Application Form and Guidelines for Affiliation Price Rs. 2,500/-
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Application Formand
Guidelinesfor
Affiliation
Price Rs. 2,500/-
LATE FEE
thon or before 15 October Rs. 25,000/-
thon or before 30 October Rs. 50,000/-
thon or before 15 November Rs. 1,00,000/-
thThis form Completely filled up should be submitted to the University on or Before 30 September of the Preceding year
NOTE
Application form fee for Affiliation for New /Continuation / Extension Permanent/
Merger and Additional/ Class/ Course/ Subject/ Division on payment of Rs.2500 ./-
(Two Thousand Five Hundred Only) in cash or by sending D.D. in favour of
Registrar, Veer Narmad South Gujarat University, University Campus, Udhna-
Magdalla Road, Surat-395 007.
Application form duly filled in should be forwarded to the Registrar, Veer Narmad
South Gujarat University, Surat in Seven copies (including one original copy)
Application in the prescribed form for the affiliation of New /Continuation /
Extension/ Permanent/ Merger and Additional/ Class/ Course/ Subject/ Division of ththe existing Colleges shall reach the Registrar on or before 30 September of
the preceding year. The application processing fee will be Rs. 10,000/- (Ten
thousand only)
No application for the new affiliation or addition or Merger of faculty / faculties
shall be ordinarily accepted after the last date. However, with the approval of the
Vice - Chancellor, the late application, on payment of late fee indicated below
may be accepted by the Registrar:
01
02
03
04
Trust Name :
Address :
Pin Code :
Object of Trust : (Name of Trustee/ Chairman/President/ Secretary)
Phone No. with STD Code: Mobile :
E-mail :
Website :
Year of Establishment & Registration No.
APPLICATION FORM
Udhna-Magdalla Road, SURAT - 395 007
Fax : +91-261-2227312 Tele. Gram : VNSGU Visit us at : www.vnsgu.ac.in
(Gujarat) India Tel : +91-261-2227141 to 46,
VNSGUSr. No.
Application for affiliation for new /continuation/ extension/permanent/ merger andAdditional class/course/ subject/ division
-All the columns should be filled in by the applicant.-All relevant documents to substantiate claims made in the application should be attached.-Application incomplete in any respect will not be processed.
IMPORTANT
INSTRUCTIONS :
1.1 Name and address of the applicant Society/Trust.
1.2 Name and address of the College/ Institution or proposed College/ Institution.
Name :
Address :
Pin Code :
Phone No. with STD Code: Mobile :
Year of Establishment
E-mail :
Name of the Director/Principal
1. PRIMARY INFORMATION :
Date of Issue: Signature:
01
1.3 State clearly whether the proposed site falls under University area.
1.4 Whether the proposed site falls in.
1.5 Name of the District in which the proposed site is located.
Yes No
Rural area Urban area
1.6 Detail of existing educational institutes run by the trust :
Name of affiliateduniversity/board
Year ofestablishment
Initialintake
RemarksSr.No.
Name of College/Institute/School, etc.
1.7 In case of existing UG/PG courses run by the trust, details of affiliated to other university/boards, the no objectioncertificate availed from VNSGU :
(a) Date of Application :
(b) Details of Fees :
(c) Letter numbers and date of NOC : (Attach copy)
(d) Details & NOC from state govt. letters no. date (Attach copy)
2.1 Application for (Please mention only ONE)
Faculty
Course/Class/Subject/Division :
Year/ Subject (F.Y., S.Y. etc)
No. of Division (Present)
Duration
Intake (Present)
2.2 Additional Class/Subject/ Course Division etc:
2.3 Have you applied earlier for this course from this University ? Yes No
If Yes, give the details of application date, fees paid and university's final decision,
COURSE INFORMATION :2.
(Additional)
(Additional)
02
2.7 Course(s) proposed to be conducted from the academic year
Duration of Course Entry LevelQualification
Diploma/Degree(UG/PG)
Proposed AnnualIntake Capacity
Course Title Class/Subject Division
2.8 Whether the Applicant Society has submitted copy of the proposed College/ Institution simultaneously to :
(a) Concerned Regional Office of AICTE/ NCTE/MCI/NCI/ Other regulatory
(b) Concerned State Government
(c) Concerned Council or regulatory authority, or UGC or State Board/ Director of Technical Education etc.
(N.B.: Supporting documents should be enclosed along with the ORIGINAL APPLICATION FORM)
Land (For exclusive use of the proposed Institution at the permanent site):
3.1 Location
3.2 Area
3.3 Name of District
Acres
Whether this land owned by the applicant Society/ Trust
(Please note that lease land is not acceptable except in case of lease by the government as per regulations.)
(i)
(ii)
Ownership of land (whether rented / leased / fully Owned)
Prescribed Land use (whether conforming / non- conforming to Master Plan)
Yes No Not applicable
Yes No Not applicable
Yes No Not applicable
Urban Rural
Yes No
LAND INFORMATION :3.
2.4 Proposed Course and Syllabus framed and approved by Board of Studies / Academic Council and Syndicate
Yes No
2.5 Proposed Course is included in the Statute
Yes No
2.6 Has the Society/ Trust applied for more than one Course/Subjects/Class. Yes No
If yes please indicate other Classes / Courses/ Subject/ Division / or Corresponding Application under each class
Faculty
Details
Academic Year
Course/Year Duration/ Intake Subject
03
3.5 If the land is on lease from Government, purpose for which it was leased and period of lease granted.
(Please enclose copy of lease deed)
3.6 Whether any loans/ mortgage raised against the titles of the above land
3.7 Whether the land has been exclusively earmarked for the Proposed College/ Institution by any resolution.
If Yes, attach copies.
3.8 Whether land is agricultural.
if no (attached conversion certificate from Local Government / Competent Authorities)
3.9 Land survey No. belongs to
4.1 Whether the Applicant Society/Trust is registered:
Yes No
Yes No
Yes No
Yes No
4.2 If Yes,
Specify the Society Registration No.
Or specify the Trust Registration No.
Registration Number:
Date of Registration:
Place of Registration:
(Copy of Registration Certificate is to be attached)
4.3 Details of Member/ Trustees and their experience in running higher educational, technical of other professional institutions.
Name of the Membersof the Society/ Trust
Designation inthe Society/ trust
Contact No.&
Mobile No.
AcademicQualification
Sr.No.
Years of Experience inrunning Higher Educational
teaching of otherProfessional institutions
TRUST INFORMATION :4.
3.4 Whether the land is registered through a Sale Deed in the name of the Applicant Society for proposed College/ Institution.
Yes No
If yes,
Registration Number:
Place of Registration:
Date of Registration:
(Please enclose copy of the sale deed.)
04
4.5 Track record of the applicant in terms of Technology/ Non- Professional/ ProfessionalInstitution run / managed by the Society / Trust.
CoursesConducted
Duration of Course
AnnualIntake
Capacity
Year ofEstablish-
Ment
Nameand
Addressof the
College /Inst.
AverageOut-turn of last
Five yearsof each courses
(A)
WhetherDiploma/Degree(UG/PG)
Whetherapproved byAICTE/ UGC/
State Covt./ Board/Other Council or
Body
Existing Intake Durationof the
Course(Years)
CourseTitle.
Letter No. of StateGovt. NOC/
Uni. affiliation
(B) Details of existing Academic Programmes for which Permanent Affiliation is given Existing Courses / Changein the intake of existing course.
Year ofCommencement* As approved by
statutorybody, if
applicable
As approvedby State
Govt./University
Intakeapplied for
( * enclose the respective approval copy)
5.1 Availability of Funds in the name of Applicant Society/Trust (Please note that Bank Guarantees against mortgage of land,building and assurance not acceptable.):
Fixed Deposits (FDR's. other deposits in the name of the Applicant Society/Trust) (Other than the Endowment Fund createdwith Joint Name of Council, University and State Government)
(Attach Xerox copy of Receipt Front & Back Sid)
FDR's Amount: Rs. (in Lakhs) Other Deposits: Rs. (in Lakhs)
5.2 Funds available in Bank Rs. Lakhs.(Attach attested photocopies Pass Book/Transaction details of last two year)
FINANCIAL INFORMATION :5.
4.4 Type of College/ Institution (Tick in appropriate box):
4.4.1 Government
4.4.2 Grant in Aid
4.4.3 Self-Finance
4.4.4 Other (Please Specify) (NAAC Accrediation / UGC-2(f) /12B
05
6.1 Whether architectural building plans are approved by the competent authority. Yes No
If Yes, then date of approval
Building (For exclusive use of the proposed College/ Institution at the permanent site.)
and Copy is to be attached)
6.2 Master plan for entire institutional complex with the details of the plinth area including area of laboratories, class rooms,drawing halls, workshops, library, administrative block, hostel, boys rooms, girls rooms, play ground, principal Bungalow etcalong with the phase wise plan for construction with details of financial estimate and sources of funds whether submitted.
Yes No
6.3 Is the building of a grant in aid institution of the trust is to be in part or whole ? Part Whole
then tick mark approprite option: (1) Rent is paid fully/partly by the state Government
(2) Rent is not paid fully/partly by the state Government
6.4 Details of existing availability of built up space at permanent site for this proposal. (in Sqm.)
Particulars of Built up Spaceat proposed Permanent site.
RCC Building(in Sqm)
Sr.No.
Exclusive Shared withProposed existing new
course/ institution.(in Sqm)
ACC Shed(in Sqm)institution(in Sqm)
1
2
Total Instructional Area
Total Administrative Area
Total Area (in Sqm)
6.5 Whether the building is suitable and adequate for conduct of courses during first year as per norms. Yes No
If Yes, then attach layout plan and photographs of the permises at permanent site.
If No, then give details
7.1 Infrastructure facilities available (Attach approved Map with area specified):
Details Required Facilitiesas per norms
Sr.No.
If available mentionarea in Sq. M.
Facilities Available /
Not Available
1.
2.
3.
4.
5.
Class Rooms
Reading Rooms
Laboratories
Work Shop
Common Boys Rooms
A
BUILDING INFORMATION :6.
INFRASTRUCTURE INFORMATION :7.
5.3 Whether the accounts of the applicant Society/ Trust are audited: Yes No
(Attach attested photocopies of last three years)
5.4 Whether income-tax return filed. Yes No
(Attach attested photocopies of last Three Years income-tax return of the applicant)
06
1.
2.
3.
4.
5.
6.
7.
8.
Male Staff Rooms
Female Staff Rooms
Type and number of Staff Quarters
Principal Bungalow
No. of Boys Hostels with capacity
No. of Girls Hostels with capacity
Administrative Office
Principal Room
B
1.
2.
3.
4.
5.
6.
7.
8.
Canteen
W.C. Male
W.C. Female
Bank facility
Facilities provided for physically Handicapped
Transport facilities
Medical facilities
Other facilities (Please specify)
C
7.2 Details of Library:
( i )
( ii )
( iii )
( iv )
( v )
( vi )
( vii )
( viii )
( ix )
No. of Titles
No. of Volumes
Total number of books
No. of Journals /Foreign Journals
Total cost of technical books Rs. ....................................................................
Number of titles of other books .......................................................................nos.
Number of books other than technical .............................................................nos.
List of technical journals & magazines.
The future plans for automation of library of institutions are given below:
A Details of Books (course-wise)
( i )
( ii )
Whether library operations Computerized, internet facility, Reading room facilities,
Photocopying Facilities available, If yes, give details.
Inter library linkage facilities
B Details of Digital Facilities
6.
7.
8.
9.
Common Girls Rooms
Play Grounds
Auditorium
Conference Rooms
07
7.3 Details of Exisiting Staff Required.
Designation Scale of pay, otherallowances/
remuneration paid
Name Regular / Adhoc/Contract
Date of joining
Principal/ Director/ Other
Teaching
Professor
Reader/ Associate Professor
Lecturer/ Assistant Professor
Technical
Administrative
8.1 Whether the applicant has applied earlier for affiliation of any other course/s to University ?
If Yes, when and why was the proposal rejected? Please give details:
The Courses Applied for Was a letter ofviability/ Intake Issued
(If Applicable)
Years in which applicationswere Submitted
Reasons forRejection
Whether NOC from Government has been obtained for starting of New College/ Institution:8.2
8.3 Whether the proposed institution is ready to undergo accreditation process.
Yes No
Yes No Not applicable
Yes No
GENERAL INFORMATION :8.
(Please specify special achievement, awards received by the institutions/ teachers/ students etc. or any other innovation or
recognition received.)
Details State Level National Level OthersSr.No.
9. Any other information which the applicant may like to furnish in support of the proposal.
08
10.1
10.2 Demand Draft : Yes No
Affiliation fees paid by the Society/ Trust. (As per O.-66)
In figure
In words
if Yes : Bank Name :
D.D. No.
Date :
The information furnished above is true & correct to the best of my knowledge and belief and is based on facts. No material
has been concealed / misrepresented therein. If any information furnished above is found to be false or misleading, concealed or
suppressed, undersigned will be liable for the consequences thereof. The college / Institute is bound to obey University Act, statute
and all the instruction / requirement imposed by Gujarat Technological University from time to time.
Signature :
Chairman/ Secretary of the Society/ Trust
Name :
Designation :
Dated :
Seal of the Society :
Signature :
Director /Principal of the College / Institute
Name:
Designation :
Dated :
Seal of the Institute :
(For Office Use Only)
Received Affiliation Application Date : / / 20 with processing, Affiliation Fee / D.D. Rs.
D.D. No. Name of the Bank
Date : Cash Receipt No. : Date :
Application of Affiliation for the Year 20 / Accepted / Not accepted
Clerk Office Superintendent Deputy Registrar Registrar
FEE INFORMATION :10.
09
I/ We__________________________________________________________________________________________on
behalf of ____________________________________________________________(name of the Trust) undertake to comply
with the norms and various prevention for maintained of standards and Regulations of the Veer Narmad South Gujarat University,
Surat as may be applicable from time to time. Further I/ We Do undertake to furnish the following documents after receiving the letter
of Viability/intent within the stipulated period failing which proposal may be liable to be rejected by the University.
(1) Document showing ownership through a Sale Deed/lease deed for land (as per norms laid down by the University) in the
name of the Society/Trust.
(2) Fixed Deposit receipts in joint names of the Applicant and the University as per the norms laid down by the State
Government/ University from time to time.
(3) Master plan for permanent construction of the proposed institution along with estimated expenditure involved.
(4) Any other relevant documents the University may ask for processing the proposal.
(5) Building on permanent site, adequate at least for first year classes and / or second year classes strictly as per norms &
Standards of the University shall be produced prior to commencement
(6) Notification received from Government of Gujarat/ Council or Apex bodies as may be applicable.
DECLARATION
Signature :
Chairman/ Secretary of the Society/ Trust
Name :
Designation :
Dated :
Seal of the Society :
Signature :
Director /Principal of the College / Institute
Name:
Designation :
Dated :
Seal of the Institute :
10
UNDERTAKING ON NON-JUDICAL STAMP PAPER OF Rs. 100/-TO BE SUBMITTED BY A COMPETENT FUNCTIONARY REPRESENTING THE SOCIETY/ TRUST.
I/ We ________________________________________________________________________________________
(Name of the Competent authority Society/ Trust) of the _______________________________________________________
_________________________________________Society/Trust.) hereby undertake to comply with the following in
connection with my/our application for starting of ___________________________________________________________
_______________________________________(Name of the Course) from the session. __________________(academic
year) in __________________________________________ (Name of the College/ institutions).
(1) That infrastructural, instructional and other relevant facilities will be provided as per the University/ State Government / other
relevant Council/ Apex Bodies norms, standard and guidelines from time to time.
(2) That admission will be made as per norms and guidelines laid down by the University/ State Government / other relevant
Council/ Apex Bodies from time to time.
(3) That admission to the course(s) will be made only after the minimum requisite/ prescribed facilities are created and approved
and also after obtaining permission by the University.
(4) That the teaching staff will be recruited through reasonably wide advertisement and open selection as per procedure,
qualifications and experience etc. prescribed by the University / State Government / other relevant Council/ Apex Bodies from
time to time.
(5) The tuition and other fees will be charged as prescribed by the University/State Government with in the overall norms and
guidelines prescribed the University/ State Government from time to time.
(6) That the Management will make adequate funds available for providing satisfactory facilities and for proper programme
implementation and maintain adequate reserve funds to meet the recurring expenses and run the course without any
difficulty.
(7) That the account of the institution will be properly maintained and annually be prepared and audited by competent authority of
Government or a Charterd Accountant.
(8) That the teaching and other staff will be selected according to procedures qualifications and experience prescribed by the
University State Government / other relevant Council/ Apex Bodies from time to time.
(9) A specified amount (as per the preveling rules of the University/ State Government / other relevant Council/ Apex Bodies from
the time to time) will be placed in Fixed Deposit in the joint name of trust and the Registrar, Veer Narmad South Gujarat
University, Surat with a Nationalized Bank. The Operation/withdrawal be done under the joint signatures only.
(10) That the teaching and other staff shall be provided all benefits and facilities and pay and allowances including retirment and
separation benefits as per the University /State Government rules from time to time. If the Society / Trust fails to provide such
benefits to the teaching and administative staff, University is empowered to recover such amount from the fix deposit to
protect the right of such employees.
(11) The salary of all teachers shall be deposited in the individual teacher's bank account in Nationalized bank.
(12) That the Society / Trust will strictly follow all conditions and norms, including restrictions on intake as may be laid down by the
University from time to time in conducting the programme in all earnestness and submit it self to inspection by the University
as required at any time
11
(name of the authorized person giving undertaking along with his/her official position and office seal.)
Signature :
Chairman/ Secretary of the Society/ Trust
Name :
Designation :
Dated :
Seal of the Society :
Place:
Date:
Witness: (1)
Signature:
Name :
Address :
Signature :
Director /Principal of the College / Institute
Name:
Designation :
Dated :
Seal of the Institute :
Witness: (2)
Signature:
Name :
Address :
(13) In the event of non-compliance by the ________________________________________________________________
(name of society etc,) with regard to guidelines, norms and conditions laid down/ prescribed by the University / State
Government / other relevant Council/ Apex Bodies from time to time, the University or a body or person authorized by it will be
free to take measures for withdrawal of its approval or recognition for affiliation or permission, without consideration of any
other issue, and that all liabilities arising out of such a withdrawal would solely be that of the institution/ society/ trust.
(14) That the Society /Trust has seen, studied and understood the norms and conditions stipulated by the University for the type of
courses proposed and feels that they are satisfied or can be satisfied by the time of inspection, failing which it would be willing
to accept and unfavorable decision.
12
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Annexure:Following : Documents are minimum required.
A 1 : Attested copy of Sale Deed
2 : Attested copy of Lease Deed (Govt. only)
3 : Attested copy of Land has been exclusively earmarked for the proposed College Land.
4 : Attested copy of Conversion certificate from local Government/ competent Authorities.
5 : Attested copy of trust/ Society Registration Certificate and Trust Deed along with list or Trustees.
6 : Attested Apex Body Application Copy /Approval.
7 : Attested copy of Trust pan card.
8 : Last Two Year Bank transaction (Copy of Bank Passbook).
9 : Attested Photocopies of Trust / Society's Audit Report (last Three Years.)
10 : Attested Photocopies of Last years Income tax Return.
11 : Copy of approved Construction Map/Plan.
12 : Copy of "No Objection Certificate" from State Govt. / University if College it out side University area (V.N. S. G. Uni.).
13 : Undertaking on non-judical Stamp paper.
14 : Attested copy for land form No. 6-A and Property card.
15 : Attested copy for land from No. 7/12 and 8-A is to be produced from competent Revenue Authority (i.e. T.D.O./ D.D.O./
Mamlatdar or any
16 : Attested copy of prior approval from State Govt. (mti""ttkr;tf btksqhe)
17 : Attested copy for certificate of accreditation of NAAC.
18 : Attested copy for 2(f) / 12 B sanction letter by U.G.C.
B For Continuation / Extension / Permanent affiliation following certified documents are to be submitted along with this
application
1 Copies of Last Five years LIC Report along with fulfillment of condition given by LIC.
2 Copies of Last Five years condition given by University and fulfillment of Reports along with requisite documents.
3 All Affiliation Notification received from Government of Gujarat.
C For additional Division course/ subject/ intake following Certified Documents are to submitted.
1 Additional Staff to be required to fulfill the Additional Workload due to New Division.
2 Additonal Laboratory facilities are to fulfill the requirement of New Batch due to New Division.
3 Additional Class Room facilities are to fulfill the requirement at New Batch due to new Division.
D If institute/ College wants to produce any documents.
E 1 Processing fees of Rs. 10,000/- by D.D. / Cash Receipt No. / D.D. No _______________, Date_______________
2. Affiliation Fee as per ordinance 66 D.D. by / Cash Receipt No. / D.D. No_______________, Date_______________
Veer Narmad South Gujarat UniversityUdhna Magdalla Road, Surat
Tel : +91 - 261 - 222 71 41 - 47 Fax : +91 - 261 - 222 73 12
Visit us at : www.vnsgu.ac.in
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