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Questionnaire Affiliation Proforma 1

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31 views4 pages

Questionnaire Affiliation Proforma 1

Uploaded by

irfan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UNIVERSITY OF HARIPUR

QUESTIONNAIRE FOR THE AFFILIATION OF EDUCATIONAL


INSTITUTE IN PUBLIC & PRIVATE SECTOR
1. Name of the Institution__________________________________________________
2. Address of the Institution________________________________________________
3. Name of Owner (Private only) ___________________________________________
4. Year of establishment __________________________________________________
5. HERA Registration No. _________________________________________________
6. Name of Principal _____________________________________________________
7. Phone Office ________________Residence _______________Cell #___________
8. Institute is already affiliated with the University of Haripur (YES/NO)
9. In case the institute is already affiliated with UoH, mention program/s below:
i. ___________________ vi. __________________
ii. ___________________ vii. __________________
iii. ___________________ viii. __________________
iv. ___________________ ix. __________________
v. ___________________ x. __________________
10. In case applying for the first time for affiliation, mention program/s below:
i. ___________________
ii. ___________________
iii. ___________________
11. Gross area of the Institute/College
i. (Covered area per sq ft) _______________
ii. (Acre or Kanals) _____________________
12. Faculty: (Total Number of Faculty members)

S# Designation Strength Subject Status


(Regular/Visiting)
1 Professor
2 Associate Professor
3 Assistant Professor
4 Lecturer
5 Any other

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13. Students: (Capacity of students to be admitted, if affiliation is granted)

i. ____________________________________ (Program wise)


ii. ____________________________________ (Program Wise)
14. Hostel Facility: YES/ NO (if yes attach detail)
15. Dues: Tentative Admission +Tuition Fee (Per Semester) Rs.____________________
16. Physical Facilities: Attach the approved building structure map/design/sketch mentioning
all the available rooms/halls/labs/offices etc.
Also provide the allocation of building space to:
i. Lecturer Rooms (for new as well as existing programs) __________________
ii. Laboratory (for Sciences), Computer lab (For IT) ________
iii. Offices _________________________________________
iv. Halls/Theaters ____________________________________
v. Common Room/Staff Room_________________________
vi. Other Facilities __________________________________
vii. Attach a list of furniture, fixture and other office equipment’s.
17. Library
i. Space in square feet _________________________________
ii. Space for reading chairs/desks (mention number) __________
iii. Computer systems available for soft books and articles _____
iv. Other Facilities (AC, Sofa seats, New papers etc.)__________
v. Librarian is Qualified: Yes/ NO (attach CV) ______________
vi. Total number of Books (Hard form) _____________________
vii. Total number of Books (Soft form) _____________________
viii. Number of Books subject –wise (Attach list subject wise) ___
18. Efficiency and Discipline of Students, staff and other Employees.
Attach the copy of the institute rules regarding the efficiency and discipline for students, teachers and
other employees.
19. Sports
Describe the facility of play grounds / facilities for different games available?

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20. General:
i. Societies (Literary, Youth Clubs, Entrepreneurial clubs, Social Welfare Clubs,
Incubation Centers etc.) Attach details (if any) _______
ii. Research Journal, Students/College Magazine, if any _____________

21. Two Bank Accounts by the Name of Institute.


i. Working Capital Account i.e. (02 million) (not applicable in case of public sector
institution)
ii. Endowment Fund i.e. (01 million) (not applicable in case of public sector institution)
22. Scholarships and Free Ships. (if any, attach details) ________________
Note: Submit a complete report in binded form

Dated: Signature of Head of


Educational Institution

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Check List (Please confirm before submission, the followings have been attached)

1. Detail of Owner/Owners
2. CV of the Principal
3. Faculty/Staff List. Mentioning date of appointment, designation, Salary, permanent
or temporary, Period per week (with detail CVs)
4. Tentative Time table (Weekly, separate for each program)
5. Map/Sketch of the Building
6. Ownership Certificate if institution owns building.
7. Agreement (at least for 5 years) with landlord in case building is rented.
8. Rules and regulations of the institution
9. Bank statement of both accounts.
10. CV of Librarian
11. List of furniture and fixture and other equipment’s.
12. Detail of Student societies (if any)
13. List of library books (subject wise)
14. Copy of HERA Registration Certificate
15. Bank Slip of affiliation/Inspection fee
16. Detail of Hostel Facility (If any)
17. Covering letter duly signed by the Principal.

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