1
Signature of the Principal/ Head of the Institution
Proforma for Affiliation to Haryana State Board of Technical Education Bays 7-12, Sector-4, Panchkula-134112
1. To be filled by Polytechnic Institutions offering diploma engineering program seeking extension of affiliation for 2018-
19. 2. Please provide the actual information, if any information found false/incorrect may lead to disaffiliation of the
Institute from HSBTE
INSTITUTE CODE: 023
PART-A: GENERAL INFORMATION
Society / Trust / Company (U/S 25) Name & Address of the Society / Trust / Company (U/S 25 of Companies Act, 1956):
Lord Shiva Charitable Trust
Complete Postal address:
Near Civil Hospital, Sirsa
Society / Trust / Company Registration Number Trust Date of Registration / Place of Registration
22-04-1983, Sirsa
Name of the Chairman / President of the Society / Trust / Company
Ch. Sahib Ram Godara, Chairman
STD code & Telephone No. (LL) Mobile No.
01666-241895
Fax No.
01666-242695
Institution Name of the Institution run by the Trust / Society / Company:
Lord Shiva College of Pharmacy
Complete Postal address:
Near Civil Hospital, Sirsa
STD code & Telephone No. (LL) Mobile No.
01666-240057
Fax No.
01666-242695
Type of the Institute (Write the appropriate one) Private Year of starting of the Institute
1983
Name of the Principal of the Institute
Prof. (Dr.) Jitender Singh
Qualifications
M.Pharm, Ph.D
Date of Joining of the Institute
22-01-2000
2
Signature of the Principal/ Head of the Institution
Contact Nos. (LL with STD Code / Mobile No.)
9812037434
PART-B: DETAILS OF THE LAND (Attach copy of all the land documents / NOC’s)
Classification of the Permanent Site (Please tick the applicable one & attach documents issued by the competent authority)
Mega / Metro Urban Non-Urban
Town and Country Planning Dept.
Municipal Council
State Revenue Authority
Land (Area in acres) 7.78
Ownership of Land Government Trust Society
(Please tick the applicable one) Govt. Leased Owned Company (U/S 25)
Resolution of Society for use of ear marked Land for establishment of Polytechnic Institute is running since 2000
No encumbrances certificate (contiguous-in single patch) --
Change of Land Use Certificate (CLU) (Please tick the competent issuing authority & attach documents)
Town and Country Planning Dept.
Development Authority
Municipal Authority (Annexure-I)
Revenue Authority
Khasra Plan / Master Plan (Please tick the competent issuing authority & attach documents)
Town and Country Planning Dept.
Development Authority
Revenue Authority (Annexure-II)
Site Plan (Please tick the competent issuing authority & attach documents)
Town and Country Planning Dept.
Development Authority
Revenue Authority
Municipal Authority (Annexure-III)
Building Plan (Please tick the competent issuing authority & attach documents)
Total built-up area
Development Authority
Revenue Authority
Municipal Authority(Annexure-IV)
Occupancy certificate (Please tick the competent issuing authority & attach documents)
Rural area: Tehsildar
Urban area: Municipal Corporation / Municipal Committee(Annexure-IV) / HUDA
Structural stability certificate issued by Registered Structural Engineer Yes / No
3
Signature of the Principal/ Head of the Institution
(applicable in case where occupancy certificate is more than 30 years old) Access to the site (National Highway/ State Highway/ Village Road/ Kacha Road and Permission from competent authority to use
Situated on the bye pass road leading to Civil Hospital Sirsa
NOC from Local Fire Service Authorities (to ensure fire and life safety measures) Yes / No
Whether Earth leakage circuit breaker (ELCB) provided? Yes / No
Whether Ramp provided for Divyang for easy access to and evacuation from the building? Yes / No
Whether any High tension electric line pass across the premises? Yes / No
PART- C: APPROVAL STATUS OF THE INSTITUTE
(for the previous session; attach copy of all the approval/affiliation letters) Approving authority
Letter Number Date Annexures
Copy of last AICTE approval letter
North-West/1-3513071592/2018/EOA
10-Apr-2018 Annexure-V
Copy of last PCI approval letter (if applicable)
Not applicable
Copy of last affiliation letter of HSBTE
Letter No.139 15-05-2017 Annexure-VI
Copy of NOC of State Government
SBTE/926/Acd 20-07-2000 Annexure-VII
PART-D: ORGANIZATION, GOVERNANCE AND ADMINISTRATION 1. Constitution of BOG with detailed qualification, experience of all the members
NOTE: 1. Provide the details of all the members as per Annexure –A
2. At least two meetings shall be held in a year
Is BOG constituted as per AICTE/ PCI / HSBTE Norms. Yes/No
NAME AND ADDRESS OF THE MEMBERS OF THE GOVERNING BODY AS PER THE COMPOSITION PRESCRIBED BY AICTE
S.No Name Position Qualification
Present Professional
position / Occupation
Telephone Numbers E-mail Address
01. Sh. Sahib Ram Godara Chairman Graduate Social Worker 01666
241895 --
VPO Jandwala Bishnoi Tehsil Dabwali Distt.
Sirsa
02. Sh. Som Parkash
Member Secretary LLB, MBA Advocate 9416617815 somparkashbishn
146 Anirudh House E Block
Sirsa
03. Sh. Ashwani Kumar Members Matric Social worker -- -- Seetoguno Tehsil
Abohar Distt.
4
Signature of the Principal/ Head of the Institution
Fazilka
04. Sh. Vijay Pal Saharan Members Post Graduate Industrialist -- --
Ekta Nagar, Dabwali Distt.
Sirsa
05. Dr. Gyan Parkash Members M.V. Science Educationist -- --
Sirsa Road Dabwali Distt.
Sirsa
06. Mr. Ajay Monga Members LLB Lawyer -- -- Near Balmiki
Chowk, Sirsa
07. Sh. Vijay Pediwal Members Post Graduate Industrialist -- --
Pediwal Trading Co. Main Bazar
Abohar
08. Sh. Sahi Ram Dharania Members LLB, Graduate Ex-MLA -- --
VPO Sakta Khera Tehsil Dabwali
Distt. Sirsa Whether Anti-ragging committee (As per All India Council for Technical Education notified regulation for prevention and prohibition of ragging in AICTE approved technical Institutions vide No. 37-3/Legal/AICTE/2009 dated 01.07.2009) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
Whether Grievance Redressal Committee in the Institute. (As per All India Council for Technical Education (Establishment of Mechanism for Grievance Redressal) Regulations, 2012, F. No. 37-3/Lega112012, dated 25.05.2012) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
Whether Internal Complaint Committee (ICC) (As per section 4 of Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
Whether Committee for SC/ST (As per the Scheduled Castes and the Scheduled Tribes (prevention of Atrocities) act, 1989, No. 33 of 1989, dated 11.09.1989) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
PART- E: STAFF STATUS & REQUIREMENT
Norms for Faculty requirements and Recommended Cadre Ratio for Diploma Level Technical Institution (for Diploma Engineering / Pharmacy Courses as per AICTE APH 2018-19) Faculty :
Student based on Approved Intake*
Principal/ Director
Head of the Department
Lecturer Total
A B C D=A+B+C Engineering and Technology/ Architecture/ Planning/ Applied Arts and Crafts, HMCT
1:25 1 1per Department
(S/ 25) – (A+B)
S/25
*Of which, a minimum of 80 % should be Regular/ full time faculty and the remaining shall be Adjunct Faculty/ Resource persons from industry as per Annexure 10.
5
Signature of the Principal/ Head of the Institution
S = Sum of number of students as per “Approved Intake” at all years The faculty details for all the 03 years for the various diploma courses being offered by the institute be elaborated course wise as per the AICTE APH 2018-19 (tabulated above) in the table given below: NAME OF THE PRINCIPAL: Prof. (Dr.) Jitender Singh
Stamp Size Photo
Date
of B
irth
& A
ge
Qua
lific
atio
n w
ith
Clas
s obt
aine
d st
artin
g fr
om th
e hi
ghes
t Deg
ree
Corr
espo
ndin
g Sp
ecia
lizat
ion
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Signature
01-0
5-19
74
Ph.D Pharmaceutical Sciences
22-0
1-20
00
1640
0-45
0-20
900
4740
0 (in
cludi
ng G
P 10
000)
5957
6
M.Pharm, B.Pharm,
Pharmaceutical Chemistry
DCA Computer Science
AIC
PRINCIPAL - EXPERIENCE
Teaching Industry
Institution Position Years Institution Position Years
LSCP Sirsa Lecturer 7 years 5 months 11 days -- -- --
LSCP Sirsa Asst.Professor (Reader)
1 year 9 months 4 days -- -- --
LSCP Sirsa Professor 9 years -- -- --
TEACHING FACULTY - QUALIFICATION
Name of the Faculty Member with Stamp Size
Photo Desig
natio
n
Depa
rtm
ent
Qua
lific
atio
n w
ith
Clas
s obt
aine
d st
artin
g fr
om th
e hi
ghes
t Deg
ree
Corr
espo
ndin
g Sp
ecia
lizat
ion
Date
of B
irth
& A
ge
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Signature
HOD
MLT
M.Sc Chemistry
06/0
4/1
975
02-0
4-20
09
1200
0-37
5-15
300
(unr
evis
ed
3740
0
5049
3
B.Sc --
6
Signature of the Principal/ Head of the Institution
Dr. Preeti
Ph.D --
Sudhanshu
Pandey
Asso
ciate
Pro
fess
or
MLT
M.Sc MLT
4/4/
1977
12/9
/200
0
1200
0-37
5-15
300
(unr
evise
d)
3422
0
4585
7
B.Sc MLT
PGDCP
Arti
Lect
urer
MLT
MA English
8/8/
1985
22/8
/200
6
-- --
2220
0
Graduation Art
PGDCA
Vishnu Sharma
Lect
urer
MLT
M.Sc Info. Tech.
16/7
/198
1
1/5/
2011
8000
-275
-13
500
--
2402
8
PGDCA Comp.Sci.
Graduation Art
Ms.Himani
Lect
urer
MLT
M.Sc Biochemistry 04
/08/
1986
25/9
/201
7
-----
-----
1800
0
B.Sc
Manoj
Lect
urer
MLT
M.Sc MLT
26/0
9/19
92
02/0
8/20
17
-----
-----
2000
0
B.Sc MLT
Sanjay
Lect
urer
MLT
M.Sc Clinical Research
7/3/
1987
18/2
/201
3
8000
-275
-135
00
1241
3
2574
8
B.Pharmacy
7
Signature of the Principal/ Head of the Institution
Diksha
Lect
urer
MLT B.Tech
Computer Science
30/0
4/19
82
02/0
5/20
14
-- --
1140
0
Parminder
Lect
urer
MLT B.SC MLT
03/0
2/19
94
18/0
1/20
16
----
----
1520
0
Smriti
Lect
urer
MLT M.Sc MLT
20/0
1/19
84
13/1
2/20
12
----
----
1560
0
BMLT
Rajesh
Lect
urer
MLT
B.Sc MLT 28
/12/
1991
01/0
8/20
16
------
-
------
-
1620
0
Rajesh Godara
Lect
urer
MLT
M.Sc CMB
28/0
5/19
84
09/0
1/20
17
------
------
1560
0 B.Sc MLT
Ramdhari
Lect
urer
MLT
M.Sc CMB
15/0
5/19
84
09/0
1/20
17
------
------
1520
0
B.Sc MLT
Lect
urer
MLT M.Sc CMB
03/0
4/19
89
09/0
1/20
17
------
------
1520
0
8
Signature of the Principal/ Head of the Institution
Krishan Kumar
B.Sc MLT
TEACHING FACULTY - EXPERIENCE
S.No Name of the faculty Member
Teaching Industry
Institution Position Years Institution Position Years
1 Dr. Preeti LSCP Sirsa HOD MLT 9 yrs -- -- --
2 Mr. Sudhanshu Pandey LSCP Sirsa Associate Professor
17.5 -- -- --
3 Ms. Arti LSCP Sirsa Lecturer 11 yrs -- -- --
4 Mr. Vishnu Sharma LSCP Sirsa Lecturer 14 y 3 m -- -- --
5 Ms. Himani LSCP Sirsa Lecturer 6 m -- -- --
6 Mr. Manoj LSCP Sirsa Lecturer 2 y 11m
7 Mr. Sanjay LSCP Sirsa Lecturer 4 yr -- -- --
8 Ms. Diksha LSCP Sirsa Lecturer 1 y10 m -- -- --
9 Mr. Parminder LSCP Sirsa Lecturer 1y3m -- -- --
10 Ms. Smriti LSCP Sirsa Lecturer 4 y 3m -- -- --
11 Mr. Rajesh LSCP Sirsa Lecturer 1 y 6 m -- -- --
12 Mr. Rajesh Godara LSCP Sirsa Lecturer 1 y 3 m -- -- --
13 Mr. Ramdhari LSCP Sirsa Lecturer 1 y 3 m -- -- --
14 Mr. Krishan Kumar LSCP Sirsa Lecturer 1 y 3 m -- -- --
LIBRARIAN
Name of the Faculty Member with Stamp Size
Photo
Desig
natio
n
Qua
lific
atio
n w
ith
Clas
s obt
aine
d st
artin
g fr
om th
e hi
ghes
t Deg
ree
Prev
ious
Ex
perie
nce
Date
of B
irth
& A
ge
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Signature
b r a ri aM.Lib 8 y rs 6 / 1 9 1 3 / -- -- 1 1 6
9
Signature of the Principal/ Head of the Institution
Rakesh Kumar B.Lib
Graduation
PGDCA
e. WORKSHOP AND TECHNICAL SUPPORTING STAFF
S. No Name of the Staff
Depa
rtm
ent
Labo
rato
ry
Desig
natio
n
Qua
lific
atio
n
Prev
ious
Ex
perie
nce
Date
of B
irth
&
Age
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Sign
atur
e
1 Mr. Sahil MLT
Lab.
Tech
Dipl
oma
Engg
01/1
1/1
992
01/1
0/2
017 -- --
7500
2 Mr. Charanjeet MLT
Lab.
At
t.
10+2
3/2/
1979
17/2
/201
0 -- --
5660
3 Mr. Dinesh Kumar MLT
Lab.
At
t.
10+2
1/7/
1984
16/9
/201
0 -- --
5300
4 Mr. Ajay MLT
Lab.
At
t.
10+2
10/1
/198
8
6/10
/201
0 -- --
5300
5 Mr. Amit Khanna MLT
Lab.
At
t.
10+2
24/3
/198
4
25/7
/201
3 -- --
7500
6 Mr. Manoj MLT
Lab.
Att
.
Dipl
oma
25/0
5/19
88
01/0
2/20
17
-- --
5500
7 Ms. Kunti M
LT
Lab.
Att
.
10+2
01/1
0/20
17
-- --
MINISTERIAL STAFF
10
Signature of the Principal/ Head of the Institution
S. No Name of the Staff
Plac
e of
Wor
k
Desig
natio
n
Qua
lific
atio
n
Prev
ious
Ex
perie
nce
Date
of B
irth
& A
ge
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Sign
atur
e
1 Mr. Monu
Colle
ge C
ampu
s
Swee
per
5th --
8/2/
1988
3/8/
2006
-- --
7500
2 Ms. Pooja
Colle
ge
Cam
pus
Swee
per
5th --
21/1
2/19
84
-- --
7500
3 Mr. Jagdish Maurya
Colle
ge
Cam
pus
Peon
12th
--
20/8
/198
8
1/6/
2015
-- --
7500
4 Mr.Vikram
Colle
ge
Cam
pus
Gard
ner
5th
--
3/3/
1977
-- --
5200
5 Mr. Amar Singh
Colle
ge
Driv
er
5th --
25/6
/197
5
19/9
/200
5
-- --
7500
6 Mr. Jagmal
Colle
ge
Cam
pus
Serv
ant
-- --
25/1
2/19
51
11/1
/199
9
-- --
5900
7 Ms. Meera
Colle
ge
Cam
pus
Peon
10th
--
12/0
3/19
81
1/1/
2015
-- --
5200
8 Ms. Parwati
Colle
ge
Cam
pus
Peon
10+2
--
23/4
/197
5
1/1/
2006
-- --
5780
9 Mr. Ram Avtar
Colle
ge
Cam
pus
Peon
8th --
14/3
/195
0
03/6
/200
7
-- --
7500
11
Signature of the Principal/ Head of the Institution
PART F: INFRASTRUCTURAL FACILITIES
Norms for Land requirement and built-up area for Diploma Level Technical Institution (for Diploma Courses as per AICTE APH 2018-19)
PHYSICAL INFRASTRUCTURE - COMPLETE DETAILS OF BUILT-UP AREA
S. No Built-up (Carpet) Area
FIRST YEAR , SECOND YEAR & THIRD YEAR
Type of Structure [RCC/ACC]
Required Area [sq.m] as per
AICTE
Available Area [sq.m]
Shortfall, if any
(a) Instructional area [INA] RCC 1309 2245.5 -------
(b) Administrative area [ADA] RCC 435 565 -------
(c) Amenities area [AMA] RCC 470 500 -------
(d) Circulation area [CIA] RCC 562.5 828 -------
[CIA = 0.25 x (INA+ADA+AMA)] TOTAL AREA : 2776.5 4138.5
ADMINISTRATIVE AREA REQUIREMENT FOR DIPLOMA COURSES
Particulars Number of rooms required
Minimum Carpet Area required
Carpet Area available
Shortfall w.r.t. Number of Room
& Carpet Area Principal / Director room 01 30 sqm 30 sqm Board room 01 20 sqm 20 sqm Office all inclusive 01
Campus having one program
150 sqm 160 sqm
Campus having more than one
program
300 sqm
Department offices 01/Deptt. 20 sqm 60 sqm Cabins for HOD’s 01 10 sqm 10 sqm Faculty rooms - 30 sqm (subject to
minimum 5 sqm for each faculty member)
145 sqm
Central stores 01 30 sqm 30 sqm Maintenance Room 01 10 sqm 10 sqm Security Room 01 10 sqm 10 sqm Housekeeping Room 01 10 sqm 10 sqm Pantry for staff (Desirable) 01 10 sqm 10 sqm Examination control office (Confidential Room)
01 40 sqm 30 sqm
Placement office 01 50 sqm 30 sqm
IMPORTANT INFRASTRUCTURE REQUIREMENT FOR DIPLOMA COURSES
Particulars Number of rooms required
Minimum Carpet Area required
Carpet Area available
Shortfall w.r.t. Number of
Rooms & Carpet Area
12
Signature of the Principal/ Head of the Institution
Computer Centre 01 100 sqm 120 sqm
Library and Reading Room
01 300 sqm 300+100 sqm
Seminar Hall 01 132 sqm 240 sqm
INFRASTRUCTURE REQUIREMENT FOR DIPLOMA COURSES IN ENGG.
Particulars Number of rooms required
Number of rooms available
Minimum Carpet Area required
Carpet Area available
Shortfall w.r.t. Number of Rooms &
Carpet Area I II III IV V
Lecture Rooms Number of divisions of
engg. course X duration of
course
04 66 sqm each room
75+70+90+ 100=335
----
Tutorial Rooms Lecture rooms / 04
02 33 sqm each room
60+35 -----
Total no. of Labs for (Diploma Engg. Courses Laboratories for the 1st year includes Physics and Chemistry Laboratory each of 66 sqm are required)
05 / course 05 66 sqm each lab 66+112.5+ 112.5+66+66 =423
----
Workshop for all courses 01 -- 200 sqm -- Not Required Additional Workshop (for category “X” courses) Category X of Courses: Mechanical, Production, Civil, Electrical, Chemical, Textile, Marine, Aeronautical and allied Courses of each.
02 / course (Maximum 04)
-- 200 sqm -- Not Required
Drawing Hall 01 -- 132 sqm -- Not required
BASIC AMENITIES FOR DIPLOMA COURSES
Toilets (Ladies & Gents) 01 150 sqm (Campus having one
program)
150 sqm
350 sqm (Campus having more
than one program)
Toilets for Divyang 01 --- 15 sqm Girls Common Room 01 75 sqm 75 sqm Boys Common Room 01 75 sqm 100 sqm Canteen/cafeteria (Desirable) 01 150 sqm 155 sqm First aid-cum-sick room 01 10 sqm 10 sqm Drinking water facility (water cooler) essential
Adequate nos. (with attached water purifiers)
-- adequate
Principal’s Quarters Desired 150 sqm --
Guest House Desired 30 sqm --
Sports Club / Gymnasium / Playground Desired 200 sqm --
13
Signature of the Principal/ Head of the Institution
Auditorium / Amphi Theater Desired 400 sqm --
Boys Hostel Desired Adequate --
Girls Hostel Desired Adequate Adequate
COMPUTERS, SOFTWARE, INTERNET AND PRINTERS
Program Number of PCs/ Laptops to students ratio (Min 20 PCs)
Legal System Software
Legal Application n Software
LAN and Internet
Mail Server and Client
Printers including Color Printer (% of total number of PCs/ Laptops)
Engineering/ Technology
1:6 03 20 All Desired 5%
40 02 MS-OFFICE 2007, MS-Office 2003, Adobe Page Maker, Corel Craw, PDF Creater, Adobe Acrobat, Adobe Photoshop, Time Attendance Software, VLC, Norton GHOST, Antivirus etc.
All NA 2
HMCT 1:6 01 10 All Desired 5%
NOTE: 1. At least 4Mbps Wi-Fi connectivity at 4 or 5 hotspots shall be made available. 2. Library, Administrative offices and Faculty members shall be provided with exclusive computing facilities along with
LAN and Internet. This shall be considered as over and above the requirement meant for PCs to student’s ratio. 3. Every department shall have separate computer Laboratory with at least 20 computers. A centralized computer
Laboratory with at least 100 computers.
BOOKS, JOURNALS AND LIBRARY FACILITIES
Program Total number of Divisions
Titles Volumes National Journals
Reading Room seating
Multimedia PCs for Digital Library/ internet Surfing located in reading room
Number Percentage of total students
Engineering and Technology
2 -- -- -- 15 % (Max 150) = 36 1 % (Max 10)= 2 885 13060
14
Signature of the Principal/ Head of the Institution
NOTE: 1. B=Number of divisions at 1st year (Shift 1+2) + Number of 2nd year direct divisions (Shift 1+2) 2. #Book titles and volumes required at the time of starting new Institution. 3. Total numbers of titles and volumes shall be increased in continuation till 15 years, which shall be the minimum stock
of books. However, Institutions shall have to add annual increment of books as specified in Approval Process Handbook 2018-19.
4. *Annual increment. 5. Digital Library facility with multimedia facility is essential. Yes, available 6. Reprographic facility in the library is essential. Yes, available 7. Document scanning facility in the library is essential. Yes, available 8. Library books/ non books classification as per standard classification methods is essential. Yes, available 9. Availability of NPTEL facility at the library is essential, N.A.
ESSENTIAL AND DESIRABLE REQUIREMENTS AS PER AICTE APH 2018-19
Sr. No
Description Availability [YES / NO]
Details to be provided. [Number, if so required]
Essential Requirements
1. Standalone Language Laboratory Not Required
2. Potable Water supply and outlets for drinking water at strategic locations Yes
3. Electric supply Yes
4. Sewage Disposal Yes
5. Telephone and Fax Yes
6. Vehicle parking Yes
7. Display of information submitted to AICTE (including the accreditation status and Board of Governors) along with mandatory disclosures in the Web site of the Institution.
Yes
8. Copies of AICTE approvals (LoA and EoA of subsequent years) obtained since inception of the Institution till date shall be placed in the web site of the Institution
Yes
9. Digital payment for all financial transactions as per MHRD directives No
10. Provision to watch MOOCS courses through Swayam Yes
11. Display board within the premises as well as in the web site of the of Institution indicating the Chairman / President of the Trust of the institute, faculty available, facilities offered / available at the institute and feedback facility of students
Yes
12. Implementation of Unnat Bharat Abhiyan Yes
13. Barrier Free Built Environment for disabled and elderly persons including availability of specially designed toilets for ladies and gents separately (as per Chapter V of Approval Process Handbook 2018-19).
Yes
14. Safety and Security measures in the Campus (as per Chapter V of Approval Process Handbook 2018-19 and Safety Guidelines issued by Department of Technical Education, Haryana)
Yes
15
Signature of the Principal/ Head of the Institution
15. Safety provisions including fire and other calamities (Refer Annexures 8 and 9 of Approval Process Handbook 2018-19)
Yes
16. Implementing Food Safety and Standards Act, 2006 in the Institution Yes
17. General Insurance provided for assets against fire, burglary and other calamities
Yes
18. All weather approach road suitable for use by Motor vehicle- Motorized Road Yes
19. General Notice Board and Departmental Notice Boards Yes
20. First aid, Medical and Counseling Facilities Yes
21. Appointment of Student Counselor Yes
22. Group Insurance to be provided for the employees Yes
23. Insurance for students Yes
24. Institution-Industry Cell Yes
25. Placement Cell Yes
26. Applied for membership of National Digital Library Yes
27. Strong Room [Storing QPs & ASs] Yes
28. Security arrangement [Day / Night] Yes
29. Sufficient halls for Examination Yes
Desirable Requirements
30. Implementation of the schemes announced by MHRD No
31. Offering of Skill development Courses approved by the Council No
32. Participation in the National Institutional Ranking Framework (NIRF) No
33. Fabrication facility Laboratory (FABLAB)/ Tinkering Laboratory/ Innovation Laboratory
No
34. Backup Electric Supply Yes
35. Availability of at least ONE Smart Classroom per Department Yes
36. Rain Water Harvesting and installation of grid connected solar rooftops/ Power Systems
No
37. Waste management and environment improvement measures to ensure a sustainable Green Campus
No
38. Public announcement system at strategic locations for general announcements/ paging and announcements in emergency.
Yes
39. Enterprise Resource Planning (ERP) Software for Student-Institution-Parent interaction
No
40. Transport Yes
16
Signature of the Principal/ Head of the Institution
41. Post, Banking Facility/ ATM No
42. CCTV Security System Yes
43. LCD (or similar) projectors in classrooms No
44. Staff Quarters No
45. Display of Courses and “Approved Intake” in the Institution at the entrance of the Institution. Courses taken through duly recognized MOOCs shall be used as Supplementary Courses.
Yes
46. Implementation of Unnat Bharat Abhiyan/ Saansad Adarsh Gram Yojana (SAGY)
Yes (only Unnat Bharat Abhiyan)
47. Implementation of Startup Policy No
48. Intellectual Property Right Cell No
49. Availability of quality sanitary napkins through sanitary napkin vending machines and ensuring safe and environment friendly disposal of used sanitary napkin through sanitary napkin incinerator
No
PART G – DETAILS OF MACHINERY/ EQUIPMENT
MACHINERY/EQUIPMENTS
1. Whether Machinery/Equipments for all the Laboratories / Workshops as per the syllabus prescribed by HSBTE available?
YES / NO
2. Whether all the existing Machinery/Equipments are entered in Stock Register? YES / NO
3. Whether all the existing Machinery/Equipments are in working condition or not ?
YES / NO
4. If not, list out the Machinery/Equipments that are not in working condition (list to be enclosed)
5. Whether any Machinery/Equipments are likely to be purchased in respect of the Courses for which extension of approval is applied
YES / NO
6. If YES, list out the Machinery/Equipments (list to be enclosed)
NOTE: Course wise list of equipments and its adequacy as per the syllabus prescribed by HSBTE [for a batch of 30 students] be annexed for all the diploma courses being offered by the institute
17
Signature of the Principal/ Head of the Institution
PART H – FINANCIAL & PHYSICAL RESOURCES
Budgeted Expenditure for the year 2017-18
Expenditure Heads
Budget (In lakhs)
Actual Expenditure
Shortfall if any
I. Academic Buildings: - Construction - Maintenance Expenses
119374
II. Laboratories/Computing Centre - New Equipment - Furniture - Operation & Maintenance
III. Salary - Salary of Teaching Staff - Salary of Non-Teaching Staff
8933297 2617601
IV. Faculty/Staff Development (Seminars/Workshops/Incentive Schemes/Training/Higher Studies)
V. Library - Books - Journals ,e-journals - E-library
27818 26970
VI. Services - Administration/Transport/Hostels/Canteen/Security/Water/Electricity/P&T: - Hostel Maintenance - Landscaping - Internet facility
22832
VII. Students Activities - Extracurricular/Co-curricular/
Sports/Cultural /extra classes
VIII. Medical Expenses -Full time or otherwise
IX. Any Other, please specify
6152852
Latest Balance Sheet of the Society certified from CA is to be attached.
PART I – STUDENT RELATED INFORMATION
Academic Performance of Last three Years (Attach Annexure if required)
S. No.
Course Year Sanctioned intake
No. of students admitted
Number of students Appeared in Board Exams
Students Passed
Passed with 1st Division
Pass Percentage
A
Number (B) (B/A)*100
1.
DMLT-2015
1st year 120 120 91 15 12 16.48 2nd year 124 124 106 21 11 19.81 3rd year 120 91 89 89 89 97.80
DMLT- 1st year 120 120 93 20 18 21.50
18
Signature of the Principal/ Head of the Institution
2. 2016 2nd year 120 102 100 46 33 46.00 3rd year 120 98 98 98 98 100.00
3.
DMLT-2017
1st year 120 89 79 16 14 20.00 2nd year 120 118 109 47 21 43.11 3rd year 120 99 98 97 95 98.97
Up keep of Attendance Record of Students
S. No. Course / with year/ Semester
Hours of teaching from
start of session
Total students on roll
Number of students Remarks
Above 75%
Above 70%
Above 65%
Above 60%
1. DMLT-1st sem 73 40 15 4 - 14
2. DMLT-3rd sem 119 59 45 5 - 10
3. DMLT-5th sem Professional Practical Training
Details:
i. Merit position/toppers branch wise in the HSBTE Exams, if any.
TOPPERS OF DMLT-2nd sem (May/June2017)
S.N. Name Fathers Name Marks Obtained Total Marks %age Position
1 Ajay Kumar Rashpal Singh 1943 2450 79.31 First
2 Nitin Jagdish 1923 2450 78.49 Second
3 Amit Malkit Singh 1884 2450 76.90 Third
TOPPERS OF DMLT-4th sem (May/June 2017)
S.N. Name Fathers Name Marks Obtained Total Marks %age Position
1 Seema Jaswant Singh 1943 2425 80.12 First
2 Amandeep Hari Singh 1885 2425 77.73 Second
3 Rekha Rani Om Parkash 1863 2425 76.82 Third
ii. Awards awarded by the Polytechnic to the academic toppers of the Polytechnic. NA
iii. Steps taken for improving the academic results. Time-to-Time class tests are conducted by the teachers and by providing extra classes for the weaker students.
iv. Conduct of extra classes for weak/ needy students (Please attach copy of time table also). One zero period in the morning before the start of the regular time table
v. Total no. of working days observed in Year (Please attach copy of time table also). 90 working days
vi. Whether Alumni association is formed or not. Yes
vii. Efforts made for quality teaching/ improving pedagogy/ personality development & improvement in Communication Skill of students. Yes
viii. Steps taken for improving academic ambiance of the Polytechnic like land scaping, horticulture, tree plantation etc.
19
Signature of the Principal/ Head of the Institution
N/A ix. Utilization of student fund for student welfare activities.
Yes x. Teaching-Learning process:
a. Whether Academic Calendar implemented? (Yes / No) b. Whether Teaching Aids used? (Yes / No) c. Whether Student Feedback implemented? (Yes / No) d. Any new innovation/ practice / technique adopted in teaching? (Yes / No) e. Whether Teacher’s Diary maintained? (Yes / No)
Industry Institution Interaction & Placements
(a) Mention the following details if any. i. Details of industrial tours/visits/ seminar etc. organized in the previous academic session ii. Consultancy iii. Industrial Project Work iv. Seminars/Conferences/Lectures with industry partnership
(b) Student’s Placement:
i. Whether training and placement cell has been established? Yes/No ii. Name of the Training and Placement Officer Ms. Diksha iii. Qualification and Experience of Training and Placement Officer: B.Tech iv. Number of companies which visited the Institute during the last three years for campus interviews (Please supply the
list of companies) & efforts made for improving Industrial Institution Interaction. v. Number of extension lectures delivered by outside experts during the last three years vi. Number of students placed during the last 3 years:
No. of Eligible Students No. of Students Placed Percentage 55 50 90.90 89 35 39.32 98 25 25.51
Extra Curricular Activities
Brief account of the activities/ achievements of the Institute during the previous year:
i. Games and sports Every year the institute organized sports and culture week during the Pharmacy Week celebrations in the month of November. During this period various games like Cricket, badminton, volley ball, slow cycling, tug of war etc. are organized
ii. Debates/ Paper presentation / Quiz Competitions etc. Debates, Poster competition and quiz competitions is organized every year and our students also participate in these events at various university level competitions.
iii. Cultural activities Cultural activities are performed in the institute time to time.
iv. NCC/NSS Institute has one NSS unit comprising of 100 NSS volunteers.
v. Students help desk Institute has student help desk
vi. Any other vii. Institute has well maintained Animal House
PART J – FACULTY DEVELOPMENT INITIVATIES i. Number of faculty sponsored by the institute since its inception to till date for improvement of academic qualification
teaching skills etc. 07 ii. Number of faculty sponsored to attend training conference and other professional meeting within and outside the
country and the total amount spent for this purpose by the Institute/ Trust/ Society. 15 (80000)
20
Signature of the Principal/ Head of the Institution
iii. Number of faculty sponsored for industrial training. NIL iv. Does the institute possess any faculty development plan, if so give the details. v. We have applied to AICTE for Staff Development Programme under SDP scheme.
PART K – OTHERS 1. Please state whether the applicant is running and / or managing any other technical / professional institution which is
approved in the premises on sharing basis. If so, please give the name of the programs / courses being conducted. No
2. Whether the applicant has any Court Case in respect of violation of provisions of State Govt. / UGC or that of any other statutory body including AICTE / NCHMCT / PCI. No
3. Has the institute ever been served show cause notice by the Board for indulging in malpractices in conduct of Board examination? If Yes, Please mention the details and its present status. No
4. Has the institute ever been served show cause notice by the DTE / AICTE / PCI / NCHMCT / HSBTE for indulging in malpractices / violation of rules, etc? If Yes, Please mention the details and its present status. No
5. Please submit status of compliance in respect of various conditions / guidelines as per latest AICTE approval Letter. No shortcomings have been pointed in the AICTE approval letter issued by AICTE for the academic session 2018-19
6. Please submit status of compliance in respect of Grievance Redressal Committee for students as notified by AICTE. Yes, institute has a Grievance Redressal Committee for students as per the norms of AICTE.
7. Please submit status of compliance in respect of various conditions / guidelines as per latest DTE / State Govt. NOC. No shortcomings has been pointed by the DTE/State Govt. for the extension of approval (2017-2018)
8. Whether any deficiencies were reported by the AICTE during last two years? If Yes, Please submit the compliance of these deficiencies. No
9. Whether any deficiencies were reported by the DTE / HSBTE during last two years? If Yes, Please submit the compliance of these deficiencies. No
10. Please describe briefly future plans for improvements in infrastructure / expansion in academic and other activities to fully meet the norms and standards.
11. It is planned to improve laboratories infrastructure.
Name and Signature of the Principal / Director of the Institution.
Counter signed by: (Chairman / President of the Society / Trust / Board) (Two Members on Society/Trust/Board)
21
Signature of the Principal/ Head of the Institution
Proforma for Affiliation to Haryana State Board of Technical Education Bays 7-12, Sector-4, Panchkula-134112
1. To be filled by Polytechnic Institutions offering diploma pharmacy course seeking extension of affiliation for 2018-19. 2. Please provide the actual information, if any information found false/incorrect may lead to disaffiliation of the
Institute from HSBTE
INSTITUTE CODE: 023
PART A – GENERAL INFORMATION
Society / Trust / Company (U/S 25) Name & Address of the Society / Trust / Company (U/S 25 of Companies Act, 1956):
Lord Shiva Charitable Trust
Complete Postal address:
Near Civil Hospital, Sirsa
Society / Trust / Company Registration Number Trust Date of Registration
22-04-1983, Sirsa
Place of Registration
Sirsa
Name of the Chairman / President of the Society / Trust / Company
Ch. Sahib Ram Godara, Chairman
STD code & Telephone No. (LL) Mobile No.
01666-241895
Fax No.
01666-242695
Institution Name of the Institution run by the Trust / Society / Company:
Lord Shiva College of Pharmacy
Complete Postal address:
Near Civil Hospital, Sirsa
STD code & Telephone No. (LL) Mobile No.
01666-240057
Fax No.
01666-242695
E-mail [email protected] Type of the Institute (Write the appropriate one) Private Year of starting of the Institute
1983
Name of the Principal of the Institute
Prof. (Dr.) Jitender Singh
Qualifications
M.Pharm, Ph.D
Date of Joining of the Institute
22-01-2000
Contact Nos. (LL alongwith STD Code / Mobile No. ) 9812037434 E-mail
22
Signature of the Principal/ Head of the Institution
PART B – DETAILS OF THE LAND
(Attach copy of all the land documents / NOC’s)
Classification of the Permanent Site (Please tick the applicable one & attach documents issued by the competent authority)
Mega / Metro Urban Non-Urban
Town and Country Planning Dept.
Municipal Council
State Revenue Authority
Land (Area in acres) 7.78
Ownership of Land Government Trust Society
(Please tick the applicable one) Govt. Leased Owned Company (U/S 25)
Resolution of Society for use of ear marked Land for establishment of Polytechnic Institute is running since 1983
No encumbrances certificate (contiguous-in single patch) --
Change of Land Use Certificate (CLU) (Please tick the competent issuing authority & attach documents)
Town and Country Planning Dept.
Development Authority
Municipal Authority (Annexure-I)
Revenue Authority
Khasra Plan / Master Plan (Please tick the competent issuing authority & attach documents)
Town and Country Planning Dept.
Development Authority
Revenue Authority (Annexure-II)
Site Plan (Please tick the competent issuing authority & attach documents)
Town and Country Planning Dept.
Development Authority
Revenue Authority
Municipal Authority (Annexure-III)
Building Plan (Please tick the competent issuing authority & attach documents)
Total built-up area
Development Authority
Revenue Authority
Municipal Authority(Annexure-IV)
Occupancy certificate (Please tick the competent issuing authority & attach documents)
Rural area: Tehsildar
Urban area: Municipal Corporation / Municipal Committee(Annexure-IV) / HUDA
Structural stability certificate issued by Registered Structural Engineer (applicable in case where occupancy certificate is more than 30 years old)
Yes / No
Access to the site (National Highway/ State Highway/ Village Road/ Kacha Road and Permission from competent authority to use
Situated on the bye pass road leading to Civil Hospital Sirsa
23
Signature of the Principal/ Head of the Institution
NOC from Local Fire Service Authorities (to ensure fire and life safety measures) Yes / No
Whether Earth leakage circuit breaker (ELCB) provided? Yes / No
Whether Ramp provided for Divyang for easy access to and evacuation from the building? Yes / No
Whether any High tension electric line pass across the premises? Yes / No
PART C– APPROVAL STATUS OF THE INSTITUTE
(for the previous session; attach copy of all the approval/affiliation letters)
Approving authority
Letter Number Date Annexures
Copy of last AICTE approval letter
North-West/1-3513071592/2018/EOA
10-Apr-2018 Annexure-V
Copy of last PCI approval letter (if applicable)
Item No.392 17-224/2014-PCI
10th and 11th June 2016 Annexure-VI
Copy of last affiliation letter of HSBTE
Letter No.139 15-05-2017 Annexure-VII
Copy of NOC of State Government
Approved from 1983-1984 (Letter not available)
-- --
PART D – ORGANIZATION, GOVERNANCE AND ADMINISTRATION 2. Constitution of BOG with detailed qualification, experience of all the members
NOTE: 1. Provide the details of all the members as per Annexure –A 2. At least two meetings shall be held in a year
Is BOG constituted as per AICTE/ PCI / HSBTE Norms. Yes/No
NAME AND ADDRESS OF THE MEMBERS OF THE GOVERNING BODY AS PER THE COMPOSITION PRESCRIBED BY AICTE
S.No Name Position Qualification
Present Professional
position / Occupation
Telephone Numbers E-mail Address
01. Sh. Sahib Ram Godara Chairman Graduate Social Worker 01666
241895 --
VPO Jandwala Bishnoi Tehsil Dabwali Distt.
Sirsa
02. Sh. Som Parkash
Member Secretary LLB, MBA Advocate 9416617815 somparkashbishn
146 Anirudh House E Block
Sirsa
03. Sh. Ashwani Kumar Members Matric Social worker -- --
Seetoguno Tehsil Abohar Distt.
Fazilka
04. Sh. Vijay Pal Saharan Members Post Graduate Industrialist -- --
Ekta Nagar, Dabwali Distt.
Sirsa
24
Signature of the Principal/ Head of the Institution
05. Dr. Gyan Parkash Members M.V. Science Educationist -- --
Sirsa Road Dabwali Distt.
Sirsa
06. Mr. Ajay Monga Members LLB Lawyer -- -- Near Balmiki
Chowk, Sirsa
07. Sh. Vijay Pediwal Members Post Graduate Industrialist -- --
Pediwal Trading Co. Main Bazar
Abohar
08. Sh. Sahi Ram Dharania Members LLB, Graduate Ex-MLA -- --
VPO Sakta Khera Tehsil Dabwali
Distt. Sirsa
Whether Anti-ragging committee (As per All India Council for Technical Education notified regulation for prevention and prohibition of ragging in AICTE approved technical Institutions vide No. 37-3/Legal/AICTE/2009 dated 01.07.2009) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
Whether Grievance Redressal Committee in the Institute. (As per All India Council for Technical Education (Establishment of Mechanism for Grievance Redressal) Regulations, 2012, F. No. 37-3/Lega112012, dated 25.05.2012) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
Whether Internal Complaint Committee (ICC) (As per section 4 of Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
Whether Committee for SC/ST (As per the Scheduled Castes and the Scheduled Tribes (prevention of Atrocities) act, 1989, No. 33 of 1989, dated 11.09.1989) constituted, displayed in the campus of the institute and hoisted on the website of institute?
(Yes / No)
PART E– STAFF STATUS
NAME OF THE PRINCIPAL: Dr. Jitender Singh
Stamp Size Photo
Date
of B
irth
& A
ge
Qua
lific
atio
n w
ith
Clas
s obt
aine
d st
artin
g fr
om th
e hi
ghes
t Deg
ree
Corr
espo
ndin
g Sp
ecia
lizat
ion
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Signature
- 05 - 19 Ph.D Pharmaceutical Sciences
- 01 - 20 0- 45 0- 20(in clu di ng
GP
76 94 9
25
Signature of the Principal/ Head of the Institution
M.Pharm, B.Pharm,
Pharmaceutical Chemistry
DCA Computer Science
AIC
PRINCIPAL - EXPERIENCE
Teaching Industry
Institution Position Years Institution Position Years
LSCP Sirsa Lecturer 7 years 5 months 11 days -- -- --
LSCP Sirsa Asst.Professor (Reader)
1 year 9 months 4 days -- -- --
LSCP Sirsa Professor 9 years -- -- --
Student Staff Ratio: 20:1 (Required ratio --- Theory → 60:1 and Prac cals → 20:1) If more than 20 students in a batch 2 staff members to be present Item Qualification
Required Qualification of the staff appointed
Total Required
Total Available
Shortfall Remarks
Teaching staff (for 60 students) HOD(s) M. Pharm. M.Pharm 01 01 -- -- Sr. Lecturer(s) M. Pharm. M.Pharm 01 01 -- -- Lecturer(s) M. Pharm. M.Pharm 04 04 -- -- TPO B. Tech. /
B. Pharm B.Pharm 01 01 -- --
Technical supporting staff Laboratory Technician D. Pharm D.Pharm 02 02 -- -- Laboratory Assistant/Attendant
SSLC/10+2 10+2 04 04 -- --
Library staff Librarian/ Asstt. Librarian B. Lib/D. Lib M.Lib 01 01 -- -- Library attendant 10+ 2 /SSLC B.Lib 01 01 -- -- Office staff Office Superintendent Graduation Graduate 01 01 -- -- Accountant/Assistant Graduation Graduate 01 01 -- -- Sr. Stenographer/ PA to Principal
Graduation Graduate 01 01 -- --
Clerk-cum- Computer Operator
10+2 with computer training
Three years Polytechnic Diploma
01 01 -- --
Other supporting staff Store Keeper D. Pharm D.Pharm 01 01 -- -- Driver Valid driving
License Valid driving License 01 01 -- --
26
Signature of the Principal/ Head of the Institution
Electrician Diploma/ITI -- 01 01 -- -- Gardeners --- --- 01 01 -- -- Watchman/ Chowkidar --- --- 02 02 -- -- Peons SSLC SSLC 02 02 -- -- Cleaning personnel --- --- 04 04 -- --
III. TEACHING FACULTY - QUALIFICATION
Name of the Faculty Member with Stamp Size
Photo Desig
natio
n
Depa
rtm
ent
Qua
lific
atio
n w
ith
Clas
s obt
aine
d st
artin
g fr
om th
e hi
ghes
t Deg
ree
Corr
espo
ndin
g Sp
ecia
lizat
ion
Date
of B
irth
& A
ge
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Signature
Jagtar Singh
HOD
Phar
mac
y
M.Pharm Biotech 20
/3/1
971
12/7
/199
5
1200
0-37
5-15
300
(unr
evise
d)
3740
0
5049
3 B.Pharm Pharmacy
M.Sc MLT
Gautam
Sr. L
ectu
rer
Phar
mac
y
M.Pharm Pceutics
26/1
0/19
81
2/8/
2010
8000
-275
-135
00
2484
0
3520
0 B.Pharm Pharmacy
PGDCA Comp.Sci.
Graduation Art
Gazzal Mehta
Lect
urer
Phar
mac
y M.Pharm Pceutics
28/1
0/19
86
1/10
/201
2
8000
-275
-13
500
--
2100
0
B.Pharm Pharmacy
Renu Malik
Lect
urer
Pharmacy
M.Pharm Pharmacology
21/1
2/19
88
05/0
1/20
16 -- --
1560
0
B.Pharm --
27
Signature of the Principal/ Head of the Institution
Pinki
Lect
urer
Pharm
acy
M.Pharm Pharmaceutics
14/0
3/19
92
22/0
9/20
17
----
----
1000
0
B.Pharm --
Shubham Sachdeva
Lect
urer
Pharmacy
M.Pharm Pharmaceutics
18/0
7/19
93
22/0
9/20
17
----
----
1510
0
B.Pharm
Ms. Angela
TPO
Pharmacy
B.Pharm Pharmacy 10
/11/
1994
01/1
2/20
16
-----
-----
1500
0
TECHNICAL SUPPORTING STAFF
S. No Name of the Staff
Depa
rtm
ent
Labo
rato
ry
Desig
natio
n
Qua
lific
atio
n
Prev
ious
Ex
perie
nce
Date
of B
irth
& A
ge
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Sign
atur
e
1 Mr. Harmeet Singh
Phar
mac
y
Lab.
Tec
h.
D.Ph
arm
2/10
/197
8
1/5/
2006
-- --
8000
2 Mr. Vinay
Phar
mac
y
Lab.
Tec
h
D.Ph
arm
5/7/
1985
22/0
2/20
10
-- --
8000
28
Signature of the Principal/ Head of the Institution
3 Mr. Bharat Kumar
Phar
mac
y
Lab.
Att
.
10+2
29/7
/198
6
16/1
1/20
13
-- --
7500
4 Mr. Raja Ram
Phar
mac
y
Lab.
Att
.
10th
10/3
/198
3
9/9/
2010
-- --
7500
5 Mr. Rajiv
Phar
mac
y
Lab.
Att
.
Mat
ric
30/1
1/19
86
29/7
/201
5
-- --
7500
6 Mr. Ajay
Phar
mac
y
Lab.
Att
.
10/0
1/19
88
6/10
/201
0
-- --
7500
MINISTERIAL STAFF
S. No Name of the Staff
Plac
e of
Wor
k
Desig
natio
n
Qua
lific
atio
n
Prev
ious
Ex
perie
nce
Date
of B
irth
& A
ge
Date
of J
oini
ng
Scal
e of
Pay
Pres
ent B
asic
Pay
Tota
l em
olum
ents
Sign
atur
e 1 Mr. Monu
Colle
ge C
ampu
s
Swee
per
5th --
8/2/
1988
3/8/
2006
-- --
7500
2 Ms. Pooja
Colle
ge
Cam
pus
Swee
per
5th --
21/1
2/19
84
-- --
7500
3 Mr. Jagdish Maurya
Colle
ge
Cam
pus
Peon
12th
--
20/8
/198
8
1/6/
2015
-- --
7500
29
Signature of the Principal/ Head of the Institution
4 Mr.Vikram
Colle
ge
Cam
pus
Gard
ner
5th
--
3/3/
1977
-- --
5200
5 Mr. Amar Singh
Colle
ge
Driv
er
5th --
25/6
/197
5
19/9
/200
5
-- --
7500
6 Mr. Jagmal
Colle
ge
Cam
pus
Serv
ant
-- --
25/1
2/19
51
11/1
/199
9
-- --
5900
7 Ms. Meera
Colle
ge
Cam
pus
Peon
10th
--
12/0
3/19
81
1/1/
2015
-- --
5200
8 Ms. Parwati
Colle
ge
Cam
pus
Peon
10+2
--
23/4
/197
5
1/1/
2006
-- --
5780
9 Mr. Ram Avtar
Colle
ge
Cam
pus
Peon
8th --
14/3
/195
0
03/6
/200
7
-- --
7500
PART F – INFRASTRUCTURAL FACILITIES
Particulars Number of rooms required
Minimum Carpet Area required
Carpet Area available
Shortfall
I II III IV V Lecture Room - 1 01 90 sqm 100 -- Lecture Room - 2 01 90 sqm 110 -- Total no. of Labs for Diploma Pharmacy Course Preparation Room for each lab (One room can be shared by two labs, if it is in between two labs)
05 60 Sqm x n (n=05) (each including a
preparation room of minimum 10 sqm)
75+75+75+ 75+112.5=412.5
---
i. Pharmaceutics Laboratory
01 60 sqm 75
ii. Pharmaceutical Chemistry Laboratory
01 60 sqm 75
iii. Physiology and Pharmacology Laboratory
01 60 sqm 75
iv. Pharmacy Practice Laboratory
01 60 sqm 75
v. Pharmacognosy Laboratory 01 60 sqm 112.5 Animal House 01 75 sq.mts/ Computer 01
30
Signature of the Principal/ Head of the Institution
Whether computer simulated software are available in lieu of animal house (Yes/No)
Simulated Software
Machine Room 01 100 sqm 120 Museum 01 30 sqm 50 Aseptic Room 01 25 sqm 25 Store Room – I 01 20 sqm 110 Store Room – II (For Inflammable chemicals)
01 20 sqm 25
Herbal Garden (Desirable) Adequate number of Medicinal plants
200
Library 01 150 sqm 300 Seminar Hall/ Multipurpose Hall (02 Multimedia projector be made available)
01 132 sqm 240
COMPUTERS, SOFTWARE, INTERNET AND PRINTERS
Program Number of PCs/ Laptops to students ratio (Min 20 PCs)
Legal System Software
Legal Application n Software
LAN and Internet
Mail Server and Client
Printers including Color Printer (% of total number of PCs/ Laptops)
Pharmacy (Computer Centre of minimum 75 sqm be made available)
1:8 01 10 All Desired 5%
15 01 MS-OFFICE 2007, MS-Office 2003, Adobe Page Maker, Corel Craw, PDF Creater, Adobe Acrobat, Adobe Photoshop, Time Attendance Software, VLC, Norton GHOST, Antivirus etc.
All NA 1
NOTE: 4. At least 4 Mbps Wi-Fi connectivity at 4 or 5 hotspots shall be made available. 5. Library, Administrative offices and Faculty members shall be provided with exclusive computing facilities along with
LAN and Internet. This shall be considered as over and above the requirement meant for PCs to student’s ratio. 6. Every department shall have separate computer Laboratory with at least 20 computers. A centralized computer
Laboratory with at least 100 computers. 7. Central Xeroxing facility for students shall be made available.
ADMINISTRATIVE AREA
Principal room 01 30 sqm 30 sqm Board room 01 20 sqm 20 sqm
31
Signature of the Principal/ Head of the Institution
Main office 01 Campus having one program
150 sqm 160 sqm
Campus having more than one
program
300 sqm
Cabins for HOD 01 10 sqm 10 sqm Faculty rooms - 30 sqm (subject to
minimum 5 sqm for each faculty member)
145 sqm (total 40x36 however in diff. size
Central stores 01 30 sqm 30 sqm Maintenance Room 01 10 sqm 15 sqm Security Room 01 10 sqm 15 sqm Housekeeping Room 01 10 sqm 10 sqm Pantry for staff (Desirable) 01 10 sqm 10 sqm Examination control office (Confidential Room)
01 40 sqm 40 sqm
Placement office 01 30 sqm 30 sqm
AMENITIES Toilets (Ladies & Gents) 01 150 sqm 150 sqm Toilets for physically challenged 01 --- 01 Girls Common Room 01 75 sqm 75 sqm Boys Common Room 01 75 sqm 100 sqm Canteen/cafeteria (Desirable) 01 150 sqm 155 sqm First aid-cum-sick room 01 10 sqm 10 sqm Drinking water facility (water cooler) essential
01 -- 02
Playground - Available/Not Available
Available
PART G – EQUIPMENT AND APPARATUS
Laboratory wise List of Minimum equipments required for D. Pharm PHARMACEUTICS
Sr. No.
Name Minimum required Nos.
Available Nos. Working Yes/No
Remarks
1. Continuous Hot Extraction Equipment 05 06 Yes 2. Conical Percolator 05 05 Yes 3. Tincture Press 01 02 Yes 4. Hand Grinding Mill 01 01 Yes 5. Disintegrator 01 01 Yes 6. Ball mill 01 02 Yes 7. Hand operated Tablet machine 01 02 Yes 8. Tablet Coating Pan unit with hot air blower
laboratory size 01 01 Yes
9. Polishing pan laboratory size 01 01 Yes 10. Monsanto’s hardness tester 01 01 Yes 11. Pfizer type hardness tester 01 02 Yes 12. Tablet disintegration test apparatus IP 01 01 Yes 13. Tablet dissolution test apparatus IP 01 02 Yes 14. Granulating sieve set 10 10 Yes 15. Tablet counter – small size 05 05 Yes 16. Friability tester 01 01 Yes 17. Collapsible tube – Filling and sealing 01 01 Yes
32
Signature of the Principal/ Head of the Institution
equipment 18. Capsule filling machine – Lab size 01 02 Yes 19. Digital balance 01 02 Yes 20. Distillation unit for distilled water 02 02 Yes 21. Deionisation unit 01 01 Yes 22. Glass distillation unit for water for injection 01 01 Yes 23. Ampoule washing machine 01 01 Yes 24. Ampoule filling and sealing machine 01 01 Yes 25. Sintered glass filters for bacterial proof
filtration(four different grades) Adequate Adequate Yes
26. Millipore filter (3 grades) Adequate Adequate Yes 27. Autoclave 01 01 Yes 28. Hot air sterilizer 01 01 Yes 29. Incubator 01 01 Yes 30. Aseptic cabinet 01 01 Yes 31. Ampoule clarity test equipment 01 01 Yes 32. Blender 01 01 Yes 33. Sieves set (Pharmacopoeial standard) 02 03 Yes 34. Lab Centrifuge 01 01 Yes 35. Ointment slab Adequate Adequate Yes 36. Ointment spatula Adequate Adequate Yes 37. Pestle and mortar porcelain Adequate Adequate Yes 38. Pestle and mortar glass Adequate Adequate Yes 39. Suppository moulds of three sizes Adequate Adequate Yes 40. Refrigerator 01 01 Yes
NOTE: Adequate numbers of glassware commonly used in the laboratory should be provided in each laboratory and the department. PHARMACEUTICAL CHEMISTRY Sr. No. Name Minimum required
Nos. Available Nos. Working Yes/No Remarks
1. Refractometer 01 01 Yes 2. Polarimeter 01 01 Yes 3. Photoelectric colorimeter 01 01 Yes 4. pH meter 01 01 Yes 5. Atomic model set 02 02 Yes 6. Electronic balance 01 01 Yes 7. Periodic table chart Adequate Adequate Yes
NOTE: Adequate numbers of glassware commonly used in the laboratory should be provided in each laboratory and the department. PHYSIOLOGY & PHARMACOLOGY LABORATORY Sr. No. Name Minimum
required Nos. Available Nos. Working Yes/No Remarks
1. Haemoglobinometer 20 20 Yes 2. Haemocytometer 10 10 Yes 3. Student’s organ bath 1 02 Yes 4. Sherington’s rotating drum 1 1 Yes 5. Frog board Adequate Adequate Yes 6. Tray (dissecting) Adequate Adequate Yes 7. Frontal writing lever Adequate Adequate Yes 8. Aeration tube Adequate Adequate Yes 9. Telethermometer 1 1 Yes
10. Pole climbing apparatus 1 1 Yes
33
Signature of the Principal/ Head of the Institution
11. Histamine chamber 1 1 Yes 12. Simple lever Adequate Adequate Yes 13. Staring heart lever Adequate Adequate Yes 14. Aerator Adequate Adequate Yes 15. Histological Slides Adequate Adequate Yes 16. Sphygmomanometer (B.P.
apparatus) 5 5 Yes
17. Stethoscope 5 5 Yes 18. First aid equipment Adequate Adequate Yes 19. Contraceptive device Adequate Adequate Yes 20. Dissecting (surgical)
instruments Adequate Adequate Yes
21. Balance for weighing small Animals 1 1
Yes
22. Kymograph paper Adequate Adequate Yes 23. Actophotometer 1 1 Yes 24. Analgesiometer 1 1 Yes 25. Thermometer Adequate Adequate Yes 26. Plastic animal cage Adequate Adequate Yes 27. Double unit organ bath with
thermostat 1 1 Yes
28. Refrigerator 1 1 Yes 29. Single pan balance 1 1 Yes 30. Charts Adequate Adequate Yes 31. Human skeleton 1 1 Yes 32. Anatomical specimen
(Heart, brain, eye, ear, reproductive system etc.,) 1 set 1 set
Yes
33. Electro-convulsiometer 1 1 Yes 34. Stop watch Adequate Adequate Yes 35. Clamp, boss heads, screw clips Adequate Adequate Yes 36. Syme’s Cannula Adequate Adequate Yes
NOTE: Adequate numbers of glassware commonly used in the laboratory should be provided in each laboratory and the department. PHARMCOGNOSY LABORATORY
Sr. No. Name Minimum required Nos.
Available Nos. Working Yes/No Remarks
1. Projection Microscope 01 01 Yes 2. Charts (different types) Adequate Adequate Yes 3. Models (different types) Adequate Adequate Yes 4. Permanent Slides Adequate Adequate Yes 5. Slides and Cover Slips Adequate Adequate Yes
NOTE: Adequate numbers of glassware commonly used in the laboratory should be provided in each laboratory and the department. PHARMACY PRACTICE LABORATORY
Sr. No.
Name Minimum required Nos.
Available Nos.
Working Yes/No
Remarks
1. Colorimeter 2 2 Yes 2. Microscope Adequate Adequate Yes 3. Permanent slides (skin, kidney, pancreas, smooth
muscle, liver etc.,) Adequate Adequate Yes
4. Watch glass Adequate Adequate Yes
34
Signature of the Principal/ Head of the Institution
5. Centrifuge 1 1 Yes 6. Biochemical reagents for analysis of normal and
pathological constituents in urine and blood facilities Adequate Adequate Yes
7. Filtration equipment 2 2 Yes 8. Filling Machine 1 1 Yes 9. Sealing Machine 1 1 Yes
10. Autoclave sterilizer 1 1 Yes 11. Membrane filter 1 Unit 1 Unit Yes 12. Sintered glass funnel with complete filtering assemble Adequate Adequate Yes 13. Small disposable membrane filter for IV admixture
filtration Adequate Adequate Yes
14. Laminar air flow bench 1 1 Yes 15. Vacuum pump 1 1 Yes 16. Oven 1 1 Yes 17. Surgical dressing Adequate Adequate Yes 18. Incubator 1 1 Yes 19. PH meter 1 1 Yes 20. Disintegration test apparatus 1 1 Yes 21. Hardness tester 1 1 Yes 22. Centrifuge 1 1 Yes 23. Magnetic stirrer 1 1 Yes 24. Thermostatic bath 1 1 Yes
NOTE: Adequate numbers of glassware commonly used in the laboratory should be provided in each laboratory and the department. MUSEUM Every Institution shall maintain a museum of crude drugs, herbarium sheets, botanical specimens of the drugs, and plants, mentioned in the course in addition the following are recommended. Sr. No. Requirement Prescribed by PCI
Available/Not Available Remarks
1. Colored slides of medicine plants. Available 2. Display of popular patent medicines, and Available 3. Containers of common usage in medicines. Available
Basic amenities to be provided in all the laboratories
Sr. No. Amenities required
Available/Not Available Remarks
1. All the Laboratories should be well lit & ventilated Available
2. All Laboratories should be provided with basic amenities and services like exhaust fans and fume chamber to reduce the pollution wherever necessary.
Available
3. The workbenches should be smooth and easily cleanable preferably made of non -absorbent material.
Available
4. The water taps should be non-leaking and directly installed on sinks. Drainage should be efficient.
Available
5. Balance room should be attached to the concerned laboratories.
Available
6. Fire extinguishers shall be provided inside and outside the laboratory.
Available
7. Flooring of the lab shall be non-skid and non-static. Available
35
Signature of the Principal/ Head of the Institution
8. Standard Operating Procedure (S.O.P.) for all the equipment and system must be prepared and properly displayed near the respective machine.
Available
9. All the electrically operated machinery should be properly earthed and bonded.
Available
PART H – LIBRARY BOOKS AND PERIODICALS
The minimum norms for the initial stock of books, yearly addition of the books and the number of journals to be subscribed are as given below:
Sr. No. Item Titles (No)
Minimum Volumes (No) Available Remarks Titles Numbers
1. Number of books 75 750 adequate coverage of a large number of standard text books and titles in all disciplines of pharmacy
94 2032
2. Annual addition of books
75 books per year -- 150
3. Periodicals Hard copies / online
06 National Journals Indian Journal of Pharmaceutical Sciences Indian Journal of Pharmaceutical Education and Research Journal of Hospital Pharmacy Indian Journal of Pharmacology CIMS/ MIMS Indian Journal of Experimental Biology
--
06 Nationals and Online E-Journals are available
4. Library Timings 9:00AM to 5:00PM and 6:00PM to 10:00PM
Subject wise Classification of Books: Sr. No. Subject Available Remarks
Titles Numbers 1. Pharmaceutics – I 8 225
2. Pharmaceutical Chemistry – I 8 200
3. Pharmacognosy 9 230
4. Biochemistry and Clinical Pathology 10 150
5. Human Anatomy and Physiology 10 254
6. Health Education and Community
Pharmacy 3 90
7. Pharmaceutics – II 5 135
8. Pharmaceutical Chemistry – II 5 95
9. Pharmacology and Toxicology 8 260
36
Signature of the Principal/ Head of the Institution
10. Pharmaceutical Jurisprudence 6 195
11. Drug Store and Business Management 10 110
12. Hospital and Clinical Pharmacy 7 88
ESSENTIAL AND DESIRABLE REQUIREMENTS AS PER AICTE APH 2018-19
Sr. No
Description Availability [YES / NO]
Details to be provided. [Number, if so required]
Essential Requirements
50. Standalone Language Laboratory Not Required
51. Potable Water supply and outlets for drinking water at strategic locations Yes
52. Electric supply Yes
53. Sewage Disposal Yes
54. Telephone and Fax Yes
55. Vehicle parking Yes
56. Display of information submitted to AICTE (including the accreditation status and Board of Governors) along with mandatory disclosures in the Web site of the Institution.
Yes
57. Copies of AICTE approvals (LoA and EoA of subsequent years) obtained since inception of the Institution till date shall be placed in the web site of the Institution
Yes
58. Digital payment for all financial transactions as per MHRD directives No
59. Provision to watch MOOCS courses through Swayam Yes
60. Display board within the premises as well as in the web site of the of Institution indicating the Chairman / President of the Trust of the institute, faculty available, facilities offered / available at the institute and feedback facility of students
Yes
61. Implementation of Unnat Bharat Abhiyan Yes
62. Barrier Free Built Environment for disabled and elderly persons including availability of specially designed toilets for ladies and gents separately (as per Chapter V of Approval Process Handbook 2018-19).
Yes
63. Safety and Security measures in the Campus (as per Chapter V of Approval Process Handbook 2018-19 and Safety Guidelines issued by Department of Technical Education, Haryana)
Yes
64. Safety provisions including fire and other calamities (Refer Annexures 8 and 9 of Approval Process Handbook 2018-19)
Yes
65. Implementing Food Safety and Standards Act, 2006 in the Institution Yes
37
Signature of the Principal/ Head of the Institution
66. General Insurance provided for assets against fire, burglary and other calamities
Yes
67. All weather approach road suitable for use by Motor vehicle- Motorized Road Yes
68. General Notice Board and Departmental Notice Boards Yes
69. First aid, Medical and Counseling Facilities Yes
70. Appointment of Student Counselor Yes
71. Group Insurance to be provided for the employees Yes
72. Insurance for students Yes
73. Institution-Industry Cell Yes
74. Placement Cell Yes
75. Applied for membership of National Digital Library Yes
76. Strong Room [Storing QPs & ASs] Yes
77. Security arrangement [Day / Night] Yes
78. Sufficient halls for Examination Yes
Desirable Requirements
79. Implementation of the schemes announced by MHRD No
80. Offering of Skill development Courses approved by the Council No
81. Participation in the National Institutional Ranking Framework (NIRF) No
82. Fabrication facility Laboratory (FABLAB)/ Tinkering Laboratory/ Innovation Laboratory
No
83. Backup Electric Supply Yes
84. Availability of at least ONE Smart Classroom per Department Yes
85. Rain Water Harvesting and installation of grid connected solar rooftops/ Power Systems
No
86. Waste management and environment improvement measures to ensure a sustainable Green Campus
No
87. Public announcement system at strategic locations for general announcements/ paging and announcements in emergency.
Yes
88. Enterprise Resource Planning (ERP) Software for Student-Institution-Parent interaction
No
89. Transport Yes
90. Post, Banking Facility/ ATM No
91. CCTV Security System Yes
38
Signature of the Principal/ Head of the Institution
92. LCD (or similar) projectors in classrooms No
93. Staff Quarters No
94. Display of Courses and “Approved Intake” in the Institution at the entrance of the Institution. Courses taken through duly recognized MOOCs shall be used as Supplementary Courses.
Yes
95. Implementation of Unnat Bharat Abhiyan/ Saansad Adarsh Gram Yojana (SAGY)
Yes (only Unnat Bharat Abhiyan)
96. Implementation of Startup Policy No
97. Intellectual Property Right Cell No
98. Availability of quality sanitary napkins through sanitary napkin vending machines and ensuring safe and environment friendly disposal of used sanitary napkin through sanitary napkin incinerator
No
PART I – FINANCIAL & PHYSICAL RESOURCES
Budgeted Expenditure for the year 2016-17
Expenditure Heads
Budget (In lakhs)
Actual Expenditure
Shortfall if any
I. Academic Buildings: - Construction - Maintenance Expenses
119374
II. Laboratories/Computing Centre - New Equipment - Furniture - Operation & Maintenance
III. Salary - Salary of Teaching Staff - Salary of Non-Teaching Staff
8933297 2617601
IV. Faculty/Staff Development (Seminars/Workshops/Incentive Schemes/Training/Higher Studies)
V. Library - Books - Journals ,e-journals - E-library
27818 26970
VI. Services - Administration/Transport/Hostels/Canteen/Security/Water/Electricity/P&T: - Hostel Maintenance - Landscaping - Internet facility
22832
VII. Students Activities - Extracurricular/Co-curricular/
Sports/Cultural /extra classes
VIII. Medical Expenses -Full time or otherwise
39
Signature of the Principal/ Head of the Institution
IX. Any Other, please specify
6152852
Latest Balance Sheet of the Society certified from CA is to be attached.
PART J – STUDENT RELATED INFORMATION
Academic Performance of Last three Years (Attach Annexure if required)
S. No.
Course Year Sanctioned intake
No. of students admitted
Number of students Appeared in Board Exams
Students Passed
Passed with 1st Division
Pass Percentage
A
Number (B) (B/A)*100
1.
2017-18 1st year 60 60 Exam held in May/June 2018
2nd year 60 58
2.
2016-17 1st year 60 60 59 46 38 77.96
2nd year 60 50 49 41 38 83.673
3. 2015-16 1st year 60 60 56 32 32 57.14
2nd year 60 60 49 27 22 65.31
Up keep of Attendance Record of Students
S. No. Course / with year/ Semester
Hours of teaching from start of session
Total students on
roll
Number of students Remarks
Above 75%
Above 70%
Above 65%
Above 60%
1. D.Pharm-1st 348 60 20 24 11 05
2. D.Pharm-2nd 58 19 22 07 10
Details of classes conducted for D.Pharm 1st Year & 2nd Year Class / Subject
Theory
Practicals
Remarks
Prescribed No of Hours
No of Hours
Conducted
Prescribed No of Hours
No of Hours
Conducted
Prescribed No of classes
No of classes
Conducted D. Pharm 1st Year Pharmaceutics – I
75 80 100 100 25 26
Pharmaceutical Chemistry – I
75 82 75 75 25 30
Pharmacognosy
75 76 75 75 25 27
40
Signature of the Principal/ Head of the Institution
Biochemistry and Clinical Pathology
50 54 75 75 25 28
Human Anatomy and Physiology
75 87 50 25 26
Health Education and Community Pharmacy
50 56 --- ---
D. Pharm 2nd Year Pharmaceutics – II
75 85 100 25 26
Pharmaceutical Chemistry – II
100 102 75 78 25 25
Pharmacology and Toxicology
75 84 50 81 25 26
Pharmaceutical Jurisprudence
50 86 --- ---
Drug Store and Business Management
75 77 --- ---
Hospital and Clinical Pharmacy
75 89 50 78 25 27
Details:
xi. Merit position/toppers branch wise in the HSBTE Exams, if any. TOPPERS OF D.Pharm-1st year (M/J-2017)
S.N. Name Fathers Name Marks Obtained Total Marks %age Position
1 Roshan Lal Hari Ram 821 1100 74.64 First
2 Anil Prem Singh 815 1100 74.09 Second
3 Aman Mehta Bhagwat Dayal 806 1100 73.27 Third
TOPPERS OF D.Pharm-2nd year (M/J-2017)
S.N. Name Fathers Name Marks Obtained Total Marks %age Position
1 Jitender Satish Kumar 796 1000 79.60 First
2 Kismat Singh Nain Raj Kumar 756 1000 75.60 Second
3 Aman Sahib Ram 743 1000 74.30 Third
xii. Awards awarded by the Polytechnic to the academic toppers of the Polytechnic. NA
xiii. Steps taken for improving the academic results. Time-to-Time class tests are conducted by the teachers and by providing extra classes for the weaker students.
xiv. Conduct of extra classes for weak/ needy students (Please attach copy of time table also). One zero period in the morning before the start of the regular time table
xv. Total no. of working days observed in Year (Please attach copy of time table also). 90 working days
41
Signature of the Principal/ Head of the Institution
xvi. Whether Alumni association is formed or not. Yes
xvii. Efforts made for quality teaching/ improving pedagogy/ personality development & improvement in Communication Skill of students. Yes
xviii. Steps taken for improving academic ambiance of the Polytechnic like land scaping, horticulture, tree plantation etc. N/A
xix. Utilization of student fund for student welfare activities. Yes
xx. Teaching-Learning process: a. Whether Academic Calendar implemented? (Yes / No) b. Whether Teaching Aids used? (Yes / No) c. Whether Student Feedback implemented? (Yes / No) d. Any new innovation/ practice / technique adopted in teaching? (Yes / No) e. Whether Teacher’s Diary maintained? (Yes / No)
Industry Institution Interaction & Placements
(a) Mention the following details if any. v. Details of industrial tours/visits/ seminar etc. organized in the previous academic session vi. Consultancy vii. Industrial Project Work viii. Seminars/Conferences/Lectures with industry partnership
(b) Student’s Placement:
vii. Whether training and placement cell has been established? Yes/No viii. Name of the Training and Placement Officer Ms. Angela ix. Qualification and Experience of Training and Placement Officer: B.Pharm x. Number of companies which visited the Institute during the last three years for campus interviews (Please supply the
list of companies) & efforts made for improving Industrial Institution Interaction. xi. Number of extension lectures delivered by outside experts during the last three years xii. Number of students placed during the last 3 years:
No. of Eligible Students No. of Students Placed Percentage
41 30 73.17
27 15 55.55
20 10 50.00
Extra Curricular Activities
Brief account of the activities/ achievements of the Institute during the previous year:
viii. Games and sports Every year the institute organized sports and culture week during the Pharmacy Week celebrations in the month of November. During this period various games like Cricket, badminton, volley ball, slow cycling, tug of war etc. are organized
ix. Debates/ Paper presentation / Quiz Competitions etc. Debates, Poster competition and quiz competitions is organized every year and our students also participate in these events at various university level competitions.
x. Cultural activities Cultural activities are performed in the institute time to time.
xi. NCC/NSS Institute has one NSS unit comprising of 100 NSS volunteers.
xii. Students help desk
42
Signature of the Principal/ Head of the Institution
Institute has student help desk xiii. Any other
Institute has well maintained Animal House
PART K – FACULTY DEVELOPMENT INITIVATIES vi. Number of faculty sponsored by the institute since its inception to till date for improvement of academic qualification
teaching skills etc. 07 vii. Number of faculty sponsored to attend training conference and other professional meeting within and outside the
country and the total amount spent for this purpose by the Institute/ Trust/ Society. 15 (80000) viii. Number of faculty sponsored for industrial training. NIL ix. Does the institute possess any faculty development plan, if so give the details.
We have applied to AICTE for Staff Development Programme under SDP scheme.
PART L – OTHERS 12. Please state whether the applicant is running and / or managing any other technical / professional institution which is
approved in the premises on sharing basis. If so, please give the name of the programs / courses being conducted. No
13. Whether the applicant has any Court Case in respect of violation of provisions of State Govt. / UGC or that of any other statutory body including AICTE / NCHMCT / PCI. No
14. Has the institute ever been served show cause notice by the Board for indulging in malpractices in conduct of Board examination? If Yes, Please mention the details and its present status. No
15. Has the institute ever been served show cause notice by the DTE / AICTE / PCI / NCHMCT / HSBTE for indulging in malpractices / violation of rules, etc? If Yes, Please mention the details and its present status. No
16. Please submit status of compliance in respect of various conditions / guidelines as per latest AICTE approval Letter. No shortcomings have been pointed in the AICTE approval letter issued by AICTE for the academic session 2018-19
17. Please submit status of compliance in respect of Grievance Redressal Committee for students as notified by AICTE. Yes, institute has a Grievance Redressal Committee for students as per the norms of AICTE.
18. Please submit status of compliance in respect of various conditions / guidelines as per latest DTE / State Govt. NOC. No shortcomings has been pointed by the DTE/State Govt. for the extension of approval (2017-2018)
19. Whether any deficiencies were reported by the AICTE during last two years? If Yes, Please submit the compliance of these deficiencies. No
20. Whether any deficiencies were reported by the DTE / HSBTE during last two years? If Yes, Please submit the compliance of these deficiencies. No
21. Please describe briefly future plans for improvements in infrastructure / expansion in academic and other activities to fully meet the norms and standards. It is planned to improve laboratories infrastructure.
Name and Signature of the Principal / Director of the Institution.
Counter signed by: (Chairman / President of the Society / Trust / Board) (Two Members on Society/Trust/Board)
43
Signature of the Principal/ Head of the Institution
44
Signature of the Principal/ Head of the Institution
45
Signature of the Principal/ Head of the Institution
46
Signature of the Principal/ Head of the Institution
47
Signature of the Principal/ Head of the Institution
48
Signature of the Principal/ Head of the Institution
49
Signature of the Principal/ Head of the Institution
50
Signature of the Principal/ Head of the Institution
51
Signature of the Principal/ Head of the Institution
52
Signature of the Principal/ Head of the Institution
53
Signature of the Principal/ Head of the Institution
54
Signature of the Principal/ Head of the Institution
55
Signature of the Principal/ Head of the Institution