Teacher Registration for Examinership (For Teachers of Siddharth University Campus & It's Affiliated Colleges Only)
(Annual/ Semester Examination)

PERSONAL DETAILS
   
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 :*  
Bank Name :*  
Bank Branch Name :*  
Bank A/C Number :*  
IFSC Code :*  
       
 
INSTITUTIONAL DETAILS
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.)
(For Permanent Teachers of Degree Colleges):*
Approval from Directorate of Higher Education (Date)
(For Permanent Teachers of Degree Colleges) :*
Date of Retirement
(For Retired Teachers Only) :*
Name of college Retired from
(For Retired Teachers Only) :*
   
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/Appointment Letter issued by University : *  
Teacher Approval Letter from Directorate of Higher Education
(For Permanent Teachers of Degree Colleges)
:
*
 
Experience Letter of Teaching issued by the Principal/HOD/Registrar  : *  
Proof of Retirement (For Retired Teachers Only) : *  
   
   
    
Confirmation:
  Note: * Fields are Mandatory  

Instructions:

Kindly Save the Registration Form and take Printout, get it verified from College Principal and submit in the office of the Registrar. A Card bearing an Unique Teacher’s Code will be issued to the Teacher.