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19.

Awards/ Recognitions:

20.

Any other :

Please Mention :
Are you a recipient of PK DAS Best Teacher Award?
Yes

No

N.B: *Attested copies of supporting documents should be attached.


** Please use additional sheets to provide more informations, if any
Name & Signature of
Head of the Institution
Name & Signature of the Applicant

(with seal)

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