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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 First Quarter (30th June) 2nd Quarter (30th Sep)

6 4

3rd Quarter (31th Dec)

4th Quarter (31th March)

1. Regd. No : S.Kamaraj 2. Name : DS6341{4} 3. Anboli Subscription No. Deposit / Annual :

105/2 , I.C.F , West Colony Chennai 4. Residential Address

Pin :

9 0 0 3 1 4 9 1 1 7

Cell :

E-Mail:

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

No

Korattur PP ICF , MVKM Trust 6. Details of Full time Service with MVKM Trust if any 7. Details of position held in WCSC Service, if any
(Please fill in the Next Page)

8. Details of Courses conducted by the applicant:

Date

Name of the Trust / Centre / Institution

Place

Name of the Managing Trustee / Master Incharge

No. of Participan ts

Course Details (As per foot note)

Points (For use of SMART office only)

The Above particulars are true to the best of my knowledge and belief. Place : Date :
Chennai 10-04-2013

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