FORM III (SAR)

THE WORLD COMMUNITY SERVICE CENTRE

DIRECTORATE OF SMART WCSC

2/428, Vethathiri Nagar, Collectorate (PO). DINDIGUL 624 004. Tamilnadu.
India.
Ph: 0451-2460461. Cell: 9025739311. E-mail: smart.wcsc@vethathiri.org /
wcsc.smart@gmail.com

ASSISTANT PROFESSOR / PROFESSOR SELF ASSESSMENT REPORT

2nd Quarter
(30th Sep)

First Quarter
(30th June)

3rd Quarter
(31th Dec)

4th Quarter
(31th March)

1. Regd. No :
2. Name

3. Anboli Subscription No. Deposit / Annual

:

4. Residential
Address
Pin :

Cell :

E-Mail:

5. Whether there is any change in Address / Cell No. Yes

6. Details of Full time Service with MVKM

Trust if any

No

7. Details of position held in WCSC Service, if any

8. Details of Courses conducted by the
applicant:

Date

Name of the
Trust / Centre /
Institution

Place

(Please fill in the Next Page)

Name of the
Managing
Trustee /
Master
Incharge

No. of
Participan
ts

Course
Details (As
per foot
note)

The Above particulars are true to the best of my knowledge and belief.
Place :
Date :

Points (For
use of
SMART
office only)