GUJARAT
TECHNOLOGICAL UNIVERSITY
11.01.2012
GTU-APPLICATION FORM FOR SUBJECT EXPERTS- JANUARY 2012
[1]. Name of College: ______________________________________________________________
Name of Branch: ___________________________________
(Please mention: Diploma / Degree)
Name of H.O.D.: ___________________________________
Contact No.:
Email:
[2]. Name of Subject: ___________________________________ (one subject per faculty)
Name of Faculty: ___________________________________
Age: _________
Experience of Faculty:
Academics:
Research:
Industry:
Others:
Total:
Yrs.:___________
Yrs.:___________
Yrs.:___________
Yrs.:__________
Yrs.:_______
Months:________
Months:_________ Months:_________ Months:_______ Months:_____
Contact No.:
Email:
Preferred timings: ______________________________
(Timings of faculty to telecast the lecture so that the maximum number of students in your college
can benefit from the telecast)
Date: __________________
Place: __________________
**Please fill part [2] separately for each subject
**For further details or queries or any suggestions please email us on [email protected]
Winners of: ICT Enabled University Award E -India - 2009  Manthan Award - 2009
2nd Floo r, ACPC Buildin g, L .D. Colleg e of Engine ering Cam pus, Navrangpura, Ahm edabad, (Gujarat) India - 380 015.
Phone : + 91 - 7 9 - 26 300 49 9 / 599
Fax : + 91 - 79 - 26301500
E -m ail : [email protected]
URL : www. gtu.ac.in