Registration Form Course Coordinators from Academy Name of the Applicant (first, last): . Prof. Ratnajit Bhattacharjee ……………………………………………………. Affix passport Principal Investigator, E&ICT Academy, IIT Guwahati. …………………………………………………… size . Dr. Gaurav Trivedi Gender:…...……...……………………………..… An Initiative of photograph Co-Principal Investigator, E&ICT Academy, IIT Guwahati. Father’s Name:…...……...………………………… Ministry of Electronics & Information Technology . Dr. Dhruba Chakrabortty Mother’s Name :…...……...……………………… (MeitY), Government of India Designation: ……………………………………........................................... Principal, Bholanath College, Dhubri Highest Qualification: . Dr. Susmita Sengupta Electronics & ICT Academy ……………………………………………………………............................. Associate Professor, Dept. of Chemistry, IIT Guwahati, Assam Name and Address of the Bholanath College, Dhubri Organization/Institute:…………………………………………………….... A Faculty Development Programme on …………………………………………………………………………..….. Expert from Academy Category : Behavioral Remodeling for (GEN/OBC/SC/ST/Others)…………………………………………….….. Mr. Anjan Chowdhury enhancing the classroom Delivery City/town:………………………………………………...………………… CEO, Indian Skill Academy, & Empanelled member, of Teachers Email:…………………………………………………………….................. E&ICT Academy, IIT Guwahati Phone Number:…………………………………………………………………….. Course Objective Mobile To impart Soft Skill Development training to a level where Number:…………………………………………………......................... .... faculties will be benefitted in terms of the teaching style, Do you need accommodation? personality improvement, classroom delivery etc. (Yes/No):…………………………………………………………………… Payment Motive/Objective of the Training: Amount:……………………………………………………………………. Date of Payment • Helps teachers better in classroom delivery and Registration Fee …………………………………………………………………………….... retention ability of students. Signature of the • Teachers ability to Learn students’ comprehension Applicant:………………………………………………….......................... ability which blooms Taxonomy. Signature and Seal of the Forwarding Authority Name .................................................................................................................. Course Outcome: Designation ........................................................................................................ from 19-25 April, 2018 • Better personified teachers would evolve. Note: 1) The Faculty/Staff are requested to submit the NOC from respective department before attending the session. • A better classroom decorum would be initiated. 2) The Faculty/Staff are requested to submit their Caste Certificate in • A better student teacher relationship can be case of OBC/SC/ST. envisaged. Registration Fee • More than results, pedagogy of comprehensive delivery methodologies would be initiated. In Association with Registration Fee (Including Course Material, Snacks and Lunch ) Contact Hours for the Course BHOLANATH COLLEGE Ward No. 15, Dhubri, Assam 783324, . Rs. 1,500/- for Faculty, Lab Technicians and Project Staff. 48 Hrs (Theory & Activities) Ph: 03662 230 573.