medic8 | Subject Experts

Subject Experts Application

Already Registered & want to take Print out?

B.L.D.E UNIVERSITY

(Declared as Deemed-to-be-University u/s 3 of UGC Act, 1956, vide Notification No. F.9-37/2007-U.3(A) dated 29-2-2008, of the MHRD, Government of India)

The Constituent College

SHRI. B. M. PATIL MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, VIJAYPUR

FORMAT FOR COLLECTION FOR PREPARING THE DATA-BASE OF SUBJECT EXPERTS

(For appointment as Examiners, Question paper setters/ Evaluators for dissertations)

Name
Present Designation
Age & Date of Birth
Subject

Academic Qualifications

Sl. No Qualification Year University Recognised by MCI Remove
1

Teaching Experience: (for UG more than 5 years and for PG more than 8 years

U.G:
P.G:(as recognized PG guide/ teacher)
Are you a PhD Guid ?

Experience as Examiners, Question paper setters/ Evaluators for dissertations

Sl No Name of the College Name of the University From To Current Remove
1

Address for Correspondence

College/Hospital Residence
Address
Phone No
Mobile
Email
Fax

I certify that the particulars furnished are true