dk;kzy; vkns'k egkrek T;ksfrck Qqys :gsy[k.m fo'ofo ky;] cjsyh MAHATMA JYOTIBA PHULE ROHILKHAND UNIVERSITY, BAREILLY
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1 egkrek T;ksfrck Qqys :gsy[k.m fo'ofo ky;] cjsyh MAHATMA JYOTIBA PHULE ROHILKHAND UNIVERSITY, BAREILLY i=kad % :-fo-@dq-dk-@2010@ fnukad dk;kzy; vkns'k dqyifr th ds funs'kkuqlkj eq>s ;g lwfpr djus dk funs'k gqvk gs fd fo'ofo ky; esa dk;zjr lelr f'k{kdx.k,oa f'k{k.ksrrj dezpkjh fofhkuu izdkj ds vodk'k gsrq layxu izk:iksa esa ls lecfu/kr izk:i ij gh vkosnu djsaa vu;fkk dh flfkfr esa izkfkzuk i=@vkosnu i= ij fopkj ugha fd;k tk;sxka layxud% ;FkksifjA futh lfpo&dqyifr izfrfyfi%& fueufyf[kr dks dqyifr th ds vkns'kksa ds vuqikyu esa lwpukfkz,oa vko';d dk;zokgh gsrq izsf"kr%& 1- forr vf/kdkjh 2- dqylfpo 3- midqylfpo 4- lelr ladk;k/;{k@lelr fohkkxk/;{k] fo'ofo ky; ifjlkja 5- ekuuh; dqyifr th dks vkns'kksa ds vuqikyu esa lakkukfkza futh lfpo&dqyifr
2 MAHATMA JYOTIBA PHULE ROHILKHAND UNIVERSITY BAREILLY APPLICATION FORM FOR DUTY LEAVE WITHIN THE COUNTRY 1 Name of the Faculty Member & Designation 2 Department 3 Purpose of Leave 4 Total No. of days with dates on which teacher will be away from the Department 5 Places(s)/Institution(s) to be visited 6 If Duty Leave is being sought for participation in a Seminar/Conference/ Symposium/Workshop/Refresher course/orientation course etc. the following additional information is also required to be furnished : i) Name of the Organizers & Address ii) Duration (with dates) iii) Subject matter of Seminar/Conference / Workshop / Meeting iv) Title of the paper to be read/presented by the faculty v) Whether to chair the Conference/Seminar etc. or a section thereof vi) Whether the Organizers will meet all the expenses or only a part there of: vii) If yes, please state to what extent viii) If not, please specify the financial liability of the University, viz. ix) D.A. Rs. x) T.A. Rs. xi) Registration Fee if any, Rs.
3 7 Whether a self-attested copy of the Invitation received from the organizers is enclosed 8 Please state whether you are participating in the Conference/Seminar etc. for the first time or second time during the current academic year at the expenses of the University 9 Whether alternative teaching arrangements have been made for the period of absence and if so specify details thereof. 10 In case the faculty member is chairperson /Dean/holding any other administrative post, please specify alternative arrangements made for the Leave period. I have noted that on my return from the conference, I shall have to submit a brief report on the contribution made by me in the deliberations of the conference etc., and to forward a copy of the paper presented at the Conference/Seminar to the Vice-Chancellor. Date: Signature of the Faculty Member Recommendations of the Chairperson of the Dept./Dean of the Faculty Certified that academic/research work in the absence of the applicant for the above period will not suffer and the appropriate arrangements have been made as recorded against column 9 and/or 10 above. Forwarded/Recommended/Not Recommended Signature Chairperson of the Department Forwarded/Recommended/Not Recommended Signature Dean of the Faculty Certified that funds are available in the University Budget /UGC Grants for participation in the conference/seminar etc., and expenditure will be debited to the Budget head... A.R. (Academic)
4 egkrek T;ksfrck Qqys :gsy[k.m fo'ofo ky; cjsyh vodk'k ds fy, vkosnu&i= 1- vkosnd dk uke o inuke % fohkkx@'kk[kk@dsanz % osrueku o vu; HkRrs % NqV~Vh dh izd`fr % vftzr (EL)@v/kZ osru NqV~Vh (HPL) 5- NqV~Vh dh vof/k % fnukad ls rd 6- NqV~Vh ysus dk dkj.k % finyh NqV~Vh ds ckn Tokbu djus dh % frffk vksj NqV~Vh dh izd`fr o vof/k NqV~Vh ds nksjku irk % fnukad % vkosnd ds glrk{kj NqV~Vh Lohd`r dh tk,@ugha dh tk,a vuqhkkx vf/kdkjh Lohd`r@vLohd`r Mhu@iz'kklu vf/kdkjh mi&dqylfpo¼iz'kk-½ dks vxzsf"kr
5 egkrek T;ksfrck Qqys :gsy[k.m fo'ofo ky; cjsyh vkdfled @izfriwjd(ccl) NqV~Vh ds fy, vkosnu&i= 1- vkosnd dk uke % inuke % fohkkx@'kk[kk@dsanz % NqV~Vh dh vof/k¼fnukad lfgr½ % NqV~Vh ysus dk dkj.k % fnukad % vkosnd ds glrk{kj Lohd`r@vLohd`r Mhu@iz'kklu vf/kdkjh@vuqhkkx vf/kdkjh
6 egkrek T;ksfrck Qqys :gsy[k.m fo'ofo ky; cjsyh dk;kzjehk fjiksvz esaus fnukad ls rd dh vftzr osru (HPL)NqV~Vh fcrkus ds ckn vkt fnukad ¼nksigj ls ds ckn½ ls viuk dk;zhkkj lahkky fy;k gsa *LoLFkrk izek.k&i= layxu gsa ¼*;fn ykxw u gks rks dkv nsa½ vuqhkkx vf/kdkjh Mhu@iz'kklu vf/kdkjh mi&dqylfpo¼iz'kk-½ dks vxzsf"kr glrk{kj % uke % inuke % fohkkx %
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