Form A
Proforma for common Information of organisation promoting
various Colleges/ Institutes for the year 2004-05
(Information of the Trust)
1	Name of the Trust / Society
2	Address (with pin code)
	Telephone No.(with STD code)
	Fax No.(with STD code)
	E-mail ID
	Website
3	Registration No. of the trust
4	Year of Establishment of the Trust
5	Name of the Trustees			Enclose list
6	Names of all the educational institution established/ funded/ operated by the Trust/ Society
7	Name of the Courses
8	Annual financial report of Trust/ Society for last 3 years			Attach certified audited copy
9	Details of the Land
Sr.No.	Particular			Area (in Sq.Mtr.)		Cost of acquisition (Rs.in Lakhs)	Extent of Subsidy/concession
				As per norms	Available
College/ Institute
	Land
1)	Free Hold
a.	Govt.
b.	Others
	Total
2)	Lease Hold
a.	Govt.
b.	Others
	Total
Note : Please give seperately the details for each college / Institute.
10	Whether Income tax return filed every year by the trust			(Attach  certified  attested  copies  of  income  tax  return of last three assessment years.  Yes / No
11	Status of the Building :
a)	If Rented			College / Institute		Other	Total
	Built up Area (In Sq.Mtr.)
	Annual rent (Amt, in Rs.)
b)	If owned			College / Institute		Other	Total
	Built up Area (In Sq. Mtr.)
	Cost (Amt, in Rs.)
12	Built up Area required Available as per AICTE/PCI/COA
a)	If Rented			college / Institute		Other	Total
	Built up Area (In Sq.Mtr.)
b)	If owned			college / Institute		Other	Total
	Built up Area (In Sq.Mtr.)
Verification
(The person signing the Verification clause must satisfy
himself/herself about the correctness of the information before
affixing his/her signature)
I, _________________________________________ (full name in block letters), son / daughter of ______________________________ solemnly declare that to the best of my knowledge, the information given in this proforma and statements accompanying is correct and complete.  I further declare that I am submitting this proforma in my capacity as __________________ and I am also competent to submit the same and verify it.
	Date :
	Place				Sign &
					Designation of the Trustee