for 1. Application for the case of A / B / C / D : [ Case ] Date of Application :

Transcription

1 APPLICATION FORM [ Engg., Intergrated Campus (Faculty of Engg.), Pharmacy] [ MBA (Stand alone), Integrated Campus (Faculty of Management)] [ MCA (Stand alone), Integrated Campus (Faculty of Computer Application) ] [ BHMCT ] for [Case A] Establishment of new AICTE College / Institute [Case B] Introduction of AICTE approved Additional Course(s) in the existing AICTE College / Institute [Case C] Variation in Intake approved by AICTE in the existing affiliated AICTE Course(s) [Case D] Extension (Renewal) of Affiliation in the existing AICTE approved Institution / College 1. Application for the case of A / B / C / D : [ Case ] Date of Application : 2. WBUT College Code (in accordance with the College List ) : 3. District-wise Serial No. (in accordance with the latest College List ) : 4. State-wise Serial No. (in accordance with the latest College List ) : 5. Name and Address of the sponsoring Trust / Society (a) Name of Trust / Society (b) Address (c) (d) (e) (f) (g) (h) (i) (j) (j) (k) (l) (m) (n) (o) (p) (r) Village / Town Post Office District Pin State Phone No. Fax No. Website Name of the Chairman Mobile No. of the Chairman Name of the Secretary Mobile No. of the Secretary Nearest Rly Station & Distance in (Kms) from Institute Nearest Bus Stop & Distance in (Kms) Nearest Airport & Distance in (Kms)

2 6. Information of Trust / Society (a) Is the sponsoring Trust/Society is Govt. Registered? (Yes / No) (supporting documents to be attached) Please highlight the relevant para of the Trust Deed / Memorandum of Association for the Society where it has been mentioned that educational activities will be promoted. (b) Whether the Trust / Society has the experience in running academic Institutions. If Yes, supporting documents to be furnished (c) If it is Society, please attach the xerox copy of the receipt of the last annual return submitted. 7. Name of Address of the Institution (a) Name of Institution (b) Address (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r) Village / Town Post Office District Pin State Phone No. Fax No. Website Name of the Principal Mobile No. of the Principal Name of the Director Mobile No. of the Director Nearest Rly Station & Distance in (Kms) from Institute Nearest Bus Stop & Distance in (Kms) Nearest Airport & Distance in (Kms)

3 8. Information of AICTE approved Course(s) (fill relevant table) I. (for the case A) Sl. Proposed Course(s) *AICTE approved letter No. & dated Intake (Course-wise) II. (for the cases B, C and D) Sl. Affiliated AICTE approved existing Course(s) Intake (Course-wise) III. (for the case B) Sl. Proposed introduction of additional AICTE Course(s) *AICTE approved letter No. & dt. Proposed Intake (Course-wise) *Xerox copy to be attached

4 IV. (for the case C ) Sl. Proposed Variation in Intake in the existing affiliated Course(s) *AICTE approved letter No. & dt. Proposed Variation in Intake V. (for the case D ) Sl. Renewal of affiliation sought for the Course(s) *Extension of approved letter of AICTE & dt. Intake approved last year *Xerox copy to be attached.

5 9. Information on Land (a) Whether the sponsoring Trust/Society has the permanent ownership of land & Building for the Institution? (Yes / No) Supporting documents (Land Ownership Deed, Mutation Certificate, Tax Clearance Certificate from L&LR Department, Panchayet / Municipality / Corporation approved Plan and Tax Clearance Certificate etc.) to be attached. Please highlight the relevant para of the Deed where it has been mentioned that educational activities will be promoted thereon. (b) Whether the land on which the building of the proposed Institution located is having clear marketable title? (Yes / No) If Yes, please the produce the Govt. Pleader's certificate for this. (c) Details of the Land where building is located : Area : Deed No(s). : Mouza : Dag No. : J.L. No. : Touzi No. : P.S, : Area of the Land prescribed by AICTE :

6 10. Building up area Requirement : Whether the Institute is satisfying the built up area requirement as prescribed by AICTE (Please see reverse) (a) Built up area per student : SQM (Attach approved Building Plan & Completion Document / Certificate) Total Built up area of the Institute : (b) Whether the Institution is satisfying the Administrative Offices as per AICTE guidelines? Yes / Partially / No Please provide details : No. of class rooms No. of Tutorial rooms Available... Nos. Deficiency... Nos. No. of Drawing Halls No. of Computer Centre Deficiency / Shortfall (Please mention) :... Nos. Library : No. of Labroratories / Workshops... (area)......sq.m.... No. (c) Whether laboratories / Workshops are equipped as per WBUT syllabus : Yes / No. Please mention deficiency if any... Computer Requirement : (d) Whether the Institute is satisfying the Computer requirement? Yes / Partially / No. Deficiency (Please mention) : Library Requirement : (e) Whether the Institute has procured books in the Library in accordance with the AICTE norms as well as WBUT syllabus? Yes / Partially / No. Please provide details : Available Deficiency No. of Titles : No. of Volumes : No. of Books for Science & humanities : No. of Journals :

7 11. Full-Time Faculty appointed : Whether the Institution has appointed full time faculty as per AICTE Norms? Yes / Partially / No Please provide details : On roll Vacant Principal / Director : Professor... Nos.... Nos. Assistant Professor / Reader... Nos.... Nos. Lecturer... Nos.... Nos. Whether the Institute has a Full-Time Principal/Director as per AICTE Guidelines ? Sl. Name of the Principal / Director *Qualification Date of Joining *Experience in detail *Proof to be attached

8 Faculty appointed course-wise : Sl. Name of Faculty Designation *Qualification Date of Joining *Experience in details Deficiency if any *Proof to be attached

9 Other Desirable requirement : Whether the Institute is satisfying the other desirable requirements as prescribed by AICTE (Please see reverse)? Yes / Partially / No Please mention deficiency : Undertaking: We submit an undertaking that in the event an affiliation is accorded to the course(s) we shall remain bound by the norms, rules and regulations formulated by the University in respect of the conditions of affiliation, course & fee structure, syllabi content and academic regulations governing the conduct of the course(s) and shall pay fees / charges to be fixed by the University in respect of inspection, affiliation, registration of students, examination fees, etc. including any subsequent changes therein introduced by the University from time to time. Also we are undertaking that in the event of closure of the institution, the Organizing Society /Trust will not close the Institution till the last batch of students admitted in the academic programmes complete the total duration of their respective academic programmes (i.e. 2 years, 4 years etc. as the case may be). N.B. All enclosures as mentioned in the AICTE Guidelines and other supporting documents as mentioned in this application form under different items are to be attached failing which application will be summarily rejected.