Format for Valuation in RGPV

1. Rajiv Gandhi Proudyogiki Vishwavidyalya
Airport Road Gandhi Nagar Bhopal 462033
Info about faculty / Expert for valuations
1. Name ( in Capital Letter ) :………………………………………………………..
2. Designation :………………………………………………………..
3. Mobile No. :………………………………………………………..
4. Institute Name :………………………………………………………..
5. Qualification :………………………………………………………..
6. Ph.D. :………………………………………………………..
7. Experience Teaching……………..Industry…………………….
8. Subject of Specialization
S No Subject Name Subject Code
9. Bank Account Number : ……………………………………………….
10. IFSC Code Number : ……………………………………………….
11. PAN Number : ……………………………………………….
Certificate
This is to certify that the information given above by me is true to the best of my knowledge. I also certify
that none of my close relative has appeared in this examination for which I will be extending my service
for valuation work of the university.
Place
Date Signature with date
Forwarding note by Head of Institution / Director/ Principle
The above information given by Shri/ Dr./ Prof. ……………………………………………… is true to best of
my knowledge and official records.
Place: Seal Signature of principal/ Director
Date: Name …………………………….
Mobile No………………………..