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7/30/2019 Appendix Format for Inspection Form

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Appendix - A-01

.No. Name Date of Birth Academic Qualification Specialization Date of Designation Department Total Pay scale Rem

(DD/MM/YY) appointment Gen. SC ST OBC teaching if an

experience

1 2 3 4 5 6 7 8 9 10 11 12 13 14 1

Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that theregular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further

certified that regular teacher has been appointed in the College/Institution through a dully constituted

selection committee.

Date. Signature of theDirector/ Principal

(Seal of Instt.).B. Incomplete form will not be consider.

Category

Name of Institute :

Teaching Staff (Regular only) (For U/G)(Designation: Professor/Reader/Lecturer)


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(Designation: Professor/Reader/Lecturer) Appendix - A-02

.No. Name Date of Birth Academic Qualification Specialization Date of Designation Deprtment Total Pay scale Rem

(DD/MM/YY) appointment Gen. SC ST OBC teaching if an

experience

1 2 3 4 5 6 7 8 9 10 11 12 13 14 1

Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that theregular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further

certified that regular teacher has been appointed in the College/Institution through a dully constituted

selection committee.

Date. Signature of theDirector/ Principal

(Seal of Instt.).B. Incomplete form will not be consider.

Category

Teaching Staff (Regular only) (For P/G)

Name of Insti tute :


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S.No. Name Date of Birth Academic Specialization Date of Designation Deprtment Total Status Pay

(DD/MM/YY) Qualification appointment Gen. SC ST OBC teaching (Contractual/ (Rs/Mon

experience Part time/

Visiting.)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that the

regular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further

certified that regular teacher has been appointed in the College/Institution through a dully constitutedselection committee.

Date. Signature of theDirector/ Principal(Seal of Instt.)

N.B. Incomplete form will not be consider.


Teaching Staff (On Contract /Part t ime/Visi ting only) (For U/G)

Category


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S.No. Name Date of Birth Academic Specialization Date of Designation Deprtment Total Status Pay

(DD/MM/YY) Qualification appointment Gen. SC ST OBC teaching (Contractual/ (Rs/Mon

experience Part time/

Visiting.)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that the

regular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further

certified that regular teacher has been appointed in the College/Institution through a dully constitutedselection committee.

Date. Signature of theDirector/ Principal(Seal)

N.B. Incomplete form will not be consider.

Category


Teaching Staff (Contractual/Part time/Visi ting only) (For P/G)


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App endix - A-05

el o f Req ui red No . o f

t Stength filled

as per AICTE posts

norms General SC ST OBC General SC ST OBC General SC ST OBC General SC ST OBC General SC ST OBC General SC ST

Level

cipal

fessor

der

turer

Level

cipal

fessor

der

turer

Certified that the entries in Columns are as per the records in the College/Institution and that theregular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is furthercertified that regular teacher has been appointed in the College/Institution through a dully constitutedselection committee.

Date. Signature of theDirector/ Principal(Seal)

. Incomplete form will not be consider.

FemaleFemaleMale Male Female Male

Name of Instit ute :

Con tr ac tu al App oi nt men t ( Cat eg or y & Gen de rw is e) Par t t ime/ Gues t Fac ul ty ( Cat eg or y & Gen de rw is e)

Level-wise/Category-wise Teaching Staff in Institution.

Total Number of Teachers at Present

Out of Total filled posts

Regular Appointment (Category & Genderwise)

Out of Total filled posts Out of Total filled posts


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S.No, Level of Courses AICTE Year Total

Approved Admission

Intake

A Name of Under Graduate

Course (UG)

B Name of Post Graduate

Course (PG)

C N0. of Research Scholar

Grand Total

Date. Signature of Director/ Pricipal

(Seal of Instt.)

Name of Institute:

Appendix -B - 01

Student Enrolment (Admission) Branch-wise ( in U/G+P/G)

Academic year 20 - 20 (Give the detail of current academic year)


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S.No, Level of Courses

First Year Second Third Fourth Fifth Year

Year Year Year (B.Arch.)

A Name of Under Graduate

Course (UG)

B Name of Post Graduate

Course (PG)

C N0. of Research Scholar

Grand Total

Date. Signature of Director/ Pricipal(Seal of Instt.)

Name of Institute:

Total Number of Student

Student Enrolment Branch-wise ( in U/G+P/G)

Appendix -B - 02

Academic year 20 - 20 ( Conso lidated )


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S.No. Name of Laboratory / Name and Qualification Regular/ Date ofWorkshop/Computer Designation Contract J oining Basic DA Total

Centre etc to which

attached.

Date : / / Signature of Director/ Pricipal

(Seal of Instt.)

Information Regarding Supporting Staff (Technical) of the Institutions

Salary given

Name of Insti tute:

Appendix -C - 01


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S.No. Name of Laboratory / Name and Qualification Regular/ Date of

Workshop/Computer Designation Contract J oining Basic DA TotalCentre etc to which

attached.


(Seal of Instt.)

Salary given

Information Regarding Supporting Staff Non-Technical of the Institutions

Appendix -C- 02

Name of Institute:


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Academic Year: 20___ - 20___

Technical Book

S.No. Name of Technical Book Edition Cost of Book

(in Rs./USD/$/)


(Seal of Instt.)

Name of Insti tute:

Appendix - D - 01


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Non-Technical Book

S.No. Name of Nontechnical Book Edition Cost of Book

(in Rs./USD/$/)


(Seal of Instt.)

Name of Insti tute:

Appendix - D - 02


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Technical National/International Journal (Print /Online)

S.No. Name of Technical J ournal National/ Frequency Cost of J ournal Print / Online Starting month

International (Weekly/Bimonthly (in Rs./USD/$/) & Year

Monthly/Quarterly/Half Yearly/Yearly)


(Seal of Instt.)

Name of Insti tute:

Appendix - D- 03


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Appendix E - 01

Information Regarding Laboratories

Name of Laboratories &

Department to which

attached

Equipments / Machines available in the

Laboratories

Cost of Equipment/Machine


(Seal of Instt.)

Name of Institute:



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ppen x -

Cost of Equipment/Machine

Date : / / Signature of Director/ Pricipal(Seal of Instt.)

Name of Institute:


Information Regarding Work-shop

Name of Work-shop Equipments / Machines available


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Faculty-wise: Gender Wise : Student Enrolment in Under Graduate(UG) Courses.

(Consol idated Current Academic Year 20____ - 20____)

(Graduate Courses (IstYr. + 2ndYr + 3rdYr + 4thYr +( 5thYr in case of B Arch.)

Name of Course/

Bramch

Male Female Total Male Female Total Male Female Total Male Female Total

Date : / /

Signature of Director/ Pricipal

(Seal of Instt.)

Name of Insti tute:

Total Number of Students

Appendix - F - 01

OBC

Out of Total Number of Students (belonging to)

SC ST


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Faculty-wise: Gender Wise : Student Enrolment in Post Graduate Courses.

(Consolidated Current Academic Year 20____ - 20____)

(Post Graduate Courses (IstYr. + 2ndYr + 3rdYr )

Name of Course/

Bramch

Male Female Total Male Female Total Male Female Total Male Female Tot

Date : / /


Appendix -F - 02

Name of Institute:

Total Number of Students

SC ST

Out of Total Number of Students (belonging to)

OBC


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(Seal of Instt.)


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1st Year

2nd Year

3rd Year

4th Year

Total

1st Year

2nd Year

3rd Year

4th Year

Total

1st Year

2nd Year

3rd Year

4th Year

Total

1st Year

2nd Year

3rd Year

4th Year

Total

1st Year

2nd Year

3rd Year

4th Year

Total


(Seal of Instt.)

Appendix - F- 03

Academic performance of preciding academic year 20-------- (based on result of June exam.)

Name of Institute:

S.No. Discipline Year Number of

Students appeared

Pass Out

Percentage

1

2

5

3

4


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S. No. Particulars Requirements as per Availability Shortfall, if any

AICTE Norms

Date : / / Signature of Director/ Pricipal(Seal of Instt.)

Name of Institute:

Appendix G - 01

Information Regarding Licensed Software Purchased in the Institution


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S. No. Name of the Software Version No. of License Cost Remark

Users No. in Rs.

S. No. Name of the Software Version No. of License Cost Remark

Users No. in Rs.

Date : / /


(Seal of Instt.)

Information Regarding Licensed Software Purchased in the Institution

Information Regarding open source Software in the Institut ion

Name of Inst itute:

Appendix G - 03

Appendix G -02


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Type Total built-up area Total No.

in Sq.M (m2) of Staff

Quarters

GEN SC ST OBC


(Seal of Instt.)

Staff Quarter

alloted to

Name of Institute:

Appendix - H - 01

Details of Staff Quarters


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Appendix H - 02

Type No. of Intake Total No.

Hostels Capacity of Hostel

Residents

SC ST OBC

Men's Hostel

Women's Hostels


(Seal of Instt.)

Students Hostel

Name of Institute:

(In Institute Campus and/or Maintained by Institu te)

Out of Total No. of

Hostel Residents

Number belonging

to SC/ST/OBC

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