for ddh course check listpmbkarnataka.org/downloads/checklist.pdf · experience in running the...

For DDH Course

Check list 01 Name and Complete Address of the

Institution

02 Courses running

03 Proposed name of the Para Medical Institution

04 Name of the Trust & /NOG/Society when it was started (copy to be

submitted)

05 When & which are the courses

running under trust (Please specify the Name of Institute / Technical or any other Courses- Copy enclosed) &

year of experience in running the institution.

06 Teaching Staff Details

(Obtain the copies of Certificate in

the Proforma enclosed).

07 Clinical Facilities (obtain the document)

Name of the hospital with bed strength (100 bedded)-Own/consult for clinical facility (MOU in case of

Private/ Government Hospital

08 For Hospital, Karnataka Pollution

control Board clearance certificate

09 Permission letter by DHO or MOU

with private hospital from 100 bedded hospital

10 List of Equipments with quantity

11 List of Books with quantity

12 In-patient & Out-patient-No’s (Last 3 months)

13 Only Dental college are eligible to

apply for Diploma in Dental Mechanics and Diploma in Dental

Hygiene course

14 Building details

(tick the Appropriate & obtain the document)

Own/Rented/Lease

For Own Building Sale Deed, Khata Extract and Tax Paid

Receipt

For Rented/ Lease Rental/ Lease agreement for minimum of 5 years, Khata Extract and Tax Paid

Receipt of building owners

Proposed Building plan should be

approved by competent authority (Panchayat, Muncipality, Corporation)

Total Number of Teaching Rooms available for 20 students seating

capacity for each course

15 Bank Guarantee and Affiliation fee under taking letter on 100.00 Rs

Stamp paper

16 3 Years auditor’s report duly audited

by the charted accountant

17 Financial worthiness- Current

Account with Rs. 15 Lakhs – Turn over for last 3 financial year (Cumulative)

18 Interior and Exterior photos of the building with CD

19 Name of the Inspector with Designation and Address

20 Date of Inspection

21 Recommendation. (Recommended

to start Para Medical Courses)

DDH course Teaching Staff Particulars

Teaching Staff

Details (Obtain the

copies of Certificate).

Qualification Name

Up to 40 Seats Intake

Physics

M.Sc. in Physics (1No)

Chemistry M.Sc. in Chemistry / Biochemistry (1No)

Biology M.Sc. in Zoology/Botany (1No)

English M.A. in English (1No)

2 –Dental Mechanic Technician

DDH (1No)

Extra Staff Typist cum Clerk – 01 No, & Attender (1No)

Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty

2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No., Technician – 02 No. Attender – 01 No, Typist cum Clerk -01 3) For New College / Additional Course, only 20 seats are

eligible per course

4) For Seat Enhancement, only 20 seats are eligible per course

Above the previous intake

5) One Principal from any department with MBBS with any PG

/ Diploma degree

For DDM Course


Institution

02 Courses running



submitted)

05 When & which are the courses running

under trust (Please specify the Name of Institute / Technical or any other Courses- Copy enclosed) & year of

experience in running the institution.


(Obtain the copies of Certificate in the

Proforma enclosed).

07 Clinical Facilities

(obtain the document) Name of the hospital with bed strength (100 bedded)-Own/consult for clinical

facility (MOU in case of Private/ Government Hospital

08 For Hospital, Karnataka Pollution control Board clearance certificate

09 Permission letter by DHO or MOU with private hospital from 100 bedded

hospital



12 In-patient & Out-patient-No’s (Last 3

months)

13 Only Dental college are eligible to apply for Diploma in Dental Mechanics and

Diploma in Dental Hygiene course

14 Building details


Own/Rented/Lease


Receipt

For Rented/ Lease Rental/ Lease agreement for minimum of 5 years, Khata Extract and Tax Paid Receipt of

building owners



Total Number of Teaching Rooms

available for 20 students seating capacity for each course

15 Bank Guarantee and Affiliation fee

under taking letter on 100.00 Rs Stamp paper

16 3 Years auditor’s report duly audited by the charted accountant

17 Financial worthiness- Current Account with Rs. 15 Lakhs – Turn over for last 3 financial year (Cumulative)




21 Recommendation. (Recommended to start Para Medical Courses)

DDM course Teaching Staff Particulars

Teaching Staff

Details (Obtain the

copies of Certificate).

Qualification Name


Physics

M.Sc. in Physics (1 No)

Chemistry M.Sc. in Chemistry/ Biochemistry(1 No)

Biology M.Sc. in Zoology/Botany (1 No)

English M.A. in English (1 No)

2 –Dental Mechanic Technician

DDM (1 No)

Extra Staff Typist cum Clerk – 01 No, & Attender

(1No)

Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty 2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No., Technician – 02 No. Attender – 01 No, Typist cum Clerk -01

3) For New College / Additional Course, only 20 seats are

eligible per course




/ Diploma degree

For DDT Course


Institution

02 Courses running

03 Proposed name of the Para Medical

Institution

04 Name of the Trust & /NOG/Society when it was started (copy to be submitted)

05 When & which are the courses running under trust (Please specify the Name of

Institute / Technical or any other Courses- Copy enclosed) & year of experience in running the institution.



Proforma enclosed).


Name of the hospital with bed strength (100 bedded)-Own/consult for clinical facility (MOU in case of Private/

Government Hospital



09 Permission letter by DHO or MOU with

private hospital from 100 bedded hospital




13 For Dialysis (Diploma in Dialysis Technology) - 10 dialysis per day ( Last

3 months)

14 Building details


Own/Rented/Lease


Receipt


building owners













DDT course Teaching Staff Particulars

Teaching Staff

Details (Obtain the

copies of

Certificate).

Qualification Name


Dialysis care unit MBBS with Degree

Physics


Chemistry M.Sc. in Chemistry / Biochemistry(1 No)



2 -Dialysis Technician

DDT (1 No)




eligible per course




/ Diploma degree

For DHI Course


Institution

02 Courses running


Institution

04 Name of the Trust & /NOG/Society when it was started (copy to be submitted)





Proforma enclosed).


Name of the hospital with bed strength (100 bedded)-Own/consult for clinical



09 Permission letter by DHO or MOU with private hospital from 100 bedded hospital




13 For Health Inspector ( Diploma in Health Inspector ) course minimum of

one Primary Health Centre (MOU with Government ) ( Last 3 months)

14 Building details


Own/Rented/Lease


Receipt


building owners













DHI course Teaching Staff Particulars

Teaching Staff Details

(Obtain the copies of

Certificate)

Qualification Name


Physics


Chemistry M.Sc. in Chemistry/ Biochemistry (1No)



Subject Experts M.D Community Medicine / DPH (1 No)

Lecturer/ Tutor MBBS (1 No)

Health Inspector Senior Health Inspector (1 No)


Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty

2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No., Technician – 02 No. Attender – 01 No, Typist cum Clerk -01


eligible per course




/ Diploma degree

For DMIT Course


Institution

02 Courses running



submitted)

05 When & which are the courses

running under trust (Please specify the Name of Institute / Technical or any other Courses- Copy enclosed) & year

of experience in running the institution.



Proforma enclosed).

07 Clinical Facilities (obtain the document) Name of the hospital with bed strength

(100 bedded)-Own/consult for clinical facility (MOU in case of Private/

Government Hospital



hospital




13 Number of X-Ray, CT Scan, Ultra sound & MRI - (for Diploma in Imaging

Technology) ( Last 3 months)

14 Building details


Own/Rented/Lease

For Own Building Sale Deed, Khata Extract and Tax Paid Receipt

For Rented/ Lease Rental/ Lease agreement for minimum of 5 years, Khata Extract and Tax Paid Receipt of building owners

Proposed Building plan should be approved by competent authority

(Panchayat, Muncipality, Corporation)











DMIT course Teaching Staff Particulars

Teaching Staff

Details (Obtain the

copies of Certificate)

Qualification Name


Physics


Chemistry M.Sc. in Chemistry/ Biochemistry (1 No)



For DMXT MBBS; MD in Radiology or Radiologist with DMRD

M.Sc. in Radiation Physics or B.Sc.

in Diploma radiation (1 No)

X-Ray Technician With Diploma (1 No)


Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty 2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No.,

Technician – 02 No. Attender – 01 No, Typist cum Clerk -01 3) For New College / Additional Course, only 20 seats are

eligible per course




/ Diploma degree

For DMLT Course


Institution

02 Courses running


04 Name of the Trust & /NOG/Society

when it was started (copy to be submitted)


under trust (Please specify the Name of Institute / Technical or any other

Courses- Copy enclosed) & year of experience in running the institution.

06 a) Building details (tick the Appropriate & obtain the document)

Own/Rented/Lease

b) For Own Building Sale Deed, Khata Extract and Tax Paid

Receipt

c) For Rented/ Lease Rental/ Lease agreement for minimum of 5

years, Khata Extract and Tax Paid Receipt of building owners

d) Proposed Building plan should be approved by competent

authority (Panchayat, Muncipality, Corporation

e) Total Number of Teaching Rooms available for 20 students seating capacity for each course



Proforma enclosed).



Government Hospital








14 Number of blood samples incase of lab

( for Diploma in Medical Laboratory Technology) ( Last 3 months)

15 Bank Guarantee and Affiliation fee under taking letter on 100.00 Rs

Stamp paper


17 Financial worthiness- Current Account with Rs. 15 Lakhs – Turn over for last

3 financial year (Cumulative)

18 Interior and Exterior photos of the

building with CD

19 Name of the Inspector with Designation

and Address


21 Recommendation. (Recommended to

start Para Medical Courses)

DMLT course Teaching Staff Particulars

Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty 2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No., Technician – 02 No. Attender – 01 No, Typist cum Clerk -01 3) For New College / Additional Course, only 20 seats are

eligible per course




/ Diploma degree

Teaching Staff Details (Obtain the copies of

Certificate).

Qualification Name


Physics

M.Sc. in Physics ( 1 No)

Chemistry M.Sc. in Chemistry/ Biochemistry ( 1 No)

Biology M.Sc. in Zoology/Botany ( 1 No)

English M.A. in English ( 1 No)

Anatomy & Physiology ( Tutor)

MBBS (1 No)

Biochemistry M.Sc. in Biochemistry or MD Biochemistry

1 No.

Microbiology M.Sc. in Microbiology or M D Microbiology

Pathology MD pathology or DCP

Lab Technician B.sc MLT or DMLT ( 1 No)

Extra Staff Typist cum Clerk – 01 NO, & Attender ( 1

No)

For DMRT Course


Institution

02 Courses running



submitted)


under trust (Please specify the Name of Institute / Technical or any other

Courses- Copy enclosed) & year of experience in running the institution.



Proforma enclosed).


(obtain the document) Name of the hospital with bed strength

(100 bedded)-Own/consult for clinical facility (MOU in case of Private/ Government Hospital



hospital



14 Building details


Own/Rented/Lease

For Own Building Sale Deed, Khata Extract and Tax Paid Receipt

For Rented/ Lease Rental/ Lease agreement for minimum of 5 years, Khata Extract and Tax Paid Receipt of building owners

DMRT course Teaching Staff Particulars


Certificate).

Qualification Name


Medical Record

Physics

M.Sc. in Physics ( 1 No)




2 -Record Technician DMRT ( 1 No)

Extra Staff Typist cum Clerk – 01 NO, & Attender ( 1 No)

Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty 2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No.,

Technician – 02 No. Attender – 01 No, Typist cum Clerk -01 3) For New College / Additional Course, only 20 seats are

eligible per course




/ Diploma degree

For DOT Course


Institution

02 Courses running


Institution

04 Name of the Trust & /NOG/Society

when it was started (copy to be submitted)





Proforma enclosed).



Government Hospital








14 Building details (tick the Appropriate & obtain the document)

Own/Rented/Lease


Receipt

For Rented/ Lease Rental/ Lease agreement for minimum of 5




Total Number of Teaching Rooms available for 20 students seating capacity for each course

15 Bank Guarantee and Affiliation fee under taking letter on 100.00 Rs Stamp paper





building with CD


and Address



DOT course Teaching Staff Particulars


Certificate).

Qualification Name


Physics M.Sc. in Physics ( 1 No)




Staff Nurses ( 1 No)

2 –Ophthalmic asst. DOT ( 1 No)

Extra Staff Typist cum Clerk – 01 NO, &

Attender ( 1 No)

Note: 1) You have to verify the qualification letter, consent letter and attested photos of the faculty 2) Staff Requirements for Above 40 Seats Intake: Tutor- 02 No., Technician – 02 No. Attender – 01 No, Typist cum Clerk -01 3) For New College / Additional Course, only 20 seats are

eligible per course




/ Diploma degree

For DOT & AT Course


Institution

02 Courses running



submitted)


under trust (Please specify the Name of Institute / Technical or any other Courses- Copy enclosed) & year of

experience in running the institution.



Proforma enclosed).


(obtain the document) Name of the hospital with bed strength (100 bedded)-Own/consult for clinical




hospital




13 Number Operations. — (for Diploma in

Operation Theatre Technology) ( Last 3 months)

14 Building details (tick the Appropriate & obtain the document)

Own/Rented/Lease


Receipt

For Rented/ Lease Rental/ Lease agreement for minimum of 5




Total Number of Teaching Rooms available for 20 students seating capacity for each course

15 Bank Guarantee and Affiliation fee under taking letter on 100.00 Rs Stamp paper





building with CD


and Address



DOT & AT course Teaching Staff Particulars


Certificate).

Qualification Name


Operation Theatre MBBS; MD in Anastasia (Asst.

Prof.) (1 No)

Allied subjects MBBS (1 No)

Physics


Chemistry M.Sc. in Chemistry/ Biochemistry (1 No)



2 -OT Technician DOTT (1 No)

Extra Staff Typist cum Clerk – 01 NO, &

Attender ( 1 No)



eligible per course




/ Diploma degree

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