nomination form - IGNOU

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Development of SLMs. (Years and nature). 7. Name the area in which you would like to develop a SLM. Unit during the Work
INDIRA GANDHI NATIONAL OPEN UNIVERSITY Staff Training and Research Institute of Distance Education NATIONAL WORKSHOP ON QUALITY ISSUES IN DEVELOPING / REVISING SELF LEARNING MATERIALS IN OPEN AND DISTANCE LEARNING (02nd in the series)

August 28 – September 03, 2017 (07 days) Venue: IGNOU HQ, Maidan Garhi, New Delhi - 110 068

NOMINATION FORM 1.

Name of the Participant (in BLOCK Letters)

2.

Sex

3.

Designation and Address for Communication

Phone / Mobile Email 4.

Subject/Discipline

5.

Years of Experience at Present Institution & total Experience gained in Development of SLMs (Years and nature)

6.

7.

Name the area in which you would like to develop a SLM Unit during the Workshop:

8.

Accommodation requested:

9.

Dietary details

Yes

No

Vegetarian

Non-Vegetarian

10. Any other expectations from the participants 11. Any other information you would like to share: 12. Rs. 6000/- Draft in favour of IGNOU payable at New Delhi (furnish Draft details) PS: About this workshop you can also visit our website www.ignou.ac.in Contact Persons: Prof. Rampelli Satyanarayana & Mr. Tata Ramakrishna Programme Coordinators Staff Training and Research Institute of Distance Education (STRIDE), Indira Gandhi National Open University (IGNOU), Maidan Garhi, New Delhi - 110 068 Phone (Off.): 011-29535399, 29572601 & 29572608 Email: [email protected], [email protected] Mobile no: +91-9968660248, +91-9868722107