TEACHER CODE
REGISTRATION

PERSONAL DETAILS
  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 :*  
       
 
INSTITUTIONAL DETAILS
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)
        
 
ATTACHMENTS
  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 :  
   
   
    
Confirmation:
  Note: * Fields are Mandatory