Registration for

Statutory Officers, Teachers , Scientists & Employees

IMPORTANT TO NOTE :: THE INFORMATION SUBMITTED HERE WILL BE PRINTED 'AS IT IS' ON YOUR ID

Pay Rs. 100 by Chllan before submitting the Application.


Name
Category
Designation
Office Address
Faculty/Office
Office Location
Department/branch
Office PIN
Date of first joining (University Service)
Date of termination (Only for Other Employees)

Permanent Address

Address Line 1
Address Line 2
Address Line 3
District
Pin
State


Blood Gr.
Date of Birth
e-Mail
Office Phone No.
Mobile No.
Bank Challan No
Challan Date


The Photograph and signature will be printed as what you see.
Upload passport size Photograph in jpg format

Upload Signature in jpg format

Upload Official Certificate in jpg format