Application for opening of new learner support centre

College/Institution Profile

Name of the College/Institution*

Postal Address*

Date of Establishment of Institution*

Office No.*

Email Address*

Name of the University to which the College/Institution is affiliated*

Name of the Principal/Director*

Telephone No. of the Principal/Director*

Mobile No. of the Principal/Director*

Email Address of the Principal/Director*

Whether the College/Institution*
Government Private Autonomous

In case of Private College/Institution

Name of the Management/Society/Trust running the College/Institution with*

Postal Address*

Date of the Institution/Management*

Registration No.*

Give in brief the information about the activities of your Institution, preferably the branches run by your management*

The Constitution of the Society/ Trust/Management*

Equipment

The college/institution is in possession of the following*

Public Address system

TV/ED

LCD Projector

Slide projector

Any other (Attach Details)

Personnel

Name and Designation of the teacher(not below the rank of Assistant Professor) along with his/her academic information for the appointment as coordinator (Honorarium Basis)
Yes No

The Principal/Director is willing to co-operate, participate and supervise the work of the centre including conduct of examination
Yes No

The Principal/Director shall arrange for counselors for the programmes of Jagat Guru Nanak Dev Punjab State Open University, Patiala being offered at the LSC of the college/institution and will make available the teaching staff to work as counselors and co-coordinator along with necessary staff for conduct of exam
Yes No

The Principal/Director will make available the non-teaching staff to accept the part time work at Study Centre
Yes No

Undertaking

The Principal/Director and the College Authorities have read the UGC rules and regulations and JGNDPSOU instructions to run a LSC and do hereby agree to these and undertake to give all necessary co-operation for the efficient functioning of the Study Centre of Jagat Guru Nanak Dev Punjab State Open University, if granted to our College/Institution.

Date*

Place*

Signature of the Principal/Head*

Jagat Guru Nanak Dev

Punjab State Open University, Patiala

A State University Established by Govt. of Punjab vide Act No. 19
of 2019 and Approved Under section 2(f) of UGC

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