Application for inclusion of name in Collegium of PRINCIPALS,

under Section 2(17) of the Maharashtra public Universities Act,2016 [consisting of full-time approved Principals and Directors of recognized Institutions]

First Name:*
Middle Name:*
Last Name:*
Gender: *
Date of Birth: *
Date of Retirement: *
Category: *
Correspondence Address: *
Mobile Number: *
Email: *
Aadhar Card No.(if available)
[optional]:
Details of current appointment as Principals(as full-time approved)(Attach attested documents)
District: *
Name of Institute :
Nature of appointment : *
Date of Appointment- From: *
Date of Appointment- To:
University approval order Letter No.:*
(Attach Attested Photocopy)
University approval order Letter Date:*
Security Code :*