Online Application :

Course*

Subject*

Personal Information

	Title	First	Middle	Last
*Name:
Father name:
Mother Name:
Husband name:
*Date of birth			Category*	Gender*

*Department / Subject

Employment in:

Designation

status

Date of Appointment

Present Employement

whether your Institute / college is recognized by ugc
Have you attended an orientation Program
If Yes date & Place
have you attend Refresher course
If Yes date & Place
title of Ph.d thesis
area of specialization

Contact Detail

City*

State*

Pincode*

Std Code

Phone (r)

Phone (o)

Mobile*

E-mail id*

“The basis of education is the establishment of our relationship with the beginning of everything and the conclusions about our behavior which may be drawn from it. ”

- Tolstoy

Academic Staff College, University of Lucknow. Lucknow-226007, India,
Phone : 91-522-2740848, Fax : 91-522-2740540, Mob : 9839128864, Email : director@asclko.ac.in