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Application for Provisional Affiliation for the academic year 200 -
200
PART-A – BASIC INFORMATION
| 1. |
College/ Institution
a) Name & Postal Address of the College/Institution
b) Telephone and Fax numbers
c) E-mail and Website address
d) Year of establishment of the college/Institution |
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| 2. |
Head of the Institution: (Director/ Dean/ Principal)
a) Name
b) Designation
c) E-mail, Telephone, Fax and Cell Numbers
d) Residential Address with Telephone Number |
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| 3. |
Legally authorised representative for communication (authorisation
Letter to be enclosed) |
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| 4. |
Trust:
a) Name & Address of the Trust / Society
b) Registration Number and date of registration
c) Family/ Public Trust
d) Name and address of the Chairman/
e) Secretary of the Trust
f) E-mail, Telephone, Fax and Cell Numbers
g) Residential Address with Telephone Number |
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| 5. |
Permission letter obtained from the State Government to
start the college
No. and Date (Enclose copy) |
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| 6. |
Name and Address of the Members of the Managing Body
constituted |
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| 7. |
a. Whether Discipline and Welfare Committee is functioning? |
YES / NO |
| b. Whether Registers and Records as per norms are available
/ maintained. |
YES / NO |
| 8. |
Financial Stability
Financial status of the Trust to be given briefly in a separate sheet with the following details.
a) Bankers:
Branches:
Account number (s):
Balance amount (Rs.):
• As on 31st March of the previous year
• As on Date
b) FDR details (Bank / Govt. / Govt. approved institutions.)
Branch:
Amount of investment:
Date of maturity:
c) Value of immovable properties (GLV # and MV #). Provide
Survey No. of the land, extent of land, location and details of
buildings (Certified copies to be signed by approval valuers).
# GLV – Guide Line Value and MV –Market Value
d) Whether the endowment has been created, details to be
provided
e) Income tax permanent account number . |
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| 9. |
Details of the Land earmarked for the College: |
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| Sl.No |
Document No. |
Date of registration |
Survey No |
Extent (acres) |
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TOTAL |
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| Note : 1.The extent of land should be as per
University norms for the course of study . |
| 10. |
Building:
Blockwise – (Provide separate enclosures for the existing &
proposed buildings) |
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| Sl.No |
Description |
Size LxBxH
(m x m x m) |
No.s |
Type of roof |
Furniture / amenities detail |
| a) |
Class Rooms |
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| b) |
Drawing Hall |
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| c) |
Workshop |
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| d) |
Store |
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| e) |
Administrative Office |
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| f) |
Principal’s room |
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| g) |
Chairman / Secretary room |
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| h) |
HOD’s room |
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| i) |
Teaching Staff rooms |
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| j) |
Library
i) Reading hall
ii) Reference Section
iii) Stack room
Total |
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| k) |
Physical Education |
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| l) |
NCC / NSS / NSO / YRC |
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| m) |
Seminar Hall |
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| n) |
Health Centre |
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| o) |
Bank |
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| p) |
Cooperative stores |
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| q) |
Canteen |
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| r) |
Vehicle parking |
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| s) |
Lunch and Rest room for Girls |
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| t) |
Toilet
i) Boys
ii) Girls |
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| u) |
Auditorium |
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| v) |
Maintenance and Estate Office |
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| 11. |
Hostel: (Number of blocks) |
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a) For Men/Women |
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b) Location of the hostel –(within / outside) |
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c) Staff – Resident Warden Numbers |
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Numbers |
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d) Common room |
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e) Reading room |
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f) Recreation room |
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Rooms |
Number |
Number of students accommodated |
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g) No. of rooms available in the hostel for existing and
proposed programme(s). |
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i) Single (Area in Sq.m)
ii) Double (Area in Sq.m)
iii) Triple (Area in Sq.m)
iv) Quadruple / Dormitory (Area in Sq.m)
Total |
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h) Total Built-in-area (in Sq.m) |
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| 12. |
Physical Education: |
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a) Name of Physical Director |
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b) Qualification and Experience |
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c) No. of Attenders / Markers attached to the
Department of Physical Education and their names |
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d) Total area of the play ground |
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e) Details of the outdoor games available |
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f) Details of the Indoor games available |
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g) Details of gymnasium available |
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h) Fund alloted to Physical Education |
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i) Details of Sports / Games items available and their cost |
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| 13. |
Details of Staff Quarters: |
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Designation |
Number |
Area |
| a. |
Principal |
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| b. |
Teaching staff |
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| c. |
Non-Teaching Staff |
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Signature of the Legally Chairman/ Secretary
Authorised Representative (Name in Capital Letters)
(Name in Capital Letters)
Office Seal Office Seal
Place:
Date:
PART – B
PROGRAMME DETAILS
Provisional Affiliation for the academic year 200 –200
| 14. |
Name and Address of the College/ Institution: |
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| 15. |
Name and Address of the Trust: |
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| 16. Details of Programme(s) applied for provisional affiliation: |
| 16 (a) Additional Programme(s) for which provisional affiliation is
sought. |
| Sl.No |
Degree |
Programme(s) |
Sanctioned/
Proposed Strength |
AICTE/ Ministry/ MCI/ NCTE etc. approval/
recognition No. with Date (Enclose Copy), if applicable |
Remarks |
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| 16 (b) Variation in intake in the existing Programme(s) for which
provisional affiliation is sought. |
| Sl.No. |
Degree
(UG & PG) |
Programme(s) |
Sanctioned Strength |
NOC
State Govt/ University |
AICTE/MCI/NCTE etc. approval No. with Date
(Enclose Copy), if applicable. |
| Previous |
Revised/Proposed |
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| 16 (c ). Details of existing provisionally affiliated programme for
which continuation of provisional
affiliation is sought |
| Sl.No |
Department |
Degree
(UG & PG) |
Programme(s) |
Sanctioned strength for the academic previous
year
(Enclose a copy) |
Number of students admitted for the previous
academic year (Enclose a copy) |
Ministry/ AICTE /MCI/NCTE
approval No. and Date for the previous academic year
(Enclose a Copy) |
University Affiliation No. and Date for the
previous academic year (Enclose a Copy) |
Academic Years of Break in offering the programme
(If any) |
Year of Introduction |
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Submit the copies of the Ministry/AICTE/MCI/NCTE etc. approval, if
applicable, as soon as it is received
| 16 (d). Courses being run by the College as of now.
i) Details of programmes etc. |
| Sl.No |
Degree
UG & PG |
Programme |
Sanctioned strength |
Students on roll for each year of the course |
Starting date |
Affiliation permanent/ Provisional |
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| ii) Was there any break in any of the above programmes? If yes, give
details. |
| iii) Whether the institution has fulfilled all the conditions of the
inspection committees for various courses? |
| iv) Has the compliance report, to the same effect, sent to the
University. If yes, When?
If No, Give detailed explanations. |
17. Additional Information to be Given, If starting a New Degree
Programme.
| Rationale for Starting the Course. i) (a) Based on committee recommendation;
(b) based on job market survey on skill
demand;
(c) included in the original vision of the
Institution. |
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ii) If you are starting a medical course, have you
ascertained by doing any survey that the
college will be able to get enough patients as
per MCI regulations. |
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iii) Plans for running the course (Include detailed
time bound plan for recruitment of necessary
faculty, preparation of laboratory, and other
infrastructure) |
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iv) Has an NOC been obtained from
Pondicherry Government?
a) If yes, give the date and reference letter of the order
and a copy of the relevant order be enclosed.
b) If no, when did you apply for it? Enclose a copy of your letter to
the Govt. of Pondicherry.
c) If not yet applied, when do you propose to apply for it?
d) When do you expect to get the approval? If yes, reasons for this
optimism. |
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v) Has Permission/ approval/ recognition been
obtained from the concerned statutory body?
a) If yes, give date and reference letter of the order and a copy of the
relevant order be enclosed. A copy of the document(s) submitted to this
body for obtaining recognition/permission/ approval for starting the
course must be enclosed along with your affiliation application to
Pondicherry University without fail.
b) If no, when did you apply for it? Enclose a copy of your letter to
the concerned statutory body and the document(s) submitted to this body
as asked above. |
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c) If not yet applied, when do you propose to apply?
As and when you
apply you must submit a copy of the document(s) submitted to this body
to Pondicherry University also.
d) When do you expect to get the approval? Reason
for the optimism. |
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| vi). Under which School of Pondicherry
University, the course will be run? vii). Is there a Board of Studies in Pondicherry
University for the course being proposed?
a) If not, whether a Board of Studies needs to be constituted for the
course being proposed?
b) Have you prepared a list of experts in the field for constituting the
Board of Studies for the course?
c) If yes, please attach the list of experts with their current
professional address and telephone numbers (At least 10 experts should
be listed)
d) As and when the Board is constituted, your institution will have to
bear the expenditure for constituting the Board of Studies and conduct
of Board of Studies Meetings and framing the course structure and
syllabi for the various courses? |
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viii).Has college already framed the syllabi for
the new course/ programme semesterwise?
a) If yes, enclose a copy of the same.
b) If not, when will the syllabi be framed? Give definite dates.
As soon as it is framed, a copy must be sent to the University
immediately.
c) Where Laboratory courses are required, details of lab. Experiment to
be enclosed.
d) For each course/Lab., a list of suggested
textbooks, supplementary textbooks and
reference books be listed. |
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| ix). Total amount allocated for initial expenditure
to set up the infrastructure, class rooms,
hostel facilities, library, laboratory
equipments, chemicals, and so on for the
proposed course. |
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18. Teaching Faculty
| 18 (a) Details of Director/ Dean/ Principal |
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Education Qualification |
Specialization |
Date of Birth and Age as on the date of
commencement of the academic year |
Date of joining in the present post |
Number of years of Experience as Professor |
Number of years of Experience in industry |
Total years of Experience |
Total pay
(Basic pay
+
Allowance) |
| Degree |
Year of passing |
% of marks obtained |
University |
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| UG. |
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| PG. |
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| Ph.D |
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| Additional |
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| Whether the Director/ Dean/ Principal is qualified as per UGC/ MCI/
AICTE/ DCI/ VCI/ NCTE etc. norms YES / NO |
| 18 (b) Details of Teaching staff (Department wise) |
Name(s) of the teachers
(Department wise) |
Designation Regular / Visiting |
Qualification |
% of marks |
Specialization
(Degree wise) |
Experience |
Date of Birth |
Date of joining in the present post |
Scale of pay |
Present Basic pay |
Total emoluments (Rs.) |
Signature of the Staff |
University approval of the qualification (No. and date)
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Teaching/ Research |
Industry/ Others |
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| Whether the teaching staff are qualified as per UGC/ MCI/ AICTE/ DCI/
VCI/ NCTE etc. norms |
| 18(c) Staff Student Ratio |
| Sl.No |
Name of the Department |
Programme(s) offered
UG & PG |
Sanctioned Strength |
Total No. of Teaching Staff Programme wise |
Staff – Student Ratio |
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18 (d). Additional information
on Teachers for the proposed course/ programme
a) Are qualified teachers already available on your pay roll in
your college/ Institution for teaching the course?
The University requires that qualified teachers for the course must
be appointed by and for the College/ Institution exclusively.
If no new posts are proposed to be created/ sanctioned, please
elaborate temporary arrangements made for teaching work of the new
course(s).
b) If not, how many teachers will be appointed exclusively for this
course/ programme and what will be the mode of recruitment? Please
give details.
| Year |
Designation |
No. |
Minimum qualification,
expertise & experience
required for each designation * |
Permanent/
Temporary/
Ad hoc |
Pay scale/
Salary/
wages |
| I Year |
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| II Year |
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| III Year |
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c) Steps already/ to be taken to fill up these posts.
d) If teachers are available, give information on them in the same
format as in 18 (b).
If it is proposed to carry on the work with the existing staff, a
note as to how this additional work load can be handled with the
work load by the staff for existing courses may be given in an
elaborate manner.
Please enclose a copy of Time-table for existing courses and new
courses separately.
e) Work load prescribed and followed for the existing teaching staff
a) Professor including Principal b) Readers and c) Lecturers
f) Detailed bio-data of the staff in position in the Department
where the proposed new courses are to be started with their
specilisation.
g) Additional supporting and other non-teaching staff (cadrewise)
proposed/ sanctioned for the new course(s)
* Do these conform to the norms of the Statutory bodies like AICTE
etc. |
19. Laboratories and Equipment:
| 19 (a). List of equipment |
| Sl.No. |
Department |
Degree |
Name of the Programme(s) |
Name of the Laboratory |
Name of the Equipment |
Quantity (Nos.) |
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| 19 (b). List of equipment to be procured for the
new programme |
| Sl.No. |
Department |
Degree |
Name of the Programme(s) |
Name of the Laboratory |
Name of the Equipment |
Quantity (Nos.) |
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20. Lecture rooms for new
programme.
How many additional lecture class rooms and laboratories are
needed for this course? (Floor space and required furniture. Give
the basis on which this estimate is made.)
First Year:
Second year:
Third year:
Are these class rooms already available?
If yes, give a building plan and indicate the rooms to be allocated
for this course:
If No, when will the additional floor space with necessary furniture
will be created? Give a building plan as well as a time bound
project plan for its completion with the amount of funds allocated
or will be allocated
If you have not already created additional infrastructure for this
course, why should you seek permission from the University to start
this new course? |
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21. Network Connectivity
Give the details of network connectivity:
Bandwidth:
Number of terminals with internet access |
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22. Computing Facility
| Sl.No |
Department |
Degree |
Programme(s) |
Sanctioned Strength |
No.of Terminals |
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What are the licensed softwares installed in the computer
centre?
Give a list of such software with details on type of license
(site license, stand alone etc.)
Are updates being acquired periodically?
Do you intend to provide additional computers for the new course?
List the additional software proposed to be acquired for the new
course?
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23. Library facility
| i). |
Total Area of the Library (in Sq. meters) |
| ii). |
Name of the Librarian |
| iii). |
Qualification and experience of the Librarian |
| iv). |
Names and designation of other staff in the library |
| v). |
Are any special facilities available in the Library?
If so, give details (eg. Photo copying, Internet connection etc.) |
| vi) Sl.No |
Department |
Degree |
Name of Course(s) |
No. of Books No. of Indian journals/
Periodicals (give titles) |
Names of foreign Journals/
periodicals (furnish brief titles) |
No. of Reference Books |
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| vii).
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Has the library been automated:
System for borrowing books by the student:
Cataloguing system being followed:
Photocopying facilities available:
Library timings:
Holidays for library:Have the books suggested in 17 viii (d)
already been procured by the Library?
If not, how soon these will be procured? Give
definite dates. |
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| viii).
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Would the Library order multiple copies of the
text books for this course?
If yes, how many multiple copies for each text
will be ordered for the required student
strength?Number of additional books proposed to be
acquired exclusively for the new course:
Number of additional journals proposed to be
subscribed for the course: (Give a detailed list of
journals/magazines proposed) |
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| ix). |
Proposed expenditure for this purpose for the first
year & subsequent years. |
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| 24. Indicate the facilities available for
students: |
Boys |
Girls |
| a) Common room |
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| b) Reading room |
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| c) Recreation room |
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| d) Drinking water |
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| e) Toilets/Urinals |
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| f) Facilities for cultural activities |
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| g) Fine arts |
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| h) N.C.C |
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| i) N.S.S |
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| j) Rest room |
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| k) Canteen |
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| l) N.S.O |
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| m) Y.R.C |
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| n) Medical service attention (Names of Doctors with qualifications and specialization and their address details of part
time & full time Doctors) |
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| o) Placement and training cell |
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| p) Audio-Visual Education Facilities and teaching aids (Mention
available equipment) |
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| q) Names of Association/Clubs for Students |
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| r) Alumni Association |
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| s) Student-counseling facilities |
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| t) Telephone facility including STD/ ISD/FAX |
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| u) Word processing & Photocopying facility |
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25. Non-Teaching Staff Details:
| a) Details of technical staff (Laboratory wise) |
| Name |
Designation |
Educational Qualification |
Date of birth |
Date of joining |
Scale of Pay |
Total emoluments
(Rs.) |
Signature of the Staff |
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| b) Details of ministerial staff |
| Name |
Designation |
Educational Qualification |
Date of birth |
Date of joining |
Scale of Pay |
Total emoluments
(Rs.) |
Signature of the Staff |
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25. Additional Information required.
| a) Procedures proposed for monitoring the progress of
students during the course (Given details) |
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b) Do you have reservation for students:
Scheduled Castes/Tribes:
Most Backward Classes:
Backward Classes:
Management quota:
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| c) Would you give special help for academically weak
students? If so, describe what you propose to do? |
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| d) Details of scholarships, free tuition, fellowships, and
other financial support system available for students of this
college now? |
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| e) If yes, this would be also extended the students of the
new course? |
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| f) What are the facilities available for academically
competent but economically weak students being admitted to the
new course |
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| g) Will they be given admission, if qualified? |
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| h) Are there any financial support or loan facilities
available for such students? |
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| i) If yes, describe the scheme in detail. |
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| j) If no, do you propose to introduce such a scheme for the
benefit of student who might enroll in the new course? |
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| k) What kind of transparency College/institution is
practicing in the “internal’ assessment of students, if the
system of internal assessment exits for the courses offered by
the College? |
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| l) Will the same system be applied to this new course? If
not, give details of the new system. |
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m) Did students ever agitate for any reason during the last
three years?
If yes, give reasons.
How the problems was tackled/solved? |
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n) Did the non-teaching staff ever agitate for any reason
during the last three years?
If yes, give reasons.
How the problems was tackled/solved? |
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o) Did teachers ever agitate for any reason during the last
three year?
If yes, give reasons.
How the problems was tackled/solved? |
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| p) Give an itemized details of fees, funds, donations, etc
to be charged from students to be admitted in the course.
(Indicate numbers and do not say “as per Govt. norms” etc.)
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| q) Fees for the students admitted in the Government Quota: |
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| r) Fees for the students admitted in the management quota: |
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| s) Attach a copy of your audited annual accounts for the
last three years: |
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| t) Attach a copy of your budget for the current academic
years and for the next year. |
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| u) Attach a copy of your annual report for the last year.
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This is to certify that the information given above is factual as of
the date given below. Each page has been initialed by the authorized
person of the College/ Institute. Any change in the information given
above at a later date shall be informed to the University immediately.
The required fees and any other expenses incurred for the inspection as
per University rules and regulations or any other expenditure related to
it and demanded by the University will be paid by the College
immediately.
Signature of the legally authorised
representative
(Name in Capital Letters)
Place:
Date:
Office Seal
Declaration by the Management
1. Shri/Smt_____________________________________________________Son/daughter
of Shri_____________________________________________on behalf of the
trust, viz., ______________________________hereby declare that the
particulars furnished above are true and correct to the best of my
knowledge. Programme(s), applied for, will not be started without the
prior approval of the Ministry/ AICTE/ MCI/ NCTE/ etc and the grant of
affiliation by Pondicherry University. All the original documents
related to the particulars given in the application will be produced at
the time of inspection and whenever called for.
2. The required fees and any other expenses incurred for the inspection
as per University rules and regulations or any other expenditure related
to it and demanded by the University will be paid by the College/
Institution immediately.
3. It is understood and agreed by the Management of the College/
Institution that if the affiliation is granted by Pondicherry
University, the College shall observe all rules and regulations and
other conditions, if any, of Pondicherry University. It is also
understood and agreed that any violation of these rules etc. may result
in a heavy penalty as determined by the University or withdrawal of the
affiliation by the University.
Chairman/Secretary
(Name in Capital Letters)
Place:
Date:
Office Seal
PART –C
27. The originals of the following are to be produced for
verification at the time of inspection to the inspection
committee members (Copies need be enclosed along with application)
| Sl.No. |
Certificate |
| 1. |
Village field map / field measurement book sketch |
| 2. |
College site map / plan |
| 3. |
Existing building plan. |
| 4. |
Building sketch [details of Rooms, Laboratories, Stores,
Library etc, for all the floors] |
| 5. |
Building plan proposed with approval competent government
authority |
| 6. |
Irrevocable Trust Registration Deed (or) registered deed of
the society |
| 7. |
Documentary proof for ownership of lands exclusively
earmarked for the College. |
| 8. |
Legal opinion from the Govt. Pleader on the ownership of
land and extent of coverage. |
| 9. |
Land use Certificate from an appropriate authority and Land
conversion certificate from the Department of Town & Country
planning.
Certificate from the Revenue Authority that the Land for the
College does not come under the Land Ceiling Laws. |
| 10. |
State Government permission for starting the College. |
| 11. |
Ministry/AICTE/ MCI/ NCTE etc. approval for the course(s). |
| 12. |
Documents showing the financial viability of the College
[details of financial budgeted revenue and expenses statement
(Current year) with latest Income tax returns copy |
| 13. |
Composition of the Managing Body. |
| 14. |
Master Time – Table for all courses and all sections with
class room arrangements. |
| 15. |
Audited statement of accounts of the college for the past
three years. |
| 16. |
Certificate for fire safety from the Government authority. |
| 17. |
Certificate from Government authorised license holder for
Electrical installation. |
| 18. |
Certificate from Government Health Inspector. |
| 19. |
Certificate from PWD Superintendenting Engineer or any
Government authorised person for the structural stability of the
building. |
| 20. |
Building and equipment insurance certificate. |
| 21. |
Copies of experience and educational qualification of the
teaching and administrative staff |
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