12.

NATURE RECOGNITION RECEIVED FROM GOVERNMENT FROM TIME TO TIME FOR DIFFERENT
COURSE/STREAMS/SUBJECTS/SEATS FROM THE DATE OF ESTABLISHMENT OF THE INSTITUTION
Academic Year
( from the date
of establishment
up-to-date)

Recognition concurrence received for:

(opening of a
Course/Subject/Hons./Increase of
seats in any stream/ subject / should
be mentioned in details.
Course (e.g
Detailed
Higher
particulars of
Secondary or
Subjects, courses,
Degree in Arts/
etc. for which
Science/
recognition/
Commerce)
concurrence
received.
2
3

Nature of
recognition /
concurrence
( whether
temporary,
permanent or
solely for purpose
of examination or
subject to any
condition which
must be
specified )
4

Order No. and

Date ( attested
copies of the
orders should be
enclosed and
numbered )

Enclosure
number

13. NATURE OF AFFILIATION RECEIVED FROM COUNCIL/ UNIVERSITIES FROM THE TIME TO TIME FROM THE DATE OF
ESTABLISHMENT OF THE INSTITUTION
Academic Year
( from the
date of
establishment
up-to-date)

Affiliation received for

Course (e.g
Higher
Secondary or
Degree in
Arts/ Science/
Commerce)

Detailed
particulars of
Subjects,
courses, etc. for
which
recognition/
concurrence
received.

Name of
University /
council to
which
affiliated

Nature of
recognition /
concurrence
( whether
temporary,
permanent or
solely for
purpose of
examination or
subject to any
condition which
must be
specified )
5

Order No. and

Date
( attested
copies of the
orders should
be enclosed
and numbered
)

Enclosure
number

14. CLASSWISE ACTUAL STUDENT STRENGTH AS ON THE 31 ST DECEMBER OF EACH YEAR FROM THE DATE OF ESTABLISHMENT
OF THE INSTITUTION
Academ
ic Year

(1)

Actual number of students on roll as on the 31 st December

1st Year H.S
Art
s

Sc.
(3)

Co
m.

Art
s

2nd Year

1st
Degree

Sc.

Art
s

(6)

Co
m.

Sc.
(9)

Year
Co
m.

2nd
Degree

Year

Art
s.

Com
.

Sc.
(12

3rd Year Degree

Arts.

Sc.

(14)

(15)

Com
.

Total

(17)

(2)

(4)

(5)

(7)

(8)

(10)

(11
)

(13)

(16)

15. SUBJECTWISE ACTUAL STUDENT STRENGTH AS ON THE 31 ST DECEMBER OF EACH YEAR FROM THE DATE ESTABLISHMENT
OF THE INSTITUTION.
Subject

Class

(1)

(2)

Actual number of students on roll as on the 31 st December

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

16. SUBJECTWISE PRESENTATION OF REGULAR STUDENTS AT ANNUAL H.S./FINAL DEGREE EXAMINATION FROM THE DATE OF
ESTABLISHMENT OF THE INSTITUTION.

Year of
Examination

Name of Examination
(2)

Subject (Including Compulsory

subject)

Number of Regular students

presented

(1)

(3)

(4)

17. RESULTS OF THE INSTITUTION IN ANNUAL & SUPPLEMENTARY H.S./ FINAL DEGREE EXAMINATIONS DURING PRECEDING
THREE CONSECUTIVE YEARS FROM THE DATE OF ELIGIBILITY

Year (in
which
examinati
on was
held)

Name of
Examination (e.g.
H.S /B.A./ BSc./
B.Com/ in Arts, Sc.
Commerce

(1)

(2)

Stream
(Arts, Science,
Commerce)

No. of regular
students
presented in
each stream
(i.e Arts, Sc. &
Commerce)

No. regular
students passed
in each stream

Percentage
of pass

Overall
percentage
of pass for
the Council/
University in
the stream

(3)

(4)

(5)

(6)

(7)

19. POST WHICH ACCORDING TO THE APPLICANT INSTITUTION ARE ELIGIBLE FOR APPROVAL

Name of the post

(1)

Date from which

admissible as per
yardstick &
workload
(Workload
statement should
be enclosed and
numbered)

Enclosure
number marked
on the Workload
statement

Date on which the

post has
completed/
completes
qualifying period

Name of the incumbent

holding the post at present

(2)

(3)

(4)

(5)

Date from which

Grant-in-Sid is to
be paid and rate
of Grant-in-Aid

(6)

20.NAME(S) OF PERSON(S) WHO ACCORDING TO THE APPLICANT INSTITUTIONARE ELEIGIBLE TO RECEIVE BLOCK GRANT
AGAINST POSTS ELIGIBLE TO BE APPROVED
Name of the
person with
his
permanent
address

Post
against
which
he/she is
eligible to
receive
Grant-In-

Wheth
er
belong
s to
S.C
/S.T

Date of
Birth

Mode of
selection
( Against
Copy of
proceeding
of
selection/

Date
from
which
eligible
to
receive
grant &

Predecessors, if any
Name
of other
person(
s) if any
who

Perio
d for
which
he
was

Reasons
for noncontinuan
ce in the
post

Has any other

person(s)
claim for
receiving
Grant-in-Aid
against the
post? Give

Aid

(1)

(2)

(3)

(4)

screening
Committee
for
appointme
nt should
be attested

the rate
of GrantIn-Aid

was/we
re
holding
the
post

holdi
ng
the
post

(supporti
ng
documen
ts should
be
enclosed)

details
including name
& period

(5)

(6)

(7)

(8)

(9)

(10)