LOI

CENTRAL COUNCIL OF INDIAN MEDICINE

NEW DELHI

PROFORMA TO BE FILLED UP BY THE VISITORS FOR

ESTABLISHMENT OF NEW AYURVED COLLEGES

(Additional sheet may be enclosed as and where required)

PART –I

Section ‘A’

Date of visitation
Purpose of Visitation
Name of the College
Full Address with pin code
Name of the State/UT
Telephone No./Fax/E-mail
Name of the Managing Body
With full address
Telephone No./Fax/E-mail
Whether Government/Grant-in-aid/private/
Statutory college of university
Year of Establishment of Society/Trust
Year of Establishment of College
Date & Year of the permission of the State Govt.
Whether permission of State Government is continuing, If yes please enclose the proof, otherwise college authorities may give a certificate in the form of affidavit regarding continuation of permission of State Government.
(Proforma enclosed)
Name of affiliating University
Date & Year of affiliation
Whether affiliation of the University is Continuing, if yes please enclose the proof otherwise college authorities may give a certificate in the form of affidavit regarding continuation of affiliation of the University.
(Proforma enclosed) / (Yes/No)
Date of last inspection by the University
Date and year of first permission of CCIM with intake capacity
Name of the Principal with Qualifications and Experience
Time Table
(copy to be enclosed)

Presently the College, Hospital and Hostels are on its own land or lease, details be furnished as mentioned below :

Total Area of Land (in acres)
Total area of land allotted to the college (in acres)
Total area of land allotted to the hospital (in acres)
Total area of land allotted to the hostels (in acres) / Girl’s
Boy’s
*Constructed Area of the college (in Sq.ft.)
*Constructed Area of the Hospital (in Sq.ft.)
*Constructed Area of the Hostel is (in Sq.ft.)

*Area certificate of layout plan in blue print with details of Departments has been submitted or not

Ownership of land
If it is in the regional language, then attach Certified English/Hindi translation duly attested by Gazetted Officer has been submitted or not
In the name of the Society/Trust
In the name of President/Secretary
Whether land is on ownership by registry or lease basis If on lease basis, then period of lease
Whether entire land is in one plot or more than one. If more than one, then size and distance between these plots*
(Government Authorized Engineer’s
certificate to be attached)
Whether the land available with the Society/Trust is entirely for Ayurvedic College and attached Hospital or for any other Institute also, if so, details thereof.
(Proforma Enclosed )

Financial Information

Year / Total income receipt during last three years / Total expenditure receipt of last three years
2008-09
2009-10
2010-11
Attested audited Report to be enclosed

Details of the following to be provided: Previous Year (1st Jan- 31st Dec)

1.  Salaries of teaching and non teaching Staff
2.  Salaries of the Hospital Staff
3.  Expenditure on Drugs
4.  Expenditure on raw material for drugs

Administrative Block

Total Area in Sq. ft.
S.No. / Name / Area of the Space
1. / Office of the Principal
2. / Committee Room
3. / Account Section
4. / Administrative Section
5. / Central Store Room

Departments required as per norms of CCIM with area and Available Infrastructure for Teaching and Training

MAULIK SIDDHANT DEPARTMENT

Total Area of Dept. in sq. ft. ______

Details of Teaching staff

Designation / Sitting space in Sq.ft. / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Typist/ Clerk
Peon

Details of Space in Sq.ft.

S.No. / Name / Available area in Sq.ft.
1.  / Departmentall Library
2.  / Tutorial Room

No of books available in in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

2.  RACHANA SHARIR

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Museum keeper
Typist
Peon
Lifter
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Libarary (PG)
3. / Museum
4. / Dissection hall
5. / Cadaver tank/ room

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other
Number of specimens of human organs available
(List be enclosed)
Number of Dissection tables
Number of Cadavers Available
(Enclose Proof)
Number of Cadavers dissected previous year

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

3.  KRIYA SHARIR

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Lab Assistant
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Departmentall Library (PG)
2. / Laboratory

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

4.  DRAVYAGUNA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer
.

Details of Non-teaching staff

Designation / Name / Qualification
Lab Assistant
Museum keeper
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
3. / Museum

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

5.  RASASHASTRA & BHAISHAJYA KALPANA

Total Area in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer
.

Details of Non-teaching staff

Designation / Name / Qualification
Lab Assistant
Museum keeper
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
3. / Museum
4. / Laboratory

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

6.  ROG NIDAN

Total Area in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Lab Assistant
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
3.. / Laboratory

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

7.  SWASTHAVRITTA

Total Area in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Museum keeper
Peon

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
2. / Museum
3. / Yoga Hall

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

8. AGAD TANTRA & VIDHI AYURVED

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer
.

Details of Non-teaching staff

Designation / Name / Qualification
Museum keeper
Peon

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
2. / Museum

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

9.  PRASUTI & STRIROGA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
2. / Museum

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

10. KAUMARBHRITYA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer
1.
2.
3.

Details of Non-teaching staff

Designation / Name / Qualification
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

11. KAYACHIKITSA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Lab Assistant
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

12. SHALYA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
3. / Museum
4. / Ksharsutra Laboratory

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

13. SHALAKYA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
3. / Museum

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

14. PANCHKARMA

Total Area of Dept. in sq. ft.

Details of Teaching staff

Designation / Sitting space / Name / Qualification / Experience
Professor
Reader
Lecturer

Details of Non-teaching staff

Designation / Name / Qualification
Typist
Peon
Safaiwala

Details of Space in Sq. ft.

S. No. / Name / Available Area in Sq. ft.
1. / Tutorial Room
2. / Departmental Library (PG)
2. / Museum

No of books available in Departmental Library

1.  Ayurved
2.  Unani
3.  Siddha
4.  Modern Medicine
5.  Other

Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

______

Number of existing teaching staff

fo|eku f’k{kd oxZ dh l[;k

S.No.
dze l[;k / DEPARTMENT
foHkkx / Professor
izk/;kid / Reader
izokpd / Lecturer
izoDrk
1.  / Samhita, Sanskrit & Siddhanta (one should be a Sanskrit Lecturer
lafgrk] lLd`r ,oa fl)kar (,d laLd`r dk izoDrk gksuk pkfg,)
2.  / Rachana Sharira
jpuk ’kkjhj
3.  / Kriya Sharira
fdz;k ’kkjhj
4.  / Dravyaguna
nzO; xq.k
5.  / Rasashastra & Bhaishajyakalpana
jl ’kkL= ,oa HkS"kT; dYiuk
6.  / Rognidana
jksxfunku
7.  / Swastha Vritta
LoLFko`Rr
8.  / Agadtantra & Vidhi Ayurved
vxnrU= ,o fod`fr foKku
9.  / Striroga & Prasuti
izlwfr ,oa L=h jksx
10. / Kaumarbhritya
dkSekj Hk`R;
11. / Kayachikitsa
dk;fpfdRlk
12. / Shalya
’kY;
13. / Shalakya
’kkykD;
14. / Panchkarma
iapdeZ
Pay Scale of teachers
f’k{kdksa ds osru / as per State govt. / Yes/No / UGC / Yes/No
1.  Professor
izk/;kid
2.  Reader
izokpd
3.  Lecturer
izoDrk
Mode of Payment
vnk;xh dh fof/k
Whether PF/GPF scheme is existing or not
D;k Hkfo"; fuf/k@lkekU; Hkfo"; fuf/k gS ;k ugha
Promotion policy inksUufr uhfr
Number of teachers possessing Graduate Qualification but working as teachers prior
to 1.7.89.
Lukrd vgZrk/kkjh f’k{kdks dh la[;k
Number of teachers possessing Post-graduate Qualification.
LukrdksRrj vgZrk/kkjh f’k{kdks dh la[;k
Number of UG teachers appointed after 1.7.89
1-7-89 ds i'pkr~ fu;qDr Lukrdh; f’k{kdksa dh la[;k
Payment of Pay and Allowances through bank/cash
(please enclose proof)
deZpkfj;ksa dks fn, tkus okys osru ,oa HkRrsa dh fdLe
cSad vFkok uxn (izek.k izLrqr djsa)

1Final estt. Visitation Proforma

PROFORMA TO FURNISH THE DETAILS OF TEACHING STAFF

S.No. / Name of teacher / Father’s Name / Date of Birth / Designation / Qualifications UG & PG level along with details of Awarding body & speciality of Post-graduate Course / Date of
Appointment / Nature of appointment :
Regular/ reemployed / Details of experience in
chronological order
iwoZ es izkIr vuqHko dk dzekuqlkj fooj.k / Department in which teacher has been appointed / Whether the appointment is in subject concerned or in Allied subject as per CCIM norms
dz0la0 / f’k{kd dk uke / firk@ifr dk uke / tUe frfFk / in / vgZrk,a
iznk; fudk; ,oa LukrdksRrj
ikB~;dzze ds fo"k; lfgr Lukrd
LukrdksRrj dh vgZrk,a A / fu;qfDr frfFk / Duration / Designation / Name of the college / foHkkx ftlesa f’k{kd fVIi.kh dk dzekuqlkj fooj.k dh fu;qfDr gqbZ gS A

Note: