Annexure-A Himachal Pradesh Technical University (A State Government University) Gandhi Chowk, Hamirpur, District Hamirpur (H.P.)–177001 Phone :( 01972) 224153, Fax: (01972) 224150, E-mail ID: [email protected], website: www.himtu.ac.in Application for grant of affiliation/continuation of affiliation of various existing courses for the Academic Session ___________ (to be filled by the concerned College/Institute) No.: ___________________ Date : ________________ 1. 2. Details of the Institution: Name : ______________________________________ Address : _______________________________________ : _______________________________________ : _______________________________________ Pin Code : _______________________________________ Telephone Nos. : _______________________________________ Fax No. : _______________________________________ Web site : _______________________________________ E-Mail : _______________________________________ Name of the Director/ Principal : ___________________________________ Telephone Nos. : _________________ Mobile No. ____________ Fax No. : _______________________________________ Web site : _______________________________________ E-Mail 3. Type of Institute: A. Govt. 4. Details of the Promoting Trust/Society (in case of Private Institute only): Name of the Chairman Name of the Secretary : : B. Private _______________________________________ ______________________________________ Name of the Trust/Society : _______________________________________ Address : _______________________________________ : _______________________________________ : _______________________________________ : _______________________________________ Pin Code 1|Page Registration No of the Trust/Society : _______________________________________ Telephone Nos. : _______________________________________ Fax No. : _______________________________________ Web site : _______________________________________ E-Mail : _______________________________________ 5. Names of Members of the Society/Trust (attach copy) : _______________________________________ 6. Memorandum of Association/Articles of Association of Society/ Trust (attach copies) : _______________________________________ 7. Academic Programmes for which Affiliation is sought (separate table for different UG& Pg program) A. Course Title B. Course Title C. Course Title 2|Page Existing Courses (*enclose the respective approval copy) Existing Intake ( Session ) * As approved As approved by by statutory State body, if Govt./University applicable Duration of the Course (Years) Year of Commencement Letter No. of State Govt. NOC/Univ. affiliation for the session _________ New Courses (separate table for different UG& Pg program) Proposed Intake (Session ________) * As approved by statutory body, if applicable Duration of the Course (Years) Year of Commencement Remarks, if any Addition/deletion (separate table for different UG& Pg program) Duration of the Course (Years) Proposed Intake (Session ________) Approved intake Proposed intake for the session {addition (+)/ ________ deletion(-)} Year of Commence ment Remarks, if any 8. Details of Land & Building (attach relevant copies of documents in support of proof) A (i) (ii) (iii) B (i) (ii) (iii) (iv) C (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) (xii) (xiii) (xiv) (xv) 9. Land Area of Land in Sq.m. Ownership of land (Whether rented/leased/freehold) Prescribed Land use (whether conforming/non-conforming to Master Plan) Building Whether Permanent/Temporary Total Built-up area (in Sq. Meters) FAR Achieved (Built up area available per student as against prescribed by the University/Govt. Statutory Body Total Built up area required as per norms for all programmes Specifications of Accommodation Number of class/tutorial rooms Drawing Halls/Conference Room Laboratories (give details) Audio Visual Laboratories Library Admn Block Workshop Computer Center Toilets Common Rooms Sports facilities (Indoor & Outdoor) Playground Students Canteen Hostel (Total Area/rooms/Number of seats etc.) Any other facilities No. Size (in Sq. Mtrs.) Details of the Labs/Workshops/Work stations available (Department wise details along with relevant copies of bills/documents in support of proof) Name of Laboratory Laboratory Manual available (Yes/No) Major Equipment List of equipment added during previous year (i) Total cost of the equipments purchased so far Rs. ………………….……. (ii) Cost of the equipment for which orders have been placed (photocopies of purchase order Rs. …………………………….. (Enclose the photocopies of orders) 3|Page 10. Details of Library A (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) B (i) (ii) 11. Details of Books (course-wise) Degree Engg./Degree Pharmacy/MBA/MCA* 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 available The future plans for Automation of the library of the institutions are given below : Details of Digital Facilities Whether library operations Computerized, internet facility, Reading room facilities, Photocopying Facilities available, If yes, give details. Inter library linkage facilities Details of Computer facilities (Department wise details along with relevant copies of bills/documents in support of proof) Sr. No. 1 2 3 4 12. Colleges Particulars Requirements as per AICTE Norms Availability Shortfall, If any Number of Computer Terminals (terminalstudents ratio) Hardware Specification Number of terminals on LAN/WAN Peripheral(s) like printers, photocopiers etc. Details of Software facilities available (Department wise details along with relevant copies of bills/documents in support of proof) Sr. No. 4|Page Name of the Software Version License No. Cost 13. Details of Other Facilities Available (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) 14. Yes/No Yes/No Yes/No Yes/No Name Designation Qualification Scale of pay, other allowances/ remuneration paid Date of joining Regular (R)/ Adhoc (A)/ Contract (C)/ Visiting (V)/ Guest (G) *Approved/ recognized by University (Yes/No) Non-Teaching Supporting Staff (Technical) (list to be attached along with copies of appointment letters and salary bills in support of proof) Sr. No. 16. Yes/No Yes/No Yes/No Yes/No Teaching Staff (list to be attached along with copies of appointment letters and salary bills in support of proof) Sr. No. 15. Drinking Water Generator Bank facility Facilities provided for physically Handicapped Transport facilities Medical facilities Canteen Girls’ Common Room Type and number of staff quarters Number of Boys Hostels with capacity Number of Girls Hostels with capacity Name Designation Scale of pay, other allowances/ remuneration paid Date of joining Regular/Adhoc/ Contract Non-Teaching Supporting Staff (Non-Technical) (list to be attached along with copies of appointment letters and salary bills in support of proof) Sr. No. 5|Page Name Designation Scale of pay, other allowances/ remuneration paid Date of joining Regular/Adhoc/ Contract 17. (i) (ii) Students/Teachers Ratio (Total No. of Students/Total No. of Regular Teaching Faculty) = Students/Supporting Staff (Technical) Ratio (Total No. of Students/ Total No. of Regular Supporting Staff (Technical) = 18. Whether the college/institute is paying salaries to the teachers/academic staff of the college (including part time staff) through account payee cheque or through account of the employee opened in the bank opened for the purpose duly reflected in the statement of the employees. (If yes, attach certified copies of the bank statements month-wise) 19. Source of Income & expenditure during the last year. S. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 20. Source of Income Central Government State Government University Grant Commission Others Central/State Government Bodies Private Trust Donations Rs. (In lac) Student Fees Internals Revenue Generation Others (please specify) Total Expenditure during the last year Salary of Full-Time Faculty Salary for Visiting/Adjunct Faculty Salary of Non-Teaching Staff Library Rs. (In lac) Computer Centre Equipments Labs and workshops Others (please specify) Total Status of Compliance of Specific Conditions of Last Approval/Extension of Approval by AICTE/HPTU S. No. 6|Page Specific Condition Compliance Status 21. Please answer the following with yes or no (tick the appropriate) (1) Is the college/institute sharing the premises with other institute? Is the college/institute sharing the staff with other college/institute? Is the college/institute sharing the laboratory space with other college/institute? Is the college/institute sharing the laboratory equipment with other college/institute? Is the college/institute running the courses not approved by the University? Is the institute located at the place for which approval of AICTE, Government and University has been sanctioned? Are the students studying who are not registered with this college/institute? (2) (3) (4) (5) (6) (7) 22. Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Compulsory Setup required for conducting examinations (1) (2) (3) Internet Line (minimum 2 Mbps) High end Xerox Machine with a minimum speed of 40 pages per minute Generator/Inverter/UPS with six hours battery back-up to support computer systems and Xerox machine DECLARATION The information furnished above is true & correct to the best of my knowledge and belief and is based on facts. Nothing 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. Signature : ………………………… Signature : ………………………… Chairman/Secretary of the Society/ Trust Director/Principal of the Institute Name : Name : Designation : Designation : Dated : Dated : Seal of the Society : Seal of the Institute : Annexure : Latest Compliance Report as per AICTE Format with all the Annexures. 7|Page Inspection Report (to be filled by the Inspection Committee) 1. Purpose of inspection : _______________________________________ 2. Date of inspection : _______________________________________ 3. Type of Institution (Govt./Private) : _______________________________________ 4. Name of Programme (B.Tech./M.Tech./MBA/ MCA/B.Pharm./M.Pharm. ) : _______________________________________ 5. Check points for Departmental activities (For Team Member to fill). For each department a separate sheet should be used. Branch __________________ Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 8|Page Details of Inspection Is separate subject file prepared? Is lesson plan prepared? Is attendance muster prepared and maintained properly. Are lecture notes prepared? Is lecture notes hand written/ computerized/OHP sheet? Is staff member using any teaching aids? Is industrial visit organized related to subject? Is assignment prepared for subject? Are lectures conducted regularly? Home work/assignments/ tutorials assigned to students? Is alternative arrangement practice followed when any faculty is on leave/on duty? How many lectures are conducted actually? How many lectures should have been as per scheme? (Please verify HPTU teaching scheme, attendance muster and lecture plan) Semester ____________________ Subject Code Other information (about Faculty and Subjects) _____________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 6. Check points for Departmental activities (Laboratory) (For Team Member to fill). For each department a separate sheet should be used. Sr. No. 1 2 3 4 5 6 7 8 9 Details of Inspection Subject Code Is Term work file maintained properly? Is list of practical well defined? Is term work evaluation done regularly with grading system? Is assignments given evaluated? Is Laboratory attendance system well maintained? Is Laboratory conduction plan is prepared and executed properly? Are laboratories conducted regularly? How many laboratories are conducted actually? How many laboratories should have been conducted as per scheme? (please verify HPTU teaching scheme, attendance muster and laboratory plan, if any) Other information (about laboratory) _____________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 7. Check points for College activities (For Chairman of the Committee to fill) Sr. No. 1 2 3 9|Page Activities to be verified While taking round, have you found regular classes being conducted? While taking round, have you found regular laboratories being conducted? Is Management found cooperative? If no, mention details in remark. Remarks 4 5 6 7 8 9 8. Is Principal found cooperative? If no, mention details in remark. Is HOD found cooperative? If no, mention details in remark. Is Staff Members found cooperative? If no, mention details in remark. Is College keeping watch on less attendance students monthly? Are time tables displayed on Notice Board for students’ reference? Is attendance found sufficient in the college during inspection? Interaction with faculty members in the absence of Management members (a brief report shall be furnished not more than 100 words, use separate sheet, if required) ___________________________________________________________________ ___________________________________________________________________ ______________________________________________________________________ ___________________________________________________________________ 9. Interaction with students in the absence of faculty and staff (a brief report shall be furnished not more than 100 words, use separate sheet, if required) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 10. Brief comments of the Committee Sr. No. 1 Component Land & building 2 Labs/Workshop/Work stations 3 Library 10 | P a g e Summary Deficiencies, if any 4 Computer facilities 5 Software facilities 6 Other facilities 7 Teaching Staff/Faculty 8 Non-teaching staff 9 Non-Teaching Supporting Staff 10 Salary 11 Status of compliance of specific conditions of last approval/extension of approval by AICTE/HPTU 12 Warning issued by the Technical University, if any 13 Any other point, Committee would like to bring to the notice of the University (separate sheet may be used for detailed elaboration) 11 | P a g e 11. Recommendations of the Inspection Committee (please tick the appropriate) Recommended/not recommended 12. Name and Designation of Committee Members Sr. No. 1 Name Designation Address Signature 2 3 4 Instructions for Committee Members  Committee Members are requested to write clear remarks for the deficiencies observed by them during the inspection.  Committee Members are requested to put their signatures on each page of inspection report and shall take countersignature of Chairman/Principal of the concerned Institute. 12 | P a g e