Appendix Format for Inspection Form
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Transcript of Appendix Format for Inspection Form
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Appendix - A-01
.No. Name Date of Birth Academic Qualification Specialization Date of Designation Department Total Pay scale Rem
(DD/MM/YY) appointment Gen. SC ST OBC teaching if an
experience
1 2 3 4 5 6 7 8 9 10 11 12 13 14 1
Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that theregular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further
certified that regular teacher has been appointed in the College/Institution through a dully constituted
selection committee.
Date. Signature of theDirector/ Principal
(Seal of Instt.).B. Incomplete form will not be consider.
Category
Name of Institute :
Teaching Staff (Regular only) (For U/G)(Designation: Professor/Reader/Lecturer)
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(Designation: Professor/Reader/Lecturer) Appendix - A-02
.No. Name Date of Birth Academic Qualification Specialization Date of Designation Deprtment Total Pay scale Rem
(DD/MM/YY) appointment Gen. SC ST OBC teaching if an
experience
1 2 3 4 5 6 7 8 9 10 11 12 13 14 1
Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that theregular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further
certified that regular teacher has been appointed in the College/Institution through a dully constituted
selection committee.
Date. Signature of theDirector/ Principal
(Seal of Instt.).B. Incomplete form will not be consider.
Category
Teaching Staff (Regular only) (For P/G)
Name of Insti tute :
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(Designation: Professor/Reader/Lecturer) Appendix - A-03
S.No. Name Date of Birth Academic Specialization Date of Designation Deprtment Total Status Pay
(DD/MM/YY) Qualification appointment Gen. SC ST OBC teaching (Contractual/ (Rs/Mon
experience Part time/
Visiting.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that the
regular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further
certified that regular teacher has been appointed in the College/Institution through a dully constitutedselection committee.
Date. Signature of theDirector/ Principal(Seal of Instt.)
N.B. Incomplete form will not be consider.
Name of Insti tute :
Teaching Staff (On Contract /Part t ime/Visi ting only) (For U/G)
Category
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(Designation: Professor/Reader/Lecturer) Appendix - A-04
S.No. Name Date of Birth Academic Specialization Date of Designation Deprtment Total Status Pay
(DD/MM/YY) Qualification appointment Gen. SC ST OBC teaching (Contractual/ (Rs/Mon
experience Part time/
Visiting.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Certified that the entries in Columns 1 to15 are as per the records in the College/Institution and that the
regular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is further
certified that regular teacher has been appointed in the College/Institution through a dully constitutedselection committee.
Date. Signature of theDirector/ Principal(Seal)
N.B. Incomplete form will not be consider.
Category
Name of Insti tute :
Teaching Staff (Contractual/Part time/Visi ting only) (For P/G)
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App endix - A-05
el o f Req ui red No . o f
t Stength filled
as per AICTE posts
norms General SC ST OBC General SC ST OBC General SC ST OBC General SC ST OBC General SC ST OBC General SC ST
Level
cipal
fessor
der
turer
Level
cipal
fessor
der
turer
Certified that the entries in Columns are as per the records in the College/Institution and that theregular teacher in the college, receiving AICTE approved pay scale plus usual allowance. It is furthercertified that regular teacher has been appointed in the College/Institution through a dully constitutedselection committee.
Date. Signature of theDirector/ Principal(Seal)
. Incomplete form will not be consider.
FemaleFemaleMale Male Female Male
Name of Instit ute :
Con tr ac tu al App oi nt men t ( Cat eg or y & Gen de rw is e) Par t t ime/ Gues t Fac ul ty ( Cat eg or y & Gen de rw is e)
Level-wise/Category-wise Teaching Staff in Institution.
Total Number of Teachers at Present
Out of Total filled posts
Regular Appointment (Category & Genderwise)
Out of Total filled posts Out of Total filled posts
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S.No, Level of Courses AICTE Year Total
Approved Admission
Intake
A Name of Under Graduate
Course (UG)
B Name of Post Graduate
Course (PG)
C N0. of Research Scholar
Grand Total
Date. Signature of Director/ Pricipal
(Seal of Instt.)
Name of Institute:
Appendix -B - 01
Student Enrolment (Admission) Branch-wise ( in U/G+P/G)
Academic year 20 - 20 (Give the detail of current academic year)
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S.No, Level of Courses
First Year Second Third Fourth Fifth Year
Year Year Year (B.Arch.)
A Name of Under Graduate
Course (UG)
B Name of Post Graduate
Course (PG)
C N0. of Research Scholar
Grand Total
Date. Signature of Director/ Pricipal(Seal of Instt.)
Name of Institute:
Total Number of Student
Student Enrolment Branch-wise ( in U/G+P/G)
Appendix -B - 02
Academic year 20 - 20 ( Conso lidated )
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S.No. Name of Laboratory / Name and Qualification Regular/ Date ofWorkshop/Computer Designation Contract J oining Basic DA Total
Centre etc to which
attached.
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Information Regarding Supporting Staff (Technical) of the Institutions
Salary given
Name of Insti tute:
Appendix -C - 01
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S.No. Name of Laboratory / Name and Qualification Regular/ Date of
Workshop/Computer Designation Contract J oining Basic DA TotalCentre etc to which
attached.
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Salary given
Information Regarding Supporting Staff Non-Technical of the Institutions
Appendix -C- 02
Name of Institute:
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Academic Year: 20___ - 20___
Technical Book
S.No. Name of Technical Book Edition Cost of Book
(in Rs./USD/$/)
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Name of Insti tute:
Appendix - D - 01
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Academic Year: 20___ - 20___
Non-Technical Book
S.No. Name of Nontechnical Book Edition Cost of Book
(in Rs./USD/$/)
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Name of Insti tute:
Appendix - D - 02
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Academic Year: 20___ - 20___
Technical National/International Journal (Print /Online)
S.No. Name of Technical J ournal National/ Frequency Cost of J ournal Print / Online Starting month
International (Weekly/Bimonthly (in Rs./USD/$/) & Year
Monthly/Quarterly/Half Yearly/Yearly)
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Name of Insti tute:
Appendix - D- 03
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Appendix E - 01
Information Regarding Laboratories
Name of Laboratories &
Department to which
attached
Equipments / Machines available in the
Laboratories
Cost of Equipment/Machine
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Name of Institute:
Academic Year: 20___ - 20___
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ppen x -
Cost of Equipment/Machine
Date : / / Signature of Director/ Pricipal(Seal of Instt.)
Name of Institute:
Academic Year: 20___ - 20___
Information Regarding Work-shop
Name of Work-shop Equipments / Machines available
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Faculty-wise: Gender Wise : Student Enrolment in Under Graduate(UG) Courses.
(Consol idated Current Academic Year 20____ - 20____)
(Graduate Courses (IstYr. + 2ndYr + 3rdYr + 4thYr +( 5thYr in case of B Arch.)
Name of Course/
Bramch
Male Female Total Male Female Total Male Female Total Male Female Total
Date : / /
Signature of Director/ Pricipal
(Seal of Instt.)
Name of Insti tute:
Total Number of Students
Appendix - F - 01
OBC
Out of Total Number of Students (belonging to)
SC ST
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Faculty-wise: Gender Wise : Student Enrolment in Post Graduate Courses.
(Consolidated Current Academic Year 20____ - 20____)
(Post Graduate Courses (IstYr. + 2ndYr + 3rdYr )
Name of Course/
Bramch
Male Female Total Male Female Total Male Female Total Male Female Tot
Date : / /
Signature of Director/ Pricipal
Appendix -F - 02
Name of Institute:
Total Number of Students
SC ST
Out of Total Number of Students (belonging to)
OBC
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(Seal of Instt.)
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1st Year
2nd Year
3rd Year
4th Year
Total
1st Year
2nd Year
3rd Year
4th Year
Total
1st Year
2nd Year
3rd Year
4th Year
Total
1st Year
2nd Year
3rd Year
4th Year
Total
1st Year
2nd Year
3rd Year
4th Year
Total
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Appendix - F- 03
Academic performance of preciding academic year 20-------- (based on result of June exam.)
Name of Institute:
S.No. Discipline Year Number of
Students appeared
Pass Out
Percentage
1
2
5
3
4
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S. No. Particulars Requirements as per Availability Shortfall, if any
AICTE Norms
Date : / / Signature of Director/ Pricipal(Seal of Instt.)
Name of Institute:
Appendix G - 01
Information Regarding Licensed Software Purchased in the Institution
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S. No. Name of the Software Version No. of License Cost Remark
Users No. in Rs.
S. No. Name of the Software Version No. of License Cost Remark
Users No. in Rs.
Date : / /
Signature of Director/ Pricipal
(Seal of Instt.)
Information Regarding Licensed Software Purchased in the Institution
Information Regarding open source Software in the Institut ion
Name of Inst itute:
Appendix G - 03
Appendix G -02
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Type Total built-up area Total No.
in Sq.M (m2) of Staff
Quarters
GEN SC ST OBC
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Staff Quarter
alloted to
Name of Institute:
Appendix - H - 01
Details of Staff Quarters
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Appendix H - 02
Type No. of Intake Total No.
Hostels Capacity of Hostel
Residents
SC ST OBC
Men's Hostel
Women's Hostels
Date : / / Signature of Director/ Pricipal
(Seal of Instt.)
Students Hostel
Name of Institute:
(In Institute Campus and/or Maintained by Institu te)
Out of Total No. of
Hostel Residents
Number belonging
to SC/ST/OBC