(To be mailed to ddepu@rediffmail.com / Fax: 0413 - 2655258)
1. Name (in capital) :
2. Date of Birth :
3. Designation/Profession :
4.(a) Office Address :
Pincode :
Ph (O)with STD code :
Mobile :
Fax :
E-mail ID :
4.(b) Residential Address :
Pincode :
Ph (R)with STD code :
Mobile :
Fax :
E-mail ID (Page 1 of 4) :
5. Educational Qualifications: (Original/Photocopy of Certificates not
required)
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Qualification
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Name of the Degree
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Area of Specialization
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Year
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University/Institution
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UG
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PG
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PG
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PG Diploma
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M.Phil
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Ph.D.
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Any other
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6. Teaching Experience:
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Level
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Name of the Degree
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Subjects taught
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No. of years
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College/University/Institution
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Place
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UG
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PG
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PG Diploma
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Any other
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7. Experience in Distance Education & Open University system:
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Sl.No.
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Task
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No. of years
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University/Institution
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1.
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Lesson writing/Unit writing
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2.
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Evaluation of Assignments
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3.
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Evaluation of Exam answer papers
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4.
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Setting of Question papers
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5.
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Any other
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8. Industrial Experience:
9. Are you willing to undertake the following tasks of DDE, Pondicherry
University:
(Put ‘Yes’ against relevant item, if willing)
a)
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Task
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Willingness
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Title of the Paper(s)*
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Teaching at PCP classes
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Setting of Question paper
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Evaluation of Exam Answer papers
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b)
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Task
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Willingness
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Course code(s)*
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Paper code(s)*
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Title of the Paper
\Topics*
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Lesson writing for study material
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* For paper codes, refer DDE Information Brochure 2006-07 available at
Website www.pondiuni.org
* Similarly refer MBA – Syllabus at the Website www.pondiuni.org
10. Choice of place for taking PCP classes in the order of priority
(Refer Information Brochure at www.pondiuni.org to know PCP locations )
a)
b)
c)
11. Have you studied/undergone any course/educational programme/training
through Correspondence/Distance Education/Open University mode? If yes,
provide details:
| Course
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Details of Institution(s) |
Year |
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12. Have you any education qualifications specially in Distance
Education? If yes, please specify.
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Qualification
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Put tick mark if yes
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Post Graduate Diploma in Distance Education (PGDDE)
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Master of Arts in Distance Education (MADE)
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Any other
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I hereby certify that the above-mentioned informations are correct and
proof for the same, in original, will also be produced, if required
later.
Date : Signature:
Place : (Ignore if sent through E-mail)
--------------------------------------
(For the use of DDE, Pondicherry University)
Recommended for Lesson writer / PCP activity for the following
papers/units:
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Course code
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Paper code
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Unit No.
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Topics
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Date : DIRECTOR (DDE)
PONDICHERRY UNIVERSITY
