Click to fill incomplete form or Duplicate Printout of Teacher Code Registration Form  
  Registration Type :*  
  Name :*  
  Father's Name :*
  Mother's Name :*  
 Gender :*  
  Date of Birth (DD/MM/YYYY) :*  
Phone No. (with STD code) :    
  Mobile No. :*  
  Email ID :*    
  Residential Address :*
(District and Pin Code)
  Aadhar Number :*  
  PAN Number :*  
  Bank Name :*  
  Bank Branch Name :*  
  Bank A/C Number :*  
  IFSC Code :*  
Are you Associated with Prof. Rajendra Singh University, Prayagraj :*         
  Name of the University :*   Faculty :*
    Name of college (District) :*   Department :*
  Nature of College :*   Specilization 1 :*
  Post Held :*   Specilization 2 :*
  Nature of Appointment :*   Specilization 3 :*
  Date of Appointment :*
  Date of Confirmation :*
  Approval from the University (Letter No.):*
  Approval from the University(Date):*
  Approval from Directorate of Higher Education (Letter No.):*
  Approval from Directorate of Higher Education (Date) :*
  Date of Retirement :*
  Name of college Retired from :*
  Experience of Teaching UG Classes :*   (in Years)
  Experience of Teaching PG Classes :*  (in Years)
  Note : Upload Image (size below 1 MB) Only (.jpg|.jpeg|.png|.gif)
Latest Photograph :      
Signature :      
Copy of Aadhar Card :      
Copy of PAN Card :      
Teacher Approval Letter issued by University :      
Teacher Approval Letter from Directorate of Higher Education :      
Experience Letter of Teaching issued by the Principal :      
Proof of Retirement :      
  Note: * Fields are Mandatory