Assistant Professor 15600-39100 19/11/2016 31/08/2019
Shahjahanpur Department Of P
3 Shri JNMPG College, Lucknow Assistant Professor 57700 31/08/2019 26/12/2019
Department Of Physics

Contact Details
Address 180 SADAR BAZAR Locality
City/Town/Village SITAPUR District SITAPUR
State UTTAR PRADESH Pin Code 261001
Email Address ava*****@gmail.com Mobile Number 790****245
STD code with --
Telephone No
DECLARATION
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood the Board
procedures. I shall abide by the terms and conditions thereon.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph,Signature,Appointment Letter

IP Address : 157.43.69.197 Date of Downloading : 29/12/2019 11:00:04 AM

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