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Affiliation of New/Old Institutions
Information Brochure
(Norms, Rules, Regulations, Format of Application
and Inspection/Visit Report)
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
Rehabilitation University, Lucknow".
Misra
National
3.14 Processing fee Rs. 1,00,000/- payable through demand draft in favour
of "Finance Officer, Dr. Shakuntala
Rehabilitation University, Lucknow".
Misra
National
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4. Land Requirements : (Art, Commerce, Science faculty)
Degree colleges :
4.1
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.
Law College:-
4.2
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
Library
1
Girls Common Room
1
Faculty Rooms 2
Administrative Office1
Corridor
1
Separate Toilet for Girls & Boys
85-90 m2 each
100 m2 .
20 m2 .
20 m2 each.
80 m2 each
80 m2 each
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
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
6.10
6.11
6.12
6.13
6.14
Rs 2.50 Lakh in the case applying for Arts (upto 7 subjects) &
Commerce at Under- graduate level;
Rs 3 Lakh in the case of Agriculture, B.B.A., B.C.A., management &
Science (upto 5 subjects);
For every additional subject Rs. 50,000 and for subject involving
practical Rs 75,000/-;
Rs 4 Lakh in the case for Special Education/Education/Physical
Education each;
Rs 2.5 Lakh in the case of M.C.A, B.Pharma, B.Sc.(Nursing) courses;
Post basic B.Sc.(Nursing) BMLT;
Rs 10.00 Lakh in case of B.D.S & M.B.B.S and M.Pharma & M.Sc.
(Nursing) courses;
Rs 15.00 Lakh in case of M.D.S & M.D./ M.S.courses;
Rs 15.00 Lakh in case of Engineering & Technology course at
Under- graduate level;
Rs 2.00 Lakh in other P.G. level courses;
Rs 2.00 Lakh in case of Diploma level.
Rs 2.00 Lakh for Nursing.
Rs 5.00 Lakh for Law.
Rs 2.00 Lakh for Bachelor of Library Science.
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
7.2 Faculty of Science
7.3 Faculty of Commerce
7.4 Faculty Music and Fine Arts
7.5 Faculty of Engineering & Tech.
7.6 Faculty of Management
7.7 Faculty of Pharmacy
7.8 Faculty of Architecture
7.9 Faculty of Hotel Management
7.10 Faculty of Fashion Tech.
7.11 Faculty of Medicine & Surgery
7.12 Faculty of Dental Surgery
7.13 Faculty of Ayurvedic
7.14 Faculty of Homeopathic
7.15 Faculty of Unani Medicine
7.16 Faculty of Special Education
7.17 Faculty of Education
7.18 Faculty of Agriculture
7.19 Faculty of Nursing
7.20 Faculty of Law
7.21 Faculty of Library & Information Science
7.22 RCI approved Diploma/Certificate
Rs. 50,000/Rs. 1,00,000/Rs. 1,00,000/Rs. 1,00,000/Rs. 3,00,000/Rs. 2,00,000/Rs. 2,00,000/Rs. 2,00,000/Rs. 2,00,000/Rs. 2,00,000/Rs. 5,00,000/Rs. 3,00,000/Rs. 3,00,000/Rs. 3,00,000/Rs. 3,00,000/Rs. 2,00,000/Rs. 2,00,000/Rs. 2,00,000/Rs. 1,00,000/Rs. 2,00,000/Rs. 1,00,000/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
9.2
9.3
9.4
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.
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.
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.
(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 /…………….….
10.
Dated, Lucknow,……………………
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 infra- structure 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
graduate level;
& Technology course at Under-
(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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12.5
12.6
12.7
12.8
12.9
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.
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.
Restrictions imposed by Statute 11A.13 shall apply to an institution applying
for affiliation for new degrees or additional subjects.
Every institution shall strictly observe the norms and conditions laid down by
the University.
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.
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 ViceChancellor, 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
14.3
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.
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 ____________________________________________
2.3
Telephone No./ Mobile No. ___________________________________
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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[17]
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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[18]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[19]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[20]
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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[21]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[22]
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 : ____________________________________________________
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[23]
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
Pay Scale
No. of Filled
Posts
No. of Vacant
Posts
13. Technical Supports Staff
Name of the
Post
Number of
Post
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[24]
14.
Administrative Staff
(Details of Non-Academic Staff available at present)
Name of the
Post
15.
Number of
Post
Pay Scale
No. of Filled
Posts
No. of Vacant
Posts
Breadth in meter
Carpet area in
sq. meter
Details of Games & Sports
Number of
Playgrounds
Length in 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) : _____________________________________________
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[25]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[26]
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-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[27]
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: ______________________
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[28]
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-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[29]
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.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Name of the Society/Trust/Company i.e.
Management of the institution
The Society/Trust/Company i.e. management
of the institution is having the PAN/TAN No.
Copy enclosed : Yes/No.
Name of the Institution
Location with khata/khasra/Street No./ Ward
No., Name of the Place,
Corporation/
Municipality/Panchayat.
Date of Registration of Land
Registered in the office of SubRegistrar/Tehsildar with address
The location of the land of the Institution is in
a single plot or different plots
If the location of the land of the Institution is
not in a single plot the distance of different
plots be mentioned.
Type of ownership of land
Building plan approved by (address of
Corporation /Municipality/ Panchayat/ any
other Govt. Agency
Year of completion of construction of the
building
Purpose for which the building is being used
/proposed to be used
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
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[30]
16.
Details of construction of building (Roofing–
pl. mention RCC / Asbestos / Tiled / any other Ground Floor
pl. Specify)

(the column to be filled up in case the First Floor*
building of the institution is of more than
one floor)
Second Floor*
Area
Roofing
Sq.ft. YES
Sq.ft. YES
Sq.ft.
Third Floor*
17.
Sq.ft.
Total built up
Sq.ft YES
area
Details of Land Use Certificate Date of issue of Certificate:
for Educational purposes from the Issued by :
concerned Govt. authorities/ any
other govt. local body details
thereof. (*)
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
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[31]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[32]
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
:_____________________________________
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[33]
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
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[34]
8. Course(s) /Institutions existing (including school & other courses) :
a) On the Campus:
Name of the Course in full with Stage/Level
Duration
Intake
Duration
Intake
b) Outside the Campus:
Name of the Course in full with Stage/Level
9. Proposed Course/ Faculty
Faculty
10.
Name of the Course in full with
Stage/level
Duration
Proposed Year of Starting the
Course
Intake
Proposed
Name of the University/Examination Body to whom the Institution is affiliated for
existing programme. _____________________________
Signatures
Expert/Member
Expert/Member
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[35]
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.
b.
Institution/Department initiated the process of appointment of
non-teaching staff.
Intends to use the non-teaching staff of attached school/ college/
department.
Signatures
Expert/Member
Expert/Member
Convener/Secretary/Member
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[36]
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
(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
Identified
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[37]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[38]
14.
15.
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
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
Convener/Secretary/Member
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[39]
(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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[40]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[41]
18.
(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?
Facilities for Language Learning
No. of Consoles
No. of Tape Recorders
No. of Digital Voice
Recorders
Others
19.
20.
(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)
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.
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
Convener/Secretary/Member
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[42]
(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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[43]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[44]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[45]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[46]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[47]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[48]
Expert/Member
Expert/Member
Convener/Secretary/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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[49]
Expert/Member
Expert/Member
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[50]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[51]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[52]
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
Convener/Secretary/Member
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[53]
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 ____________________________________________
2.3
Telephone No./ Mobile No. ___________________________________
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 :________________________
_______________________________________________________________
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[54]
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
-----------------------------------------------------------------------------------------------------------------------------------------------------------------Office : Mohaan Road, Lucknow - 226 017, Phone (Off.) : 8004930056/0522-2999862 Website : http://dsmru.up.nic.in
[55]