Form B
Proforma for information of Technical Education Institutes 
(Engineering / Pharmacy / Architecture / HMCT Degree / Diploma and MCA Post Graduation course)
for the year 2004-05.
(Information of the College / Institute to be filled with the Form A and
for each course separately)
 
Name of the Trust / Society  
Name of the Course   UG/PG
 
(a)Whether accreditation given by NBA ? Yes / No If yes Grade Year  
(b)Whether gradation given by Govt. of Maharashtra ? Yes / No If Yes, Grade  
(Gradation as on 19.8.2003 vide G.R. No. TEC-2003/(212/03)/TE-1, dated 19.8.2003.)
1.        Name of the College/Institute  
Address (with Pin code)  
Telephone No. (with STD code)  
Fax No.(with STD code)  
E-mail ID  
Website  
2.        Name of the Director / Principal of the College/ Institute  
3.        Sanctioned Intake capacity as per AICTE/PCI/COA/ University  
   4.        (A) Total No. of Students for the Course (Excluding PIO / Foreign National Students) I year II year III year IV year V year
         
(B) Total No PIO / Foreign National Students for the Course          
5 Year of recognition by respective council  
6 Name of the University to which this course is affiliated  
7 Whether Permitted by State Govt. Yes / No  
(If yes, attach a copy of G.R. granting permission to start the college)
8 Whether Hostel Facility is available Yes/No  
If yes, mention capacity Boys  
Girls  
Total Capacity  
9 Total No. of laboratories in the Department Name of laboratory Cost of  equipmentsRs. In Lakhs
Total cost of equipments in the department    
10 Total Cost of equipments in the Department including software (Rs. In Lakhs) in Working Condition a) UG    
11 Total Cost of equipments in the Department including software (Rs. In Lakhs) in Working Condition b) PG    
12 a) Whether library facility is available (Departmental)                                     Excluding Central Library                                      if yes give detail No. of Titles  
No. of Books available  
No. of Journals subscribed in current year  
b) Carpet Area in Use for Library (in Sq. Mtr.)  
c) Facilities in Department -  Library 1.         
2.         
3.         
4.         
13 No. of Staff Attach subjectwise details statement of teaching & non-teaching staff in the following format
Teaching Staff As per Council norms Filled Post Total Filled Posts Vacant Posts
Regular Adhoc Contract
a) Professors            
b) Assistant Professors/HOD            
c) Lecturers            
List of approved Staff  by the University Attach subjectwise detailed statement of approved teaching staff with letter of Approval from Authority
 Sanctioned Intake Students on roll
Student - Teacher Ratio    
a) With approved staff     
b) With ( approved adhoc + contract) staff    
Non Teaching Staff (In the Department Attach list) As per council  norms Filled Post Total Filled Posts Vacant Posts
Regular Adhoc Contract
a) Technical            
b) Non-Technical            
c) Class - IV            
Ratio of  Non -Teaching - Teaching staff  
Note : please separately indicate common staff, teaching and non-teaching declared as  separately employed for various colleges/course. 
14 Staff in the Library Department if any Give deails of staff in Library Department with posts and scale, nature of appointment
 
15 Salary given to the staff (Whether it is as per 5th Pay commission / any other norms) Yes/No                                                                                         If yes :                                                                                         a) Attach Salary Certificate of March 2003                                 b) Attach Certified copy of Form-16  A of each Employee
16 Whether Building is owned / Rental by College / Institute :
a) If owned                                                                                                                                                                                                                                                                 Built-up area in .......                              sq. mtr.   College / Institute Others Total
Capital investment              (Amount Rs. in. Lakhs)      
Recurring annual expenditure                 (Amount Rs. in. Lakhs)                       
  b) If Rental Built-up area in                               sq. mtr.   College / Institute Others Total
Annual Expenditure (Amount Rs. In Lakhs)      
17 Mention relation of the landlord with the College / Institute, if any  
18 Financial Information
Annual Income (Rs. in lakhs) (attach certified  audited statement showing income from all sources of last three years i.e. 2002 - 2003, 2003 - 2004, 2004 - 2005)
a) College / Institute   Approved Course Non approved other courses
Under Graduate Post Graduate
Tuition Fees      
Development Fee      
Gymkhana Fee      
Training & Placement Fee      
Library Fee      
Laboratories Fee      
Internet & Email facility fee      
Cultural activity fee      
Forms & Brochure Fee      
Exam. Fee      
By way of Fine & Penalty      
Any other fee      
Total (a)      
b) General   Approved Course   Non approved other courses
Under Graduate Post Graduate
Donation      
Interest      
Dividend      
Other Misc.      
Total (b)      
Grand Total (a + b)      
• Please give the break-up of Income coursewise and disciplinewise.
Annual Expenses (Rs. in lakhs)
(attach audited statement showing expenditure from all sources of last three years i.e. 2002 - 2003
2003, - 2004, 2004 - 2005)
Sr. No.   College / Institute
Expenses  directly attributable to course (Rs. in lakhs) Share of commonexpenses(Rs. in lakhs) Total expenses (Rs. in lakhs)
i Rent Paid      
ii Advertisement Expenses      
iii Salary cost Salaries, wages & Bonus      
Contribution to provident fund & other funds      
Staff Welfare & training expenses      
Others      
iv Consumable Work shop materials        
Components        
Project Expenses        
Chemicals        
Others      
v Operating & Other Expenses Electricity Charges        
Telephone, postage, Xerox expenses      
Water charges      
Travelling & conveyance      
Vehicle expenses      
Repair & maintenance      
Others      
vi Administrative Expenses      
vii Scholarships      
viii Cost of Softwares      
ix Printing Expenses      
x Stationery      
xi Insurance      
xii Interest on Loan      
xiii Depreciation Plant & Machinery      
Vehicle      
Furniture      
Computers & Others      
xiv Educational Tours expenses for students      
xv Training & Placement expenses for students      
xvi Sports expenses      
xvii Annual Social expenses      
xviii Internet expenses      
xix Taxes      
XX * Any other expenses      
Grand Total      
* Any expenditure which is more than 5% of the total expenses should be shown separately.(Note :  In the case of "common" cost which are apportioned, please attach a separate note indicating the bases adopted by you for apportioning such costs, giving your justification for the same)
19 List of the Equipment, Furniture, Vehicles  etc.(only items costing more than Rs.50,000/- to be included) Attach certified audited details of cost of equipments with date of purchase & cost of annual maintenance
20 Fixed Asset Details With all major heads of fixed assets
  Cost Data College / Institute / Hostel
Particular Gross block 31/3/2005 Amount in Rs. WDV as on 31/3/2005 Amount in Rs. Depreciation for the year on 31/3/2005 Amount in Rs Rate of depriciation %
a Land (area.......)        
b Building(s) (Built-up area in ....... sq.mtr.)        
c Lab / Work shop        
d Laboratory equipments        
e Books        
f Furniture & dead stock        
g Vehicle        
h Computers        
i Others        
                    Total          
 
  Projected Addition College / Institute / Hostel
Particular 2006-07               (Rs. In lakhs) 2007-08               (Rs. In lakhs) 2008-09                (Rs. In lakhs)
a Land (area)      
b Buildins (Built-up area in ……sq. mtr.)      
c Lab / Work shop      
d Laboratory equipments      
e Books      
f Furniture & dead stock      
g Vehicle      
h Others      
  Total      
21 The common infrastructure used by the trust for various colleges run by them Attach detailed list of infrastructure .Also indicate the bases adopted for the appointment of the common infrastructure .
22 a) Expenses per student for UG course (Attach detailed calculations for the year 2002-03
b) Expenses per student for PG course (Attach detailed calculations for the year 2002-03
23 Fees collected during last three years per student for UG course
Year Management Seats Payment Seats Free Seats Total Average fees collected per student (Rs.)
No of students Fees collected (Rs.) No of students Fees collected (Rs.) No of Students Fees collected (Rs.) No of Students Fees collected (Rs.)
2004-2005
1st Year                  
2nd Year                  
3rd Year                  
4th Year                  
5th Year                  
2005-2006
1st Year                  
2nd Year                  
3rd Year                  
4th Year                  
5th Year                  
                   
24 Fees collected during last three years per student for PG course
Year Management seats Payment Seats Free Seats Total Average fees collected per student (Rs.)
No of Students Fees Collected (Rs.) No of students Fees collected (Rs.) No of students Fees collected (Rs.) No of students Fees collected (Rs.)
2003-2004
1st Year                  
2nd Year                  
2004-2005
1st Year                  
2nd Year                  
2005-2006
1st Year                  
2nd Year                  
25 Fees collected (2003-04) per student for UG/ PG course  
No. of Students of 1st year Average fees collected per student                        (Amount in Rs.) Total fees collected      (Amount  Rs. In Lakhs)
a) Indian (Govt. Quota + Management)    
b) PIO + Foreign National    
 
26 Fees proposed for each course during 2007- 08. Justification for this. Explain Justification for this in a separate Annexure.
 
a) Administrative Staff in the Institute / College
Name of the Principal / Director    Regular/Incharge  
Pay Scale  
Sr.No. Name of the Staff Designation Whether required as per AICTE norms Scale Nature of appointment
         
         
         
         
b) Staff in the Central Library
Sr.No. Designation Whether required as per AICTE norms Qualification Scale Nature of appointment
1 Librarian        
2 Asstt. Librarian        
3 Attendant        
4 Any other staff        
(C) Student - Teacher Ratio ( Total no. of students & total no. of staff in the college)
  Ratio
1. Regular approved staff  
2. Regular + Contract + Adhoc  
(D)Ratio of Non-Teaching -Teaching Staff
  Ratio As per Council Norms
Inclusive of administrative, ministerial, Technical & other unskilled & semi skilled staff    
Verification
( The person signing the Verification clause must satisfy himself / herself about
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 : Trustee/Director/Principal
Place : (sign with stamp)