|:Prof. Rajendra Singh (Rajju Bhaiya) University, Prayagraj:|

Registration For Evaluation 2021-22

नोट: जिन शिक्षकों का टीचर कोड पूर्व से आवंटित नहीं है कृपया उन्हें सर्वप्रथम दिए गए लिंक से रजिस्ट्रेशन करना होगा उसके पश्चात ही इस फार्म को भरें https://prsuprayagraj.in/TeacherRegistrationForm_new.aspx

PERSONAL DETAILS

	Click for Duplicate Printout of Teacher Code Registration Form
Required! Teacher Code/Registration No. :*
Required! Name :*
Required! Father's Name :*
Gender :*
Required! Date of Birth (DD/MM/YYYY) :*
Required! Mobile No. :*
Required! Email ID :*	a@a.com
Required! Residential Address :*
Required! Aadhar Number :*
Required! PAN Number :*
Required! Bank Name :*
Required! Bank Branch Name :*
Required! Bank A/C Number :*
Required! IFSC Code :*

INSTITUTIONAL DETAILS

Are you Associated with Prof. Rajendra Singh University, Prayagraj :*

No Yes

Required! Name of the University :*

Required! Faculty :*

Required! Required! Name of college :*

Required! Department :*

Required! Nature of College :*

Required! Post Held :*

Required! Experience of Teaching UG Classes :*

(in Years)

Required! Date of Appointment :*

Required! Experience of Teaching PG Classes :*

(in Years)

Required! Date of Approval :*

Required! Approval for :*

Required! Approval Letter No.:*

Required! Are you retired :*

Required! Date of Retirement :*

ATTACHMENTS

	Note : Upload Image (size below 1 MB) Only (.jpg\|.jpeg\|.png\|.gif)

Latest Photograph : *
Signature : *
Copy of Aadhar Card : *
Appointment/ Approval Letter : *

Confirmation:

The above information as filled in by me are correct to the best of my knowledge and I bear all responsibility thereto.' in place of 'Above information which is provided by me is true, and i responsible for that.

Note: * Fields are Mandatory