Affiliation of New/Old Institutions - Dr Shakuntala …dsmru.up.nic.in/User/content/affiliation_IB.pdfAffiliation of New/Old Institutions Information Brochure (Norms, Rules, Regulations,

Affiliation of New/Old Institutions

Information Brochure

(Norms, Rules, Regulations, Format of Application and Inspection/Visit Report)

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Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in [2]

GENERAL INSTRUCTIONS FOR AFFILIATION OF NEW & OLD

INSTITUTIONS TO THIS UNIVERSITY

1. Eligibility: The following categories of institution are eligible for

consideration of affiliation to this University.

1.1 The institutions established by or under the authority of the State

Government.

1.2 Institutions financed by State Government.

1.3 Self-financed educational institutions established and operated by

Societies, Trust and Company duly registered under the Societies

Registration Act, 1860; Indian Trusts Act, 1882; and Companies Act,

2013 respectively or a Government Body or a Local Authority.

1.4 Affiliation shall be granted to those educational institutions who in

addition to routine branches of knowledge provide special education

as per norms of the Rehabilitation Council of India. However, in the

anticipation of the approval of the respective course(s) by RCI the

institution may apply for affiliation to this University.

1.5 Territory will be the entire state of Uttar Pradesh.

2. The following information should be furnished while filling

affiliation application forms.

2.1 Particulars of authorized signatory/applicant.

2.2 Particulars of applicant Society/Trust/Company/Govt. Body/Local

Authority.

2.3 Particulars of the applicant institutions.

2.4 Details of programmes of Rehabilitation Council of India (RCI).

2.5 Details of existing programmes other than RCI being run by the

applicant Society /Trust/Company/ Govt. Body/Local Authority.

2.6 Details already submitted/to be submitted alongwith application to

RCI for approval of educational programmes.

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2.7 Details of infrastructural facilities including Land and Building.

2.8 Details of instructional facilities.

3. Application by educational institution for affiliation shall be submitted

in two copies to the "Registrar, Dr. Shakuntala Misra National

Rehabilitation University, Lucknow" alongwith the following

documents.

3.1 An affidavit in prescribed format.

3.2 Copies of land documents, relating to ownership on the name of

Society/Trust/Company (lease is allowed for 30 years only from

Govt. authority) duly certified by office of sub-registrar.

3.3 Building Plan approved by the competent authority.

3.4 Non-encumbrance certificate issued by competent authority.

3.5 Land use certificate issued by competent authority.

3.6 Approval /Recognition order, if any, from RCI or others Regulatory

Bodies like NCTE/AICTE/PCI/INC/MCI/DCI/BCI etc. at the stage

of finalization of affiliation.

3.7 Fire NOC, NBC certificates and Balance-sheet .

3.8 Original Khatauni of land.

3.9 Contiguous/Adjacent certificate of land from Tehsildar.

3.10 Certificate of verification of land from competent authority or

Tehsildar.

3.11 Resolution of Management Committee of Society /Trust/ Company

etc. regarding establishment of new College and allocation of Land

and creation of Instructional /infrastructural facilities.

3.12 Affidavit regarding acceptance of terms and conditions as laid-down

by this University time to time.

3.13 Application fee Rs. 25,000/- payable through demand draft in favour

of "Finance Officer, Dr. Shakuntala Misra National

Rehabilitation University, Lucknow".

3.14 Processing fee Rs. 1,00,000/- payable through demand draft in favour

of "Finance Officer, Dr. Shakuntala Misra National

Rehabilitation University, Lucknow".

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4. Land Requirements : (Art, Commerce, Science faculty)

4.1 Degree colleges : a) 5000 m2 in town area/ urban area

b) 10000 m2 in Rural Area

for girls degree College: the land requirement will be of 50% of the

above requirement.

4.2 Law College:- 3 years LL.B- 1200 m2

5 years LL.B- 1500 m2

3 and 5 years both- 2000 m2

4.3 Agricultural Degree Colleges- In addition to the above land

requirement a minimum 15 acres land is required for agricultural

experiments. However, the above 15 acres land can be in a separate

place other than the Campus within 50 kms.

4.4 Faculty of Engineering, Technology & Management: Land and

others infrastructural and instructional facilities will be as per norms

of All India Council of Technical Education Govt. of India.

4.5 Faculty of Medicines & Surgery: As per norms of MCI.

4.6 Faculty of Nursing and Para Medical Sciences: As per norms of INC

4.7 Faculty of Dental Surgery: As per norms of DCI

4.8 Faculty of Education: As per norms and regulation of NCTE.

4.9 Faculty of Special Education: As per Norms and Regulations of the

RCI.

4.10 Faculty of Architecture: As per norms of AICTE and Architecture

council of India.

4.11 Faculty of Law: As per norms of BCI.

5. Building Requirement:

5.1 Faculty Arts and Science : (Arts-7 subjects- Science -5 subjects)

Class Rooms - 6 85-90 m2 each

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Laboratories - 6 85-90 m2 each

Library - 1 100 m2 .

Girls Common Room 1 20 m2 .

Faculty Rooms - 2 20 m2 each.

Administrative Office- 1 80 m2 each

Corridor 1 80 m2 each

Separate Toilet for Girls & Boys 10m2 for each

5.2 Faculty of Music and Fine Arts: In addition to the above building

requirement minimum 3 class rooms are required.

5.3 Faculty of Commerce: In addition to the above building requirement

minimum 3 class rooms are required.

5.4 Faculty of Engg./ Technology/ Management/Dental/ Education/

Nursing/ Paramedical/ Architecture etc. the building requirements are as

per norms of respective councils/Regulatory Bodies.

6. Details of Endowment Fund

6.1 Rs 2.50 Lakh in the case applying for Arts (upto 7 subjects) &

Commerce at Under- graduate level;

6.2 Rs 3 Lakh in the case of Agriculture, B.B.A., B.C.A., management &

Science (upto 5 subjects);

6.3 For every additional subject Rs. 50,000 and for subject involving

practical Rs 75,000/-;

6.4 Rs 4 Lakh in the case for Special Education/Education/Physical

Education each;

6.5 Rs 2.5 Lakh in the case of M.C.A, B.Pharma, B.Sc.(Nursing) courses;

Post basic B.Sc.(Nursing) BMLT;

6.6 Rs 10.00 Lakh in case of B.D.S & M.B.B.S and M.Pharma & M.Sc.

(Nursing) courses;

6.7 Rs 15.00 Lakh in case of M.D.S & M.D./ M.S.courses;

6.8 Rs 15.00 Lakh in case of Engineering & Technology course at

Under- graduate level;

6.9 Rs 2.00 Lakh in other P.G. level courses;

6.10 Rs 2.00 Lakh in case of Diploma level.

6.11 Rs 2.00 Lakh for Nursing.

6.12 Rs 5.00 Lakh for Law.

6.13 Rs 2.00 Lakh for Bachelor of Library Science.

6.14 Rs 1.00 Lakh for RCI approved Diploma/Certificate.

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7. Affiliation Fees to be paid Annually

7.1 Faculty of Arts Rs. 50,000/-

7.2 Faculty of Science Rs. 1,00,000/-

7.3 Faculty of Commerce Rs. 1,00,000/-

7.4 Faculty Music and Fine Arts Rs. 1,00,000/-

7.5 Faculty of Engineering & Tech. Rs. 3,00,000/-

7.6 Faculty of Management Rs. 2,00,000/-

7.7 Faculty of Pharmacy Rs. 2,00,000/-

7.8 Faculty of Architecture Rs. 2,00,000/-

7.9 Faculty of Hotel Management Rs. 2,00,000/-

7.10 Faculty of Fashion Tech. Rs. 2,00,000/-

7.11 Faculty of Medicine & Surgery Rs. 5,00,000/-

7.12 Faculty of Dental Surgery Rs. 3,00,000/-

7.13 Faculty of Ayurvedic Rs. 3,00,000/-

7.14 Faculty of Homeopathic Rs. 3,00,000/-

7.15 Faculty of Unani Medicine Rs. 3,00,000/-

7.16 Faculty of Special Education Rs. 2,00,000/-

7.17 Faculty of Education Rs. 2,00,000/-

7.18 Faculty of Agriculture Rs. 2,00,000/-

7.19 Faculty of Nursing Rs. 1,00,000/-

7.20 Faculty of Law Rs. 2,00,000/-

7.21 Faculty of Library & Information Science Rs. 1,00,000/-

7.22 RCI approved Diploma/Certificate Rs. 10,000/-

The above fees will be paid through Bank Draft in favour of "Finance

Officer, Dr. Shakuntala Misra National Rehabilitation University, Lucknow".

8. At the time of inspection the building of Institution shall be completed in the

form of permanent structure on the land possessed by the institution equipped

with all amenities and fulfilling all requirements as prescribed in norms and

students of approving agencies. The applicant institution shall produce the

original completion certificate issued from competent authority to the visiting

team for verification. No temporary structure or asbestos roofing shall be

allowed in the institution, even if it is in addition to the prescribed built up area

at the time of inspection of the proposed College, the Management Committee

will provide videography facility of entire infrastructural and instructional

facilities as created by applicant Institution.

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9. AFFILIATION OF INSTITUTIONS

Affiliation of Colleges and other institutes of the State of Uttar Pradesh shall be granted

by the University in accordance to the provisions of the Act and statute of Dr Shakuntala Misra

National Rehabilitation University.

The Act, 2009 under 5(ii) provides: "To affiliate such colleges and other institutes of the state

who, in addition to routine branches of knowledge provide special education as per norms of the

rehabilitation Council of India, as the University may deem fit, hold examinations and to confer

degrees and grant diplomas or certificates and other academic distinctions to such conditions as

the University may determine."

Provisions for Affiliation have been incorporated in the Statute under Chapter-XI A sections

IIA. 01 to 11A.40.

Consent of Affiliation

9.1 This shall apply to the Institutions of the State, which include Schools,

Institutions and other institutes who, in addition to the routine branches of

knowledge, provide education and training in Special Education as per the norms

of the Rehabilitation Council of India.

9.2 A Society, Trust or Company duly registered under the Societies Registration

Act, 1860; Indian Trusts Act, 1882; and Companies Act, 2013, respectively, or

a Government Body or a Local Authority may apply for the consent of affiliation

to this University on prescribed Proforma accompanied by a Demand Draft

issued by a Scheduled Bank in favor of the ”Finance Officer, Dr. Shakuntala

Misra National Rehabilitation University” payable at Lucknow for a sum of Rs.

25,000/-, which will be non-refundable.

9.3 Every application for the consent of an affiliation of an institution shall be

submitted so as to reach the Registrar not less than 90 days before the

commencement of the academic session, in respect of which the consent is

required.

9.4 (1) All the application received by due dates, if any, for the consent of

affiliation shall be placed before a Committee consisting of the following

members –

(i) The Vice-Chancellor or his nominee, who shall be the Chairperson

thereof;

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(ii) A Dean of the Faculty to be nominated by the Vice-Chancellor ;

(iii) Two Professors to be nominated by the Vice-Chancellor ; and

(iv) The Registrar or an Officer not below the rank of an Assistant Registrar

as Convener & Secretary.

(2) The Committee shall consider and decide all the proposals referred to it and

the decision thereon shall be communicated to the applicants concerned

accordingly. In case of acceptance of the proposal, the „LETTER OF

CONSENT” shall be issued in the following format:

“Dr. Shakuntala Misra National Rehabilitation University, Lucknow”

Affiliation Department

No…………………/ DSMNRU /…………….…. Dated, Lucknow,……………………

10. CONSENT OF AFFILIATION

On the basis of the recommendations of the Affiliation Committee, Dr. Shakuntala Misra

National Rehabilitation University, Lucknow has agreed, in principle , to affiliate the

………………………………………….course to be proposed by the

………………………………(Name of the Institution) established at…………….by the

…………………………….(Name of the Society / Trust / Company etc.) subject to grant of

permission by the ……………under section ………………….of the …………………..Act,

………………… .

( )

Registrar

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11. PROCESS FOR AFFILIATION

11.1 After receiving the said consent of affiliation, the Society / Trust / Company /

Government Body / Local Authority will inform the University, to which it is

affiliated and other Regulatory Bodies about its intention that it intends to be

affiliated to the Dr. Shakuntala Misra National Rehabilitation University,

Lucknow with courses mentioned in the information. The copy of said letter shall

be endorsed to the concerned Central Regulatory Body, the concerned

department of the State Government etc. and this University immediately.

11.2 The concerned Society / Trust / Company / Government Body / Local Authority

will submit a proposal to this University for the affiliation of the course running

therein on the prescribed form accompanied with self- attested copies of the

document mentioned in the prescribed form and a Demand Draft issued by a

Scheduled Bank in favor of the “Finance Officer, Dr. Shakuntala Misra National

Rehabilitation University” payable at Lucknow for an amount prescribed by the

University which will be non- refundable.

11.3 Before an application for affiliation is placed before the Executive Council, the

Vice-Chancellor must be satisfied with regard to the following particulars,

namely :

(a) That the required provision of the Statutes have been complied with;

(b) That the institutions satisfies the demand for routine courses along with Special

Education in the locality;

(c) That the management concerned has provided or has adequate financial

resources to provide for;

(i) Suitable and sufficient infrastructure and civic facilities;

(ii) Adequate and suitable hostels, library, furniture, fixture, stationery,

equipments and laboratory facilities as prescribed by the concerned

Central Regulatory Bodies or State Government;

(iii) Ownership or long-term lease and possession of undisputed land as

prescribed by the State Government and/ or the Central Regulatory

Body (ies) for the Course from time to time;

(iv) Facilities for health and recreation of the students;

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(v) Adequate funds for the payment of salary and other allowances to the

employees of the institution for at least three year; and

(vi) Fulfillment of other conditions as prescribed by competent authorities

from time to time.

11.4 The constitution of the Management of every institution shall provide that (for

aided colleges only)–

(a) The Principal / Director of the institution shall be ex-officio member of the

Management;

(b) Twenty-five percent of the members of the management are teachers

(excluding the Principal/Director);

(c) The teachers (excluding the Principal/Director) referred to in clause (b) are

such members for a period of one year by rotation in order of seniority;

(d) One member of the Management shall be from the non-teaching group „C‟

employees of the institution nominated for a period of one year by rotation in

order of seniority;

(e) Subject to the provisions of clause (c), no two members of the Management

shall be related to each other;

(f) No change in the said constitution shall be made except with the prior

permission of the Vice-Chancellor,

(g) If any question arises whether any person has been nominated as, or is entitled

to be a member of office-bearer of the Management or whether the

Management is legally constituted, the decision of the Vice-Chancellor shall be

final.

(h) Institution is prepared to place before any person or persons authorized by the

University or before the panel of Inspectors appointed by the University all

original documents pertaining to income and expenditure of the institution

including the accounts of the Society / Trust /Company / Government Body

/Local Authority;

(i) Income from the endowment funds shall be available for the maintenance of

the Institution.

(j) Other conditions as may be prescribed by the Executive Council.

11.5 For every institute (other than an institution exclusively maintained by the state

Government or by a Local Authority), there shall be a separate endowment fund

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which shall be pledged with the Registrar of this University and shall not be

alienated so long as the Institution continues to exist, of the value of :

(i) Rs 2.50 Lakh in the case applying for Arts (upto 7 subjects) & Commerce at

Under- graduate level;

(ii) Rs 3 Lakh in the case of Agriculture, B.B.A., B.C.A., management & Science

(upto 5 subjects);

(iii)For every additional subject Rs. 50,000 and for subject involving practical Rs

75,000/-;

(iv) Rs 4 Lakh in the case for Special Education, and Education and Physical

Education each;

(v) Rs 2.5 Lakh in the case of M.C.A, B.Pharma, B.Sc.(Nursing) courses;

(vi) Rs 10.00 Lakh in case of B.D.S & M.B.B.S and M.Pharma & M.Sc. (Nursing)

courses;

(vii) Rs 15.00 Lakh in case of M.D.S & M.D./ M.S.courses;

(viii) Rs 15.00 Lakh in case of Engineering & Technology course at Under-

graduate level;

(ix) Rs 2.00 Lakh in other P.G. level courses;

(x) Rs 2.00 Lakh in case of Diploma level.

11.6 Such Endowment Funds shall be invested in Fixed Deposit Account in a

Scheduled Bank to be opened and operated jointly by an authorised signatory of

the Management and the Finance Officer of the University.

11.7 An institute seeking affiliation in any course requiring laboratory work shall

further satisfy the University that :-

(a) Separate laboratories are provided in each stream of Western Medical

Sciences, Science & Technology etc. that each of them is suitably equipped;

and

(b) Suitable apparatus and equipments in sufficient numbers are provided for

carrying out experimental work.

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11.8 If the Vice-Chancellor is satisfied with regard to matter in the preceding Statutes,

the application shall be placed before the Executive Council which shall appoint

a Panel of Inspectors to inspect the institution and make a detailed report on all

relevant matters. The Panel so appointed shall include the Regional Higher

Education Officer or a Principal/Director of a Government College.

11.9 All inspections shall be completed within 90 days from the receipt of an

application for affiliation. No application for affiliation shall be granted by the

Executive Council unless it is satisfied about the financial soundness and of the

available resources of the institution proposed to be affiliated on the report of the

panel of inspectors. The process of grant or refusal of application should

ordinarily be completed before 15th July of the session in which it proposes to

start the course.

11.10 Where the affiliation to an institution is granted subject to certain conditions,

the institution shall not admit or register students unless the Vice-Chancellor,

after due inspection, has issued a certificate that the conditions imposed by the

University have been duly fulfilled. If there are practical difficulties for the

Vice-Chancellor to inspect the institution personally, he may nominate a

teacher, not below rank of a Professor to inspect the institution concerned.

12. AFFILIATION OF INSTITUTIONS FOR NEW COURSES

OR ADDITIONAL SUBJECTS

12.1 Proposals from an institution for starting courses of instructions for a new

degree or in new subjects shall be made so as to reach the Registrar before the

15th December of the year preceding the session in which it is proposed to start

such courses:

Provided that the proposal to affiliate the course shall be entertained by the

University, only on the condition that the concerned Central Regulatory Body has

permitted to start the course.

12.2 Each institution applying for recognition for a new degree for a new subject,

shall remit with its application a sum of Rs. 10,000/- for each subject.

12.3 No application for affiliation in a new subject shall be considered unless the

Registrar gives a certificate in writing that the conditions of affiliation and of

previous affiliation have been fulfilled.

12.4 If the Vice-Chancellor is satisfied with regard to the need for such affiliation

and if the institution has fulfilled and continues to fulfill conditions of previous

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affiliations, the application shall be placed before the Executive Council which

shall appoint a Panel of inspectors and the previous provisions of this Chapter

shall apply.

12.5 Ordinarily, all inspections, referred to in Statute 11A.17 shall be completed by

the end of April to enable the Executive Council of the University o scrutinize

the reports of inspectors' well in time.

12.6 Restrictions imposed by Statute 11A.13 shall apply to an institution applying

for affiliation for new degrees or additional subjects.

12.7 Every institution shall strictly observe the norms and conditions laid down by

the University.

12.8 Every institution shall make available to the University its buildings, libraries

and laboratories etc; with their equipments and apparatus and also the services

of such of its teaching and other staff, as may be necessary for the purposes of

conducting the University examinations.

12.9 Every institution shall have on its staff teachers having such qualifications, who

shall be given such grades of pay, and be governed by such other conditions of

services as be laid down from time to time by the University or by the orders of

the State Government in that behalf.

Provided that the Regulatory Body i.e. UGC, MCI, DCI, RCA, AICTE,

NCTE, RCI, ICAR, BCI and VCI etc has permitted to start the course in which

affiliation is being applied.

12.10 When the office of the Principal or Director of an institution fails vacant,

Management may appoint any teacher to officiate as Principal or Director for

a period of three months or until the appointment of a regular Principal or

Director, whichever is earlier. If on or before the expiry-of the period of three

months, any regular Principal or Director is not appointed, or such a Principal

or Director does not assume office, the senior-most teacher in the institution

shall officiate as Principal or Director of such Institution until a regular

Principal or Director is appointed.

12.11 Every affiliated institution shall observe the conditions set out in this Chapter.

Provided that if the Management of such institution fails to comply with

requirements issued by the University within the time specified by the Vice-

Chancellor, the Vice-Chancellor may take steps for the withdrawal of the recognition

in accordance with the Statutes mentioned hereinafter.

12.12 Every affiliated institution shall by 15th of August every year submit to the

Registrar a certificate from the Principal or Director that the conditions laid

down for affiliation have continued to be fulfilled.

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12.13 Every institution shall maintain the registers required for affiliated institutions

and shall from time to time furnish to the University.

12.14 Where the Executive Council or the Vice-Chancellor causes any institution to

be inspected it, he will communicate to the institution, the result of such

inspection together with its or his views thereon and direct the Management

regarding the action to be taken.

12.15 Where the Management of an affiliated institution does not take action to the

satisfaction of the Executive Council or the Vice-Chancellor, the Council

may, either on its own motion or on a report to that effect received from the

Vice-Chancellor, after considering any explanation furnished or representation

made by the Management, issue such directions as it may think fit, and the

Management shall comply with such direction, failing which the Executive

Council may proceed to the take action under or in accordance with Statute

11A.35.

12.16 Information regarding all posts in the teaching staff of the institution that fall

vacant temporarily or permanently shall be communicated to the Registrar

within 15 days of their falling vacant.

12.17 The number of students in a class or section in an affiliated institution shall

not, except with the previous permission of the Vice-Chancellor, exceed 60

for purposes of lecturers in the classroom but in no case, shall exceed 80 or as

per approval of regulatory body.

12.18 Before a new section in any class is opened by any institution, all the

information regarding additional staff required(together with their

qualifications and salaries, time-table for the new section, accommodation

available and provision for additional equipment and Library facilities) shall

be sent to the University and prior permission of the Vice-Chancellor be

obtained.

13. WITHDRAWAL OF RECOGNITION

13.1 Continuance of affiliation shall depend on continued fulfillment of conditions

laid down by the University.

13.2 An affiliated institution shall be deemed to have been de-affiliated if it fails to

send up any candidate for an examination conducted by the University for

three successive years.

13.3 The Executive Council may direct an institution not to admit students to a

particular class if the conditions laid down for starting the classes have, in the

opinion of the Executive Council, been disregarded by the institution

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concerned. The classes may, however, be restarted with the prior permission

of the Executive Council when the conditions are fulfilled to its satisfaction.

13.4 If an institution disregards the requirements of the University regarding the

fulfillment of the conditions of affiliation and fails to fulfill the conditions in

spite of notice issued by the University, the Executive Council may, with the

previous sanction of the General Council, suspend the affiliation till the

conditions are fulfilled to the satisfaction of the Executive Council.

13.5 (1) The Executive Council may, with the prior sanction of the General

Council, deprive an institution of the privileges of affiliation either wholly or

for any degree or subject, if it fails to comply with the direction of the

Executive Council or o fulfill the conditions of affiliation or for gross

mismanagement, or if for any other reason the Executive Council is of opinion

that the institution should be deprived of such affiliation.

(2) if the salaries of the staff are not paid regularly, or if the teachers are not

paid their salaries to which they were entitled, the institutions concerned

would be liable to withdrawal of affiliation within the meaning of this Statute.

13.6 The Executive Council shall, before taking any action under the preceding

Statutes call upon an institution to take, within a specified period, such action

as may appear to be necessary in respect of any of the matter referred to in the

conditions of affiliation.

13.7 Whenever there is a dispute regarding the Management of an affiliated

institution, persons found by the Vice-Chancellor to be in actual possession

and control of the institution properties may, for purposes of the Act and these

Statutes be recognized to constitute the Management of such institution until a

Court of competent jurisdiction orders otherwise.

Provided that the Vice-Chancellor shall before making an order under this

Statute, afford reasonable opportunity to the rival claimants to make written

representations.

14. SPECIAL PROVISIONS

14.1 The issues not provided in this Chapter shall be governed under the directions

of the Executive Council.

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14.2 If, in the opinion of the Executive Council, an institution substantially fulfils

the conditions of affiliation, the Executive Council may sanction grant of

affiliation to that institution or enlarge the privileges thereof in specific

subjects for one term of a course of study on such terms and conditions as it

may deem fit.

14.3 In case of proposed Medical/Dental/Nursing colleges the letter of

Consent/NOC of Affiliation will be issued to applicant institutions after

submission of State Government NOC for relevant programme.

Provided that unless all the prescribed conditions of affiliation are fulfilled by an

institution, it shall not admit any candidate in the first year, second year in case of

lateral entry, of the course of study for which affiliation is granted.

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APPLICATION FOR AFFILIATION OF INSTITUTIONS

1. Particulars of the Authorized Applicant

1.1 Name of the Applicant _______________________________________

1.2 Designation : ______________________________________________

1.3 Address : _________________________________________________

__________________________________________________________

__________________________________________________________

1.4 E-mail Address : ____________________________________________

1.5 Telephone No./ Mobile No. ___________________________________

2. Name of the Applicant/Society/Trust/Company:

2.1 Postal Address : ____________________________________________

_________________________________________________________

2.2 E-mail Address ____________________________________________


2.4 Website : _________________________________________________

2.5 Permanent Account No. of Society/ Trust/Company : _______________

__________________________________________________________

2.6 Registration No. and validity of Society/Trust/Company:_____________

___________________________________________________________

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3. Details of Programs other than RCI, if any, run by the same applicant

Society/Trust/Company :

Name and

Address of the

Institution

Name of the

Programme

Level of

Programme

Duration of the

programme

Year of starting

the programme

Name of the

Affiliating

Board/University

Approving body

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4. Details of Programme Approved by RCI (if any)

Name and

Address of the

Institution

Name of the

Programme

Level of

Programme

Duration of the

programme

Year of starting

the programme

Name of the

Affiliating

Board/University

Approving body

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5. Details of Programme seeking approval from RCI

Name and Address of

the Institution

Name of the

Programme

Level of Programme

(Diploma/Certificate/ UG/PG

Duration of the

programme

Proposed Year of

starting the

programme

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6. Details of Faculty/Programme to be affiliated from Dr. Shakuntala Misra

National Rehabilitation University

6.1 Name of the Institution : __________________________________________

6.2 Address of the Institution : __________________________________

_______________________________________________________________

6.3 Name of Faculty : (1)_____________________________________________

(2)______________________________________________

(3) ______________________________________________

6.4 Level of Programme : ______________________________________ (UG/PG/Diploma/Certificate)

6.5 Nature of Application : (1) New or old _________________________

6.6 Mode of Course : Face or distance : __________________________

6.7 Land Identification (Plot/Khasra No.) __________________________

6.8 Land Title : ______________________________________________

6.9 Village: ___________________________________________________

6.10 Post : ___________________________________________________

6.11 Tehsil :___________________________________________________

6.12 District ___________________________________________________

6.13 State: _________________________________Pin code____________

7. Type of Institutions ____________________________________ (Govt. /Govt. aided/Central Govt./Private)

8. Details of Infrastructural facilities available for proposed Institutions:

8.1. Area of the Land in possession (in sq.mts.) ____________________

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8.2 Built up area earmarked for the programme (in sq.mts) :___________

8.3 Whether the building constructed/proposed to

be constructed on the same land. : YES/NO.

8.4 Date of Completion of construction of the building: _______________

8.5 Name of the competent authority for approval of

building plan and issue of completion certificate: _________________

8.6 Address of the competent authority for approval: _________________

of building plan and issue of completion certificate

8.7 Whether Building is disabled- friendly as per the law: ______________

8.8 Total Built up Area (in sq. meter) : _____________________________

8.9 Total Built up Area (in sq. ft.) _________________________________

9. Details of Land conversion :

9.1 Order No. :___________________Dated______________________

10. Specification of the Lecture Hall/Rooms/Labs

Description Number Length in

meter

Breadth in meter Carpet area in

sq. meter

Lecture Hall

Seminar Hall

Library

Laboratories

Tutorial Room

Administrative Office

------------------------------------------------------------------------------------------------------------------------------------------------------------------


Store Room

Girls Common Room

Boys Common Room

Workshop/Music Room

Computer Centre

Faculty Room

Account Room

Any other Room

11. Details of Instructional Resources

11.1 Library : ________________________________________________

11.2 Total Number of Titles : ___________________________________

11.3 Total Number of Books : ___________________________________

11.4 Journals : _______________________________________________

11.5 Computer Laboratory: ______________________________________

11.6 No. of Computers : _________________________________________

11.7 Internet Access : _________________________________________

11.8 LAN : ____________________________________________________

------------------------------------------------------------------------------------------------------------------------------------------------------------------


12. Details of Academic Staffs (Applicable for existing institutions)

Details of Academic Posts available at present (Please annexed details of faculty)

Name of the

Post

Number of

Post

Pay Scale No. of Filled

Posts

No. of Vacant

Posts

13. Technical Supports Staff

Name of the

Post

Number of

Post


Posts

No. of Vacant

Posts

------------------------------------------------------------------------------------------------------------------------------------------------------------------


14. Administrative Staff (Details of Non-Academic Staff available at present)

Name of the

Post

Number of

Post


Posts

No. of Vacant

Posts

15. Details of Games & Sports

Number of

Playgrounds

Length in meter Breadth in meter Carpet area in

sq. meter

16. Details of Endowment Fund:

16.1 Amount of Endowment Fund___________________________________________

16.2 Fixed Deposit Receipt Number : _________________________________________

16.3 Duration of the FDR ___________________________________________________

16.4 Date of issue (dd/mm/yyyy) : _____________________________________________

------------------------------------------------------------------------------------------------------------------------------------------------------------------


16.5 Name of the Nationalized Bank: __________________________________________

17. Details of Processing Fees: (Rs. 1,00,000/- for two faculties including RCI approved faculty/course

which is non-refundable)

17.1 DD/Pay order No.: ______________________________

17.2 Date of Issue: __________________________________

17.3 Name of Bank: __________________________________

17.4 Name of Branch: ________________________________

17.5 Total Amount: ___________________________________

18. Details of Application form for Affiliation (Rs. 25,000/ which is non-refundable)

18.1 DD/Pay order No.: ______________________________

18.2 Date of Issue: __________________________________

18.3 Name of Bank: __________________________________

18.4 Name of Branch: ________________________________

18.5 Total Amount: ___________________________________

19. Details of Affiliation Fees (To be submitted at the time inspection)

19.1 DD/Pay order No.: ______________________________

19.2 Date of Issue: __________________________________

19.3 Name of Bank: __________________________________

19.4 Name of Branch: ________________________________

19.5 Total Amount: ___________________________________

Date:____________

Place: ___________ Signature of Authorized

person with seal

------------------------------------------------------------------------------------------------------------------------------------------------------------------


Format of Affidavit to be given on Rs. 100 Non-Judicial stamp paper duly attested by

Oath Commissioner/ Notary Public

Before Registrar of Dr. Shakuntala Misra National Rehabilitation University

AFFIDAVIT

I, _______________________________________ (Name of the authorized person) son

of _________________________________ and _________________________________of the _______________________________________________ (name of the College/

Institution/Trust/Society/Company, etc.) aged about _______________________ years, resident

of ___________________________________________________________________________

_____________________________, am the authorized signatory of the application made to the

Dr. Shakuntala Misra National Rehabilitation University, Lucknow of seeking grant of

recognition/permission for conducting a course in titled _____________________ with

intake/additional intake of _________________. 2. That the _____________________________________Society/Trust/Company/

Institution/College (strike out whichever is not applicable) is in possession of land as per the

following description: - 2.1 Total Area of the land (in sqr. Mts.)

2.2 Address: Plot No:

Khasra No:

Village/Town/City:

District: State:

Bounded by North:

South:

East:

West:

Registered in the office of:________________________________________________

on_____________________. 3. That the land is on ownership basis / lease from Govt. / Govt. institution for a minimum

period of___________years (in figures and words) (Strike out whichever is not applicable).

- 2 -

------------------------------------------------------------------------------------------------------------------------------------------------------------------


4. That the land is free from all encumbrances.

5. That the land is exclusively meant for running the educational institution and the

permission of the Competent Authority to this effect has been obtained vide letter No._____________ dated ______________ and a copy thereof is enclosed. 6. That the said premises shall not be used for running any non-educational activity, other

than the education programme. 7. That the copy of the affidavit shall be displayed on the website of the Institution for

general public. 8. I do hereby swear that my declaration under Paras (1) to (7) are true and correct and that

it conceals nothing and that no part of this is false. In case the contents of affidavit are found to

be incorrect or false, I shall be liable for action under the relevant provision of the Indian Penal

Code and other relevant laws.

Signature: ___________________________________ Name of the Applicant: _________________________

Address: ____________________________________

____________________________________

____________________________________

Tel :

E-mail address :

Website address :

Place: _____________________ Date: ______________________

------------------------------------------------------------------------------------------------------------------------------------------------------------------


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------------------------------------------------------------------------------------------------------------------------------------------------------------------


BUILDING COMPLETION CERTIFICATE

I __________________________ hereby certify that the institution namely

____________________________________________________________________________________

____________________________________________________________________________________

______________________________________________________________________________situated

at__________________________________________________________________________________

________________________________________________have personally inspected the land and

building mentioned in the statement below and the same is based on the registered documents, data

measurements and specifications found in the site.

1. Name of the Society/Trust/Company i.e.

Management of the institution

2. The Society/Trust/Company i.e. management

of the institution is having the PAN/TAN No.

Copy enclosed : Yes/No.

3. Name of the Institution

4. Location with khata/khasra/Street No./ Ward

No., Name of the Place, Corporation/

Municipality/Panchayat.

5. Date of Registration of Land

6. Registered in the office of Sub-

Registrar/Tehsildar with address

7. The location of the land of the Institution is in

a single plot or different plots

8. If the location of the land of the Institution is

not in a single plot the distance of different

plots be mentioned.

9. Type of ownership of land

10. Building plan approved by (address of

Corporation /Municipality/ Panchayat/ any

other Govt. Agency

11. Year of completion of construction of the

building

12. Purpose for which the building is being used

/proposed to be used

13. Electricity connection No.

Telephone connection No.

Water connection No.

14. Total land area of the institution

Total built up area of the institution

15. Total land area earmarked for particular of the

course /faculty

------------------------------------------------------------------------------------------------------------------------------------------------------------------


16. Details of construction of building (Roofing–

pl. mention RCC / Asbestos / Tiled / any other

pl. Specify)

(the column to be filled up in case the

building of the institution is of more than

one floor)

Area Roofing

Ground Floor Sq.ft. YES

First Floor* Sq.ft. YES

Second Floor*

Sq.ft.

Third Floor* Sq.ft.

Total built up

area

Sq.ft YES

17. Details of Land Use Certificate

for Educational purposes from the

concerned Govt. authorities/ any

other govt. local body details

thereof. (*)

Date of issue of Certificate:

Issued by :

Provisions of the law under which the concerned issuing

authority is empowered for issuance of

CLU________________________________________

On verification of the above on site, I hereby certify that:-

i. The land & building of the institution is exclusively meant for proposed College/programmes.

The institution's campus, building, furniture etc. is barrier-free. There is no temporary structure,

asbestos/tin sheet sheds available in the building. Safeguard against fire hazard has been provided

in all parts of the building.

ii. The building of the institution is constructed keeping in view the provisions and bye-laws of the

building construction as per the Bureau of Indian Standards and the same is structurally safe and

secure to run educational institution.

iii. The construction of the building is completed in all respects and the building is structurally sound

to be used for Educational purposes and having the load bearing capacity as per the latest Indian

Standards.

________________________

Signature with Seal

Name of the approved /

authorised Engineer /

Architect

Designation

Office Address

------------------------------------------------------------------------------------------------------------------------------------------------------------------


Certified by the competent Govt. Authority/Local Govt. Body ________________________

Signature with Seal

Name of the competent

Authority

Designation

Office Address

Countersigned by the authorized representative of the Management of the Institution.

________________________

Signature with Seal

Name of the authorized representative of the

Society/Trust/Company for proposed college.

Designation

Name of the Society/Trust/Company

Office Address

------------------------------------------------------------------------------------------------------------------------------------------------------------------


VISITING TEAM/INSPECTION REPORT

For

Inspection of Institutions

Name of the Institution : _____________________________________

File /Code No. : _____________________________________

Name of Proposed Course :_____________________________________

/Faculty

Date of Inspection :____________________________________

Office Order No. & Date :____________________________________

Under which Inspection of

Constituted :_____________________________________

------------------------------------------------------------------------------------------------------------------------------------------------------------------


Assessment Proforma for Inspection

Date of Inspection_______________

1. Name of the institution/ Department/Faculty______________________________________

__________________________________________________________________________

2. Address of the Institution/Department (duly mentioning the Plot/Khasra/Khata No./

Street etc. location of the institution etc.) (where the proposed course is to be run)

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

3. Name of the Society/Trust/Company.

__________________________________________________________________________

4. Address of the Society/Trust/Company

__________________________________________________________________________

__________________________________________________________________________

_________________________________________________________________________

5. Date and Registration No. of establishment of the Trust/Society/Company

__________________________________________________________________________

whether, the objectives in the Bye-laws of the Trust/Society/Company allow to run the programme (Mention

Yes/No)____________________________________________________________________

6. Details of RCI approved Courses : ______________________________________________

7. Complete Address of proposed Institution:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Mobile___________________________E-mail____________________________________

Signatures

Expert/Member

Expert/Member

Convener/Secretary/Member

------------------------------------------------------------------------------------------------------------------------------------------------------------------


8. Course(s) /Institutions existing (including school & other courses) :

a) On the Campus:

Name of the Course in full with Stage/Level Duration Intake

b) Outside the Campus:

Name of the Course in full with Stage/Level Duration Intake

9. Proposed Course/ Faculty

Faculty Name of the Course in full with

Stage/level

Duration Proposed Year of Starting the

Course

Intake

Proposed

10. Name of the University/Examination Body to whom the Institution is affiliated for

existing programme. _____________________________

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


11. Land and Building (mention Yes/No.)

a) Institution is in possession of its own land and building

b) Area of the land in possession (In sq. mtr)

c) Total built up/constructed area in sq mtr institution/

Department exclusively for programme/course.(In sq.mtr.)

d) Institution is functioning from its own building If yes, whether the building completion and building

use for educational purpose certificate on the specified format

submitted. (Please attach the copy.)

e) (i) Whether the land is obtained from the Government/Government

institutions on long lease.

(ii) If yes, the period of lease

(iii) Is the Lease Deed registered?

(iv) If yes, please mention the Registration No. and date

of the lease deed.

(v) Whether the lease deed covers the building and land both.

f) Institution building is shared for running another course's

g) Institution building is under construction for the proposed

course/programme. If No. please attach a copy of Building

completion Certificate in the specified format.

h) Title of land is in favour of institution/society/trust

/company (ownership/lease certificate from the government).

11. Human Resource Information, if any appointed by the Institution

* Appointment of Non-teaching Staff of the Institution/Department (Mention

Yes/No)

a. Institution/Department initiated the process of appointment of

non-teaching staff.

b. Intends to use the non-teaching staff of attached school/ college/

department.

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


c. Appointments are made by the institution/ department of the non-teaching staff

If yes, then

Number of Non-Teaching Staff Appointed

(i) Regular

(ii) Contract Basis

Name of Staff Appointed Identified

(a) Librarian

(b) Office-cum-Account Assistant

(c) Office Assistant-cum-Computer Operator

(d) Store-Keeper

(e) Technical Assistant/Computer Assistant

(f) Lab Attendants/Helpers/ Support staff

12.1. Number of Non–teaching staff Appointed

(i) Regular

(ii) Contract Basis

12.2 Whether the scale of pay offered to the staff is

as per Central/State Govt./UGC/guidelines

(Mention Yes/No)

12.3 Whether the institution has arrangements for teaching following subjects (Mention

Yes/No.)

(i) Principal

(ii) Faculty

(iii) Registrar/DR/AR

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


13. Infrastructural Facilities .

13.1 Instructional Space Earmarked for the proposed course only

Has the institution made provision for the following (Mention Yes/No)

13.1.1 Number of Class Room

13.1.2 Size of class Room (1) (mention size in sq.meters)

13.1.3 Size of Seminar Hall (do)

13.1.4 No. of Halls

13.1.5 Number of Laboratories

13.1.6 Whether the portions has been made for separate

amenities for staff/ students (male and female)?

13.1.7 Whether the instructional space is as per approving bodies

norms (mention Yes/No?

If no, then mention the deficiencies

1.

2.

3.

4.

13.1.9 Whether the place of the college is connected with

bus/railways service?

13.1.10 Whether the place of the college is reachable

through pucca road?

13.1.11 Whether the institution has made provision for

safety measures during exigency?

13.1.12 Whether the instructional space is as per Norms

of respective Council?

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


14. Has the institution made provision for the following accommodation?

(Mention Yes/No.)

(a) Principal Room

(b) Faculty Room

(c) Office Room

(d) Store Room

(e) Common Room

15. Sports Facilities

(Mention Yes/No.)

Institution has :-

(a) Outdoor playground (football/hockey etc)

(b) Outdoor playground (football/hockey etc) of

another institution on sharing basis. If so, name

of the institution.

16. Instructional Facilities (Mention Yes/No.)

Has the institution created facilities for:

(a) Lab is being shared with attached school/college. If so, names of

the institution, schools, colleges

_________________________________________

_________________________________________

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


(b) Labs are as per the relevant level of curriculum /Regulatory

Authority.

(c) Chemicals and the biological specimens in the required quantity

have been procured.

(d) Other facilities in the lab (such as working tables, water

arrangements etc.) are adequate.

(e) Whether vouchers and payment receipts in respect of equipments

and articles indicating proof of purchase available?

(f) Whether the facilities/equipment provided in the labs are as per

norms of approving body.

(g) Whether entries have been made in the stock register? (VT

members to kindly affix their signatures on the last page of Stock

Register and indicate the position).

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


17. ICT Resource Centre (If any)

(a) Access to Internet

(b) Availability of OHP

(c) Availability of TV

(d) Availability of VCR

(e) Availability of Project

(f) No. of computer terminals/PCs (available to be indicated)

(g) No. of UPS available

(h) Terminal- Student ratio

(i) Hardware Specification (P4 programme)

(j Relevant legal software (system software and application software)

(k) Peripherals (ratio of printer to computer available to be indicated)

(l) Availability of radio and television

(m) Availability of public address system

(n) Number of computers with supporting accessories

(o) Number of Electronic Publications (CD-ROMs) (only educational)

(p) The other facilities in the ICT lab

(such as printer, scanner etc. if any)

1.

2.

3.

4.

(q) Whether vouchers and payment receipt in respect of equipment and articles

indicating proof of purchase available?

(r) Whether the facilities/equipments provided in the lab is as per norms?

(s) Whether entries have been made in the stock register? (VT members to

kindly affix their signatures on the last page of Stock Register and indicate

the position)

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


(t) Whether the computer centre is fully furnished ?

(u) Whether computer facilities for the proposed institution are being shared

with other institution/ programmes. If so, give details?

18. Facilities for Language Learning No. of Consoles

No. of Tape Recorders

No. of Digital Voice

Recorders

Others

(a) Whether vouchers and payment receipt in respect of equipment and articles

indicating proof of purchase available.

(b) Whether entries have been made in the stock register ? (VT members to

kindly affix their signatures on the last page of Stock Register and indicate

the position)

19. Health and Physical Resource Centre

(a) Furniture in the Health and Physical Resource Centre has been made

available as per norms.

(b) Whether the tools, equipments and raw materials have been provided as per

norms?

(c) Whether vouchers and payment receipt in respect of equipment and articles

indicating proof of purchase available.

20. Library

(a) Has the institution created separate library facilities for the proposed course

(Yes/No.)?

(b) Total Number of title in the library.

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


(c) Total Number of Books in the library

(d) Total Number of educational journals being subscribed

(e) Total Number of educational periodicals being subscribed

(f) Number of titles of encyclopedia available in the library

(g) Number of titles available in the reference section of the library

(h) Total seating capacity in the library

21. Finances (Mention Yes/No.)

(a) Salaries would be paid in cash

(b) Salaries would be paid through account payee

cheque/account transfer

21. (a) Amount of Endowment Fund

(b) FDR Number

(c) Apart from the above, Latest amount deposited in

the account of the society /intuition

22. Other Information (mention Yes/No.)

(a) The security of the records made available to the inspection team

(b) The information given by the management of the institution

without providing relevant records to the inspection team.

(c) Partly by the scrutiny of the records and partly by the information

given by the management without providing relevant records to the

inspection team.

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


23. (a) Whether the institution has submitted an Affidavit on Rs. 100/- Stamp paper duly attested by

Oath Commissioner/ Notary Public?

23.(b) Whether the institution has submitted as Affidavit of Teaching Staff

including Librarian on Rs. 10/- stamp paper in case the Appointment

are made?

24. Details of Website of the institution.

Name of the URL www.

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


1. INFORMATON REGARDING MANAGEMENT OF THE INSTITUTION AND DETAILS OF THE

EXISITING & PROPOSED COURSES

The Management namely ______________________________________________ is a (Society/

Trust/Company/ Govt. Body/ Local Authority) which is proposing to run programme/faculty namely

________________________________________________ under Pvt. (self financed)/

Govt./University/University constituent college/Govt. aided institution.

2. The details regarding the Management of the Institutions running or proposed Programme

1. As per the certificate submitted by the Society/Trust/Company it has been established and operated by

Society/Trust/Company registered under the appropriate laws or by Govt. Body/ Local Authority.

Vide relevant Registration No._______________ dated__________________ .

2. That the permission of the competent authority to use the land exclusively for educational purposes

has been obtained by the Society/Institution Trust/Company from the office of

______________________________________________________________ vide letter/order/Memo

No______________ dt_______________ (copy enclosed)

3. That the institution has got the conversion of the land use done from the competent authority. A

Notarized Copy of conversion/change of land use certificate (CLU) for Plot No./Khasra/Khesra

No.__________________________and area____________ as per the affidavit and land documents

registered by _________________________ dated__________________ is enclosed. The institution

undertake that the issuing authority who issued the CLU i.e. ______________________________ is

empowered by the State Govt. for issuance of CLU under the rule/clause of the State Govt. Act

namely __________________________________________________.

4. That the institution undertake that the land and permanent building are at the same place as per

provision. The building plan has been approved by_______________ (Competent authority) and

countersigned by _____________________________ for Plot No./Khasra/Khasra

No.___________________ reflecting total land area ______________________________ Total Built

up area is ____________________ The address/khasra/Plot No. are matching with the Regd. Land

documents, CLU, Mutation Certificate etc. as submitted by the institution to the University and there

is not at all any variation whatsoever in the land & building documents.

Signature of Authorised Person of Trust/Society/Company

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


3. Brief Observation- Quality of Construction

(a) Pucca (RCC) ___________________________________________________

(As per building standards)

(b) Kuchcha : ______________________________________________________

(c) Asbestos _____________________________________________________

(d) Tin roof : _____________________________________________________

(e) Plastering : ___________________________________________________

(f) Painting : ____________________________________________________

(g) Flooring : ____________________________________________________

(h) Wood Work : _________________________________________________

(i) Ventilation: __________________________________________________

(j) Light : ______________________________________________________

(k) Boundary wall : ______________________________________________

4. The hostel facilities for Girls and Boys provided by the institution along with the staff residential

quarters are not included in the area for the institution. These facilities are separate.

(Yes/No.)

5. The building completion certificate issued by ____________________ (Competent Authority)

counter-signed by ______________________ for Plot No. /Khata No./Khasra

No.______________________ reflection total land area________________ Total Built up

area__________________________. The building is complete in the form of a permanent structure.

(Yes/No.)

6. There is no temporary structure or asbestos roofing, even in case of structure in addition to the

prescribed built up area.

(Yes/No.)

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


7. The institution undertake that the building of the institution has been constructed in view of the

provision of the standard by-laws of the building construction as per the Bureau of India Standards

and the same is fully safe and structurally sound having load capacity as per latest Indian Building

Standards and same is safe & secure to run the programmes/course. (Copy of the certificate is

enclosed)

(Yes/No.)

8. The safeguard against fire hazard has been provided in all parts of the building.

(Yes/No.)

9. Electricity and safe drinking water facility has been provided by the institution.

(Yes/No.)

10. The institution is having adequate no. of furniture facilities for running various infrastructure &

instructional facilities as per norms.

(Yes/No.)

11. The institutional campus, building, furniture etc. is barrier-free.

(Yes/No.)

12. The infrastructural facilities are disabled-friendly as per the Persons with Disability (PwD) and of

the Govt. of India.

(Yes/No.)

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


13. (i) Details of Land & Built up area :

Sl. No. Details required to be submitted Area in sq. meters

1. Total land area available with the institution

2. Total built up area of institution

3. Land area available for other programme being run by the

institution.

(ii) Course/Programme wise details to be submitted by the institution.

Sl. No. Name of the programme /school Land Area Built-up Area

Signatures

------------------------------------------------------------------------------------------------------------------------------------------------------------------


Expert/Member

Expert/Member


14. Before making the overall assessment of the institution, the VT certify that it has scrutinized &

verified the following original documents and affix their signatures on each of the records

maintained by the institution and submit a copy of all the important documents alongwith the VT

Report for perusal of affiliation.

Yes No

The VT has gone through the application of the institution submitted by it

to University for the proposed course.

The VT has gone through all the essential documents submitted by the

institution alongwith the application of the institution for the proposed

course/faculty

Copy of Registration Certificate of the Trust/Society/Company

Bye-laws of the Society /Trust/Company

Copy of the resolution by the management/governing body/ concerned

department for opening the institution/conducting the course.

Original legally valid land document including Land Use Certificate

(CLU), Non Encumbrance Certificate, Possession Certificate etc.

Copies of Fixed Deposit Receipt & Endowment Fund (attested by

management only)

Latest Bank Statement

Video CD prepared at the time of inspection. The Visiting Team must

check and test the VCD before submission (having actual audio and video

without editing)

Signatures

------------------------------------------------------------------------------------------------------------------------------------------------------------------


Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


15. The V.T. shall enlist the name of important documents being attached by it with the V.T.

Report and details thereof be given as under:-

Sl.

No.

Name of documents being attached with the VT Report duly

certified /attested by the Management of the Institution

Annexure

No.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


Overall assessment of the Institution.

(Please Note that this Overall assessment must not be shared and signed with anyone as well as the

management/institution except VT members)

This inspection team may record their overall observation on the preparedness of the management

with regard to available infrastructural facilities and instructional facilities as per norms.

Recommended

Deficiency Noted

(Reasons)

Not Recommended

(Reasons)

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


UNDERTAKING

We the following V.T. Members hereby undertakes that:-

(1) That we have been appointed as a member of the Visiting Team to visit the Institute (name and

address of the Institute) ___________________________________________________

______________________________________________________________________________for

scrutinizing/verifying the facts & figures as submitted by the applicant as per their application

alongwith all relevant records of the institution for recognition/permission for running the teacher

training course for______________________ degree/ diploma /certificate course.

(2) We certify that we visited the Institute on_______________ . The report submitted by us under our

signature is based on our actual visit to the Institute, scrutiny & verification of all the essential

documents, infrastructure & instructional facility created by the institution and interaction with the

Management/Principal and staff members as per the VT guidelines supplied to us. There is nothing

in our report which is contradictory to the facts.

(3) That the Videography has been done in the Institution on___________ and the videotapes have been

submitted along with the report in a closed envelope signed by us.

(4) That we certify that the contents of the above report are based on physical verification of the

institution which are true and correct to the best of our knowledge and on the basis of all essential

original/authentic documents required to be scrutinized /verified as per requirements.

(5) It is further certified that the neither we nor any member of our family has any kind of personal

interest or stake in the management of the institution.

Signatures

Expert/Member

Expert/Member


------------------------------------------------------------------------------------------------------------------------------------------------------------------


APPLICATION FOR LETTER OF CONSENT/NOC/LOI FOR INSTITUTION

(MCI/DCI/NCTE/INC/RCI and other regulatory body wherein Letter of Consent/NOC/LOI is required)

1. Particulars of the Authorized Applicant

1.1 Name of the Applicant _______________________________________

1.2 Designation : ______________________________________________

1.3 Address : _________________________________________________

__________________________________________________________

__________________________________________________________

1.4 E-mail Address : __________________________________________

1.5 Telephone No./ Mobile No. __________________________________

2. Name of the Applicant/Society/Trust/Company:

2.1 Postal Address : ____________________________________________

_________________________________________________________

2.2 E-mail Address ____________________________________________


2.4 Website : _________________________________________________

2.5 Permanent Account No. of Society/ Trust/Company : _______________

__________________________________________________________

2.6 Registration No. and validity of Society/Trust/Company:_____________

___________________________________________________________

3. Details of proposed Programmes:

3.1 Name of Programme: ____________________________________________

3.2 Name of Regulatory body: ________________________________________

3.3 Details of NOC issued from State Government :________________________

_______________________________________________________________

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4. Details of proposed Institution:

4.1 Name of Institution: ______________________________________________

_______________________________________________________________

4.2 Address of Institution:_____________________________________________

_______________________________________________________________

______________________________________________________________

4.3 Level of Programme: _____________________________________________

(UG/PG/Diploma) ___________________________________________________________

4.4 Type of Institution(Govt./Govt. aided/Private): ________________________

______________________________________________________________

Date:____________

Place: ___________ Signature of Authorized

person with seal

Affiliation of New/Old Institutions - Dr Shakuntala …dsmru.up.nic.in/User/content/affiliation_IB.pdfAffiliation of New/Old Institutions Information Brochure (Norms, Rules, Regulations,

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