Proforma for Provisional Affiliation to Haryana State Board of

1

Signature of the Principal/ Head of the Institution

Proforma for Provisional Affiliation to Haryana State Board of Technical Education Bays 7-12, Sector-4, Panchkula-134112

1. To be filled by New / Existing Polytechnic Institutions willing to offer AICTE approved

diploma engineering program seeking provisional affiliation / extension of affiliation for 2019-20. 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

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 with STD Code / Mobile No.)

9812037434

E-mail

[email protected]

Society / Trust / Company (U/S 25) (not applicable for Government Institutions) 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 Ch. Sahib Ram Godara, Chairman

2


Society / Trust / Company STD code & Telephone No. (LL) Mobile No.

01666-241895

Fax No.

01666-242695

E-mail

[email protected]

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)


Development Authority

Municipal Authority(Annexure-I)

Revenue Authority

Khasra Plan / Master Plan (Please tick the competent issuing authority & attach documents)



Revenue Authority (Annexure-II)

Site Plan (Please tick the competent issuing authority & attach documents)



Revenue Authority

Municipal Authority (Annexure-III)

Building Plan (Please tick the competent issuing authority & attach documents)

Total built-up area


Revenue Authority

Municipal Authority(Annexure-IV)

Occupancy certificate Rural area: Tehsildar

3


(Please tick the competent issuing authority & attach documents)

Urban area: Municipal Corporation(Annexure-IV) / Municipal Committee / 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

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 AICTE approval letter

F.No. North-West/1-7015930495/2020/EOA

Date: 30-Apr-2020 Annexure-V

Copy of last affiliation letter of HSBTE

Letter No.109 Date: 23-May-2019 Annexure-VI

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 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

4


02. Sh. Som Parkash

Member Secretary LLB, MBA Advocate 941661781

5

[email protected]

m

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

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

5


Norms for Faculty requirements and Recommended Cadre Ratio for Diploma Level Technical Institution (for Diploma Engineering / Pharmacy Courses as per AICTE APH 2019-20) 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

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 2020-21 (tabulated above) in the table given below: NAME OF THE PRINCIPAL: Dr. Jitender Singh

Stamp Size Photo

Dat

e of

Bir

th &

A

ge/G

ende

r

Qu

alif

icat

ion

w

ith

Cla

ss

obta

ined

st

arti

ng

from

th

e h

igh

est

Deg

ree

Un

iver

sity

aw

ardi

ng

Deg

ree

Cor

resp

ondi

ng

Spe

cial

izat

ion

Dat

e of

Joi

nin

g

Sca

le o

f P

ay

Pre

sen

t B

asic

P

ay

Tota

l em

olu

men

ts

Aad

haa

r N

um

ber

Sig

nat

ure

01-05-

1974

Ph.D

GJUS&T Hisar

Pharmaceutical Sciences

22-0

1-20

00

1640

0-45

0-20

900

5614

5 (in

clud

ing

GP

1000

0)

8349

6

8015

6578

6119

M.Pharm

Pharmaceutical Chemistry

Panjabi University Patiala

B.Pharm Pharmacy

University of Rajasthan Jaipur

DCA

Computer Science

--

AIC -- --

6


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 11 years -- -- --

TEACHING FACULTY – QUALIFICATION

Name of the Faculty

Member with Stamp Size

Photo Des

igna

tion

Dep

artm

ent

Qua

lific

atio

n w

ith C

lass

ob

tain

ed

star

ting

from

th

e hi

ghes

t D

egre

e U

nive

rsity

aw

ardi

ng

Deg

ree

Corr

espo

ndin

g Sp

ecia

lizat

ion

Dat

e of

Birt

h &

Ag

e

Dat

e of

Joi

ning

Scal

e of

Pay

Pres

ent

Basi

c Pa

y To

tal

emol

umen

ts

Adha

r N

o.

Signature

Dr. Preeti

HO

D

MLT

M.Sc PU Chandigarh

Chemistry

06/0

4/19

75

02-0

4-20

09

1200

0-37

5-15

300

(unr

evis

ed

3967

8

5352

0

8203

2566

9387

B.Sc PU Chandigarh

--

Ph.D

PU Chandigarh --

Sudhanshu

Pandey

Asso

ciat

e Pr

ofes

sor

MLT

M.Sc

JRN Vidyapeeth Udaipur

MLT

4/4/

1977

12/9

/200

0

1200

0-37

5-15

300

(unr

evis

ed)

3597

6

4860

3

7457

8901

0924

B.Sc

CCS University Meerut

MLT

PGDCP

RK University Bareilly

Arti

Asst

t. P

rofe

ssor

MLT

MA KUK English

8/8/

1985

22/8

/200

6

--

--

2700

0

Graduation

KUK Art

PGDCA

PTU Jalandhar

7


Vishnu Sharma

Asst

t. P

rofe

ssor

MLT

M.Sc PTU Jalandhar

Info. Tech.

16/7

/198

1

1/5/

2011

8000

-275

-135

00

--

2703

0

9009

3392

9959

PGDCA KUK Comp.Sci.

Graduation

MDSU Ajmer Art

Manoj

Asst

t. P

rofe

ssor

MLT

M.Sc

NIMS Rajasthan

MLT

26/0

9/19

92

02/0

8/20

17

----

-

----

-

2500

0

5714

6042

5640

B.Sc PTU Jalndhar

MLT

Sanjay As

stt.

Pro

fess

or

MLT

M.Sc

Jamia Humdard

Clinical Research

7/3/

1987

18/2

/201

3

8000

-275

-135

00

1241

3

2574

8

B.Pharmacy

RUHS Jaipur

Diksha As

stt.

Prof

esso

r

MLT

M.Tech KUK Computer Science

30/0

4/19

92

02/0

5/20

14

--

--

1340

0

6380

3063

7074

B.Tech KUK Compu

ter Science

Parminder

Lect

urer

MLT

B.SC Pt.B.D.S.U.H.S. Rohtak

MLT

03/0

2/19

94

18/0

1/20

16

----

----

1520

0

Smriti

Lect

urer

MLT

M.Sc PTU Jalandhar

MLT

20/0

1/19

84

13/1

2/20

12

----

----

1610

0

BMLT

Vinayaka Mission University

8


Rajesh

Lect

urer

MLT

B.Sc MM Univers

ity Mullana

MLT

28/1

2/19

91

01/0

8/20

16

----

---

----

---

1620

0

Rajesh Godara

Lect

urer

MLT

M.Sc PTU Jalandhar

CMB

28/0

5/19

84

09/0

1/20

17

----

--

----

--

1660

0

9251

1161

1565

B.Sc

PTU Jalandhar

MLT

Ramdhari

Lect

urer

MLT

M.Sc NIMS Rajasthan

CMB 15

/05/

1984

09/0

1/20

17

----

--

----

--

1660

0

4501

8828

0924

B.Sc PTU Jalandhar

MLT

B.Sc PTU

Jalandhar

MLT

Vijay

Lect

urer

MLT

B.Sc NIMS Rajasthan

MLT

31/0

7/19

96

30/1

0/20

18

----

--

----

--

1200

0

2290

7435

4287

Somdeep Singh

Lect

urer

MLT

B.Sc PTU Jalandhar

MLT

22/1

1/19

81

01/0

1/20

19

----

--

----

--

1610

0

6882

9518

8335

NOTE: Faculty Cadre Qualifications and pay scales shall be as per Haryana Government / AICTE.

9


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 11 yrs -- -- --

2 Mr. Sudhanshu Pandey

LSCP Sirsa Associate Professor

19 yrs 8m

IMA Blood Bank Barreily

Sr. Technician

1.5 yr

3 Ms. Arti LSCP Sirsa Asstt. Prof 13 yrs -- -- --

4 Mr. Vishnu Sharma LSCP Sirsa Asstt. Prof 16 y 4 m

-- -- --

5 Mr. Manoj LSCP Sirsa Asstt. Prof 4 y 8m -- -- --

6 Mr. Sanjay LSCP Sirsa Asstt. Prof 6 yr -- -- --

7 Ms. Diksha LSCP Sirsa Asstt. Prof 3 y 10m -- -- --

8 Mr. Parminder LSCP Sirsa Lecturer 3y 3m -- -- --

9 Ms. Smriti LSCP Sirsa Asstt. Prof 6 y 3m -- -- --

10 Mr. Rajesh LSCP Sirsa Lecturer 3 y 6 m -- -- --

11 Mr. Rajesh Godara LSCP Sirsa Lecturer 3 y 3 m -- -- --

12 Mr. Ramdhari LSCP Sirsa Lecturer 3 y 3 m -- -- --

13 Mr. Vijay LSCP Sirsa Lecturer 1 y 6 m -- -- --

14 Mr. Somdeep Singh LSCP Sirsa Lecturer 1 y 4 m -- -- --

LIBRARIAN AND PHYSICAL EDUCATION DIRECTOR

Name with

Stamp Size

Photo Des

ign

atio

n

Qu

alif

icat

ion

w

ith

Cla

ss

obta

ined

st

arti

ng

from

th

e h

igh

est

Deg

ree

Un

iver

sity

aw

ardi

ng

Deg

ree

Pre

viou

s Ex

peri

ence

D

ate

of B

irth

&

Age

/ G

ende

r D

ate

of

Join

ing

Sca

le o

f P

ay

Pre

sen

t B

asic

P

ay

Tota

l em

olu

men

ts

Aad

haa

r N

um

ber

Sig

nat

ure

Rakesh Kumar

Lib

rari

an

M.Lib KUK

10 y

rs

1/6/

1982

13/2

/201

0

-- --

1412

0

3063

9571

2739

B.Lib KUK

Graduation KUK

PGDCA PTU

Ja

lan

dhar

10


Harpinder Kumar

Phys

ical

Edu

catio

n D

irect

or

B.Ed KUK

29 y

rs 4

mon

ths

06-0

4-19

63

11-1

2-19

89

--

--

1526

5

8822

7411

8108

BA KUK

WORKSHOP AND TECHNICAL SUPPORTING STAFF

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

Cent

ral

Stor

e

Lab.

Tech

Dipl

oma

Engg

1y

01/1

1/1

992

01/1

0/2

017 -- --

7500

2 Mr. Charanjeet MLT

Mic

robi

olog

y

Lab.

At

t.

10+2

--

3/2/

1979

17/2

/201

0 -- --

8356

3 Mr. Dinesh Kumar MLT

Hist

opa

thol

ogy

Lab.

At

t.

10+2

--

1/7/

1984

16/9

/201

0 -- --

6900

4 Mr. Ajay MLT

Bioc

hem

istry

Lab.

At

t.

10+2

--

10/1

/198

8

6/10

/201

0 -- --

6950

5 Mr. Amit Khanna MLT

Haem

atol

ogy

Lab.

At

t.

10+2

--

24/3

/198

4

25/7

/201

3 -- --

8204

6 Mr. Manoj MLT

Com

pute

r La

b

Lab.

Att

.

Dipl

oma

--

25/0

5/19

88

01/0

2/20

17

-- --

5500

7 Ms. Kunti MLT

HAP

Lab.

Att

.

10+2

--

10/0

5/19

88

01/1

0/20

17

-- --

5500

MINISTERIAL STAFF

11


S. No Name of the Staff

Plac

e of

Wor

k

Des

igna

tion

Qua

lific

atio

n

Prev

ious

Ex

perie

nce

Dat

e of

Birt

h &

Ag

e

Dat

e of

Joi

ning

Scal

e of

Pay

Pres

ent

Basi

c Pa

y

Tota

l em

olum

ents

Adhar No.

Sign

atur

e

1 Mr. Monu

Colle

ge C

ampu

s

Swee

per

5th --

01/0

1/19

89

3/8/

2006

--

--

8100

7572

9082

6506

2 Ms. Pooja

Colle

ge

Cam

pus

Swee

per

5th --

12/0

8/19

92

01/0

6/20

11

--

--

8100

7984

8500

2146

2

3 Mr. Jagdish Maurya

Colle

ge

Cam

pus

Peon

12th

--

20/8

/198

8

1/6/

2015

--

--

7850

4258

1093

4827

4 Mr.Vikram

Colle

ge

Cam

pus

Gar

dner

5th

--

3/3/

1977

10/0

5/20

14

--

--

9600

2546

544

5635

2

5 Mr. Bharat Bhushan Sharma

Colle

ge

Driv

er

10+

2

--

03-0

5-19

91

15-0

9-20

17

--

--

8000

6070

5660

663

6

6 Mr. Pyare Lal

Colle

ge

Cam

pus

Wat

chm

an

5th

--

05/0

5/19

65

15/0

7/20

14 --

--

7500

2764

5828

5302

7 Mrs. Mona

Colle

ge

Peon

8th

--

04/0

5/19

78

01-1

2-20

18

--

--

5500

4542

8496

5235

8 Ms. Parwati

Colle

ge

Cam

pus

Peon

10+

2

--

23/4

/197

5

1/1/

2006

--

--

8414

3324

554

8452

2

9 Mr. Ram Avtar

Colle

ge

Cam

pus

Peon

8th --

14/3

/195

0

03/6

/200

7

--

--

7500

3545

6589

5485

12


PART F: INFRASTRUCTURAL FACILITIES

Norms for Land requirement and built-up area for Diploma Level Technical Institution (for Diploma Courses as per AICTE APH 2019-20)

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

Campus having more

than one program

300 sqm 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)

75 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 01 40 sqm 40 sqm

13


(Confidential Room) Placement office 01 50 sqm 50 sqm

IMPORTANT INFRASTRUCTURE REQUIREMENT FOR DIPLOMA COURSES

Particulars Number of rooms

required

Minimum Carpet Area

required


Shortfall w.r.t.

Number of Rooms &

Carpet Area Computer Centre 01 150 sqm 150 sqm

Library and Reading Room

01 400 sqm 300+100 sqm

Seminar Hall 01 132 sqm 140 sqm

Smart class room 01 66 sqm 66 sqm

Language laboratory 01 132 sqm 132 sqm

INFRASTRUCTURE REQUIREMENT FOR DIPLOMA COURSES IN ENGG.

Particulars Number of rooms required

Number of rooms

available

Minimum Carpet Area

required


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

5 66 sqm each room

66+66+70+70+66

Tutorial Rooms Lecture rooms / 04

2 33 sqm each room

33+33

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 6 66 sqm each lab

112.5+90+75+75 +75+75

Workshop for all courses

01 -- 200 sqm NA

Additional Workshop (for category “X” courses) Category X of Courses: Mechanical, Production, Civil, Electrical,

02 / course (Maximum

04)

-- 200 sqm NA

14


Chemical, Textile, Marine, Aeronautical and allied Courses of each. Drawing Hall 01 -- 132 sqm NA

BASIC AMENITIES FOR DIPLOMA COURSES

Toilets (Ladies & Gents) 01 150 sqm (Campus having one program)

350 sqm (Campus having more than one

program)

350 sqm

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)

-- 20 sqm

Principal’s Quarters Desired 150 sqm ------

Guest House Desired 30 sqm -----

Sports Club / Gymnasium / Playground

Desired 200 sqm 500 sqm

Auditorium / Amphi Theater Desired 400 sqm 400 sqm Boys Hostel Desired Adequate ----- Girls Hostel Desired Adequate 01 no.

COMPUTERS, SOFTWARE, INTERNET AND PRINTERS

Program Number of PCs/ Laptops to students ratio (Min 20 PCs)

Legal System Software @

Legal Application 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 03 MS-OFFICE 2007, MS-Office 2003, Adobe Page Maker, Corel

All NA 2

15


Craw, PDF Creater, Adobe Acrobat, Adobe Photoshop, Time Attendance Software, VLC, Norton GHOST, Antivirus etc.

@ Adequate number of software licences is required ** Includes Plagiarism checking Software NOTE:

1. At least 4Mbps Wi-Fi connectivity at 4 or 5 hotspots shall be made available.

2. Arrangement to view NPTEL/SWAYAM etc. shall be made available

3. 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.

4. 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 6 100 sqm 10 890 12430

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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 based on the changes in curriculum and syllabus from time to time by the Board.

4. *Annual increment equally distributed per subject. 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. 9. Facilities to access the online courses is essential. 10. The institution shall be a member of National Digital Library. Aggregators shall also be used, Yes.

ESSENTIAL AND DESIRABLE REQUIREMENTS AS PER AICTE APH 2019-20

Sr. No

Description Availability [YES / NO]

Details to be provided. [Number, if so required]

Essential Requirements

1. 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. (Annexure-B)

Yes

2. Establishment of Online Grievance Redressal Mechanism as specified in the Approval Process Handbook

Yes

3. Establishment of 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)

Yes

4. Establishment of Grievance Redressal Committee in the Institution and Appointment of OMBUDSMAN by the University. (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)

Yes

5. Establishment of Internal Complaint Committee (ICC) (As per Section 4 All India Council for Technical Education (Gender Sensitization, Prevention and Prohibition of Sexual Harassment of Women Employees and Students and Redressal of Grievances in Technical Institutions) Regulations, 2016 vide No. F. AICTE/ WH/ 2016/ 01 dated10th June, 2016.

Yes

6. Establishment of Committee for SC/ ST (As per the Scheduled Castes and the Scheduled Tribes (Prevention of Atrocities) Act, 1989, No. 33 of 1989, dated11.09.1989)

Yes

7. Internal Quality Assurance Cell Yes

8. Barrier Free Built Environment for disabled and elderly persons (as per Chapter VI of Approval Process Handbook)

Yes

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9. Fire and Safety Certificate Yes

10. Implementation of mandatory Internship policy for students Yes

11. Implementation of teacher training policy Yes

12. Implementation of examination reforms Yes

13. Implementation of student Induction Programme Yes

14. Atleast 5 MoUs with Industries 05

15. Compliance of the National Academic Depository (NAD) as per MHRD directives, applicable to PGCM/ PGDM Institutions and University Departments

--

16. Safety and Security measures in the Campus (as per Chapter VI of Approval Process Handbook)

Yes

17. Implementation of Food Safety and Standards Act, 2006 at the Institution

Yes

18. Digital payment for all financial transactions as per MHRD directives

Yes

19. Standalone Language Laboratory Yes

20. Potable Water supply and outlets for drinking water at strategic locations

Yes

21. Electrical Grid Power Supply Connection No

22. Backup Electric Supply Yes

23. Sports facilities Yes

24. Sewage Disposal System Yes

25. Display board within the premises as well as on the Web site of the of Institution indicating the feedback facility of students and Faculty available in AICTE Web-Portal

Yes

26. First aid, Medical and Counselling Facilities Yes

27. Students Safety Insurance Yes

28. Group Accident Policy to be provided for the employees Yes

29. General Insurance provided for assets against fire, burglary and other calamities

Yes

30. Provision to watch MOOCS Course(s) through SWAYAM Yes

31. Road suitable for use by Motor vehicle- Motorized Road Yes

32. Institution-Industry Cell Yes

33. Applied for membership of National Digital Library Yes

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34. Copies of AICTE approvals (LoA and EoA of subsequent years) obtained since inception of the Institution till date shall be placed on the Web site of the Institution

Yes

35. Appointment of Student Counsellor Yes

36. Telephone Yes

37. Vehicle Parking Yes

38. General Notice Board and Departmental Notice Boards Yes

Desirable Requirements

1. Implementation of the schemes announced by Government of India

Yes

2. Offering of Skill development Courses approved by the Council No

3. Fabrication facility Laboratory (FABLAB)/ Tinkering Laboratory/ Innovation Laboratory

No

4. Availability of at least ONE Smart Class Room per Department Yes, 01

5. Rain Water Harvesting and installation of grid connected solar rooftops/ Power Systems

Yes, Rain Water Harvesting

6. Waste Management and environment improvement measures to ensure a sustainable Green Campus

Yes

7. Public announcement system at strategic locations for general announcements/ paging and announcements in emergency.

Yes

8. Enterprise Resource Planning (ERP) Software for Student-Institution-Parent interaction

No

9. Efforts to encourage Final Year students to appear GATE examination

Yes

10. Transport Yes

11. Post Office, Banking Facility/ ATM No

12. LCD (or similar) projectors in Class Rooms Yes

13. Auditorium Yes

14. Staff Quarters Yes

15. Display of Course(s) and “Approved Intake” in the Institution at the entrance of the Institution. Course(s) taken through duly recognized MOOCs shall be used as Supplementary Course(s)

Yes

16. Intellectual Property Right Cell No

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17. Implementation of Unnat Bharat Abhiyan/ Saansad Adarsh Gram Yojana (SAGY)

No

18. Implementation of Startup Policy No

19. Innovation Cell/Club No

20. Social Media Cell Yes

21. Participation in the National Institutional Ranking Framework (NIRF)

No

22. Participation in the National Innovation Ranking No

23. Availability of quality sanitary napkins through sanitary napkin vending machines and ensuring safe and environmental 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

PART H – FINANCIAL & PHYSICAL RESOURCES

Budgeted Expenditure for the year 2018-19

Expenditure Heads

Budget (In lakhs)

Actual Expenditure

Shortfall if any

I. Academic Buildings: - Construction 94726-33 - Maintenance Expenses 245207-00

339933.33

II. Laboratories/Computing Centre - New Equipment - Furniture - 223387-00 - Operation & Maintenance- 195347

418734.00

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III. Salary - Salary of Teaching Staff - 9415446 - Salary of Non-Teaching Staff – 2174381

11589827.00

IV. Faculty/Staff Development (Seminars/Workshops/Incentive Schemes/Training/Higher Studies)

V. Library - Books - 142478 - Journals ,e-journals - 42579 - E-library

185027.00

VI. Services - Administration/Transport/Hostels/Canteen

/Security/Water/Electricity/P&T: - Hostel Maintenance - Landscaping - Internet facility

221868.00

VII. Students Activities - Extracurricular/Co-curricular/

Sports/Cultural /extra classes

170125.00

VIII. Medical Expenses -Full time or otherwise

IX. Any Other, please specify

4880260.16

Latest Balance Sheet of the Society certified from CA is to be attached.

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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 1

st

Division

Pass Percentage

A

Number (B)

(B/A)*100

1.

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

2.

DMLT-2018

1st year 120 38 31 13 13 41.93 2nd year

120 63 58 26 20 44.82

3rd year

120 95 83 83 83 100

3. DMLT- 2019

1st year 120 45 Exam not held till date 2nd

year 120 54

3rd year

120 59

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 year 425 45 28 7 5 5

2. DMLT-4th sem 150 54 35 15 4 -

3. DMLT-6th sem 16 weeks practical training

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Professional Practical Training

Details:

i. Merit position/toppers branch wise in the HSBTE Exams, if any.

TOPPERS OF DMLT-1st year (May/June2019) S.N. Name Fathers Name Marks Obtained Total Marks %age Position 1 Ritu Mr. Ranbir 1090 1350 80.74 First 2 Sonia Mr. Subhash 1088 1350 80.59 Second 3 Rakesh Mr. Pyare Lal 1041 1350 77.11 Third

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TOPPERS OF DMLT-4th sem (May/June 2019)

S.N. Name Fathers Name Marks Obtained Total Marks %age Position 1 Laghavi Mr. Rishi Raj 980 1175 83.40 First 2 Rohit Mr. Jitender 929 1175 79.06 Second 3 Jyoti Pachar Mr. Jitender Singh 921 1175 78.38 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 Semester (Please attach copy of time table also). 105 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. 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

DMLT-4th sem students gone on Industrial Tour at Paunta Sahib CPE Programme organized by Haryana State Pharmacy Council Panchkula on dated 15-12-2019 at Lord Shiva College of Pharmacy Sirsa

ii. Consultancy: NA iii. Industrial Project Work: NA iv. Seminars/Conferences/Lectures with industry partnership

06 guest lectures have been delivered in previous academic session (b) Student’s Placement: i. Whether training and placement cell has been established? Yes ii. Name of the Training and Placement Officer Ms. Diksha iii. Qualification and Experience of Training and Placement Officer: M.Tech, B.Tech

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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 15 guest lectures have been delivered by outside experts during last three years

vi. Course wise number of students placed during the last 3 years:

Course No. of Eligible Students

No. of Students Placed

Percentage

DMLT 98 25 25.51 DMLT 85 40 53.33 DMLT 59 Practical/Professional Training –II

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 February. During this period various games like Cricket, badminton, Kabaddi, Kho-Kho, Athletes, 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 Institute has well maintained Animal House and Medicinal Garden

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.-10 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. 16 (90000)

iii. Number of faculty sponsored for industrial training. NIL iv. Does the institute possess any faculty development plan, if so give the details.

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.

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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 2020-21

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 (2019-20)

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. 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)

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Documents

Proforma for Provisional Affiliation to Haryana State Board of