Sikkim Manipal University - DOC

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					                           KARNATAKA STATE WOMEN’S UNIVERSITY
                                               BIJAPUR

                                                  &
                                  Sharada Vikas Trust ®
                                             Bangalore

        APPLICATION FORM FOR BECOMING A STUDY CENTER -DOMESTIC

Application for: (refer to Sharadavikas.com) for the Courses offered under each stream)

Technical                                             Refer Annexure 1
Management                                            Refer Annexure 1
General                                               Refer annexure 1

Please fill up this form and attach supporting documents.

   1.       Name of the Trust/ Society / Registered Institution/others: (Please attach proof)




   2.       Registration Number and State where Registered:



   3.       Address with Pin code:
            a) Postal Address:




             City:                                       Pin Code:

            b) Email Address:



            c) Website, if any, then URL:




                                                                                                1
 4.      Telephone Nos with STD Code:
            a.   O         -

            b.   R         -

            c. Mobile      -

            d. FAX         -

5.    Name of the Institution under the Society / Trust where Training will be imparted:




6     Address with Pin code:-
        a. Postal Address:




        City:                                       Pin Code:

        b. Email Address:




        c. Website URL (if applicable):




7.      Telephone Nos. with STD Code:

            a)       O     -

            b)       R     -

            c)       Mobile -

            d)       FAX   -
                                                                                           2
8. Name of the Head of Institution: (Provide detailed information, as per Annexure - B)



9. Work Experience of Management: (Attach details in Annexure - B)



10. Assessment of the Center with respect to location:

        a. Location Prime / on Road etc.
        b. Commercial / Residential
        c. Owned/ On Lease / Rent etc.
          (Attach Lease/Rent Deed)
        d. Visibility from Road & Parking space.
        e. Familiarity of the location

12. Total carpet area (Please attach the layout plan)                   :

13. Infrastructure of Center

        a. No. of Class Rooms                                           :

        b. Seating capacity with furniture                              :

        c. No. of Class Rooms                                           :

        d. Total no. of students who can be trained at a time           :

        e. Air conditioning                                             :   YES           NO

        f. Training Aids such as overhead projectors / boards           :   YES           NO

        g. Computer / TV / VCR based classroom                          :   YES           NO

        h. UPS for computer System                                      :   YES           NO

        i. No. Of Counseling Rooms                                      :

        j. Conference / Meeting room                                    :   YES           NO
                                                                                               3
       k. No. of Computer Labs                                                    :

       l. No. of computers in each lab and total no. of computers                 :

       m. Configuration of Computers (Attach configuration details) :                 YES          NO

       n. Software’s used and their source (Attach software details) :                YES          NO

       o. Any specialized multimedia lab with
          CD-ROM/Speakers/Headphones                                              :   YES          NO

       p. Educational CD available                                                :   YES          NO

       q. Networking in lab and its type (UTP/OFC/ETC)                            :   Specify

       r. Internet Connection & Type                                              :   Specify

       s. No. of Modems                                                           :

       t. Number of printers:

       u. Staff room and other facilities provided to staff                       :

       v. Generator for Power backup                                              :   YES          NO

14.   Faculty/Lab Assistants/Support Staff *:
        (Provide name, qualification, experience and date of joining – detailed resume of each faculty member
       to be attached to the application)

       a) Center Manager / Center Head / Technical Head:


      1
      2


       b) System Administrator:




                                                                                                           4
c) Network Administrator:




d) Senior Faculty Members:


1
2


e) Junior Faculty Members:


1
2
3
4
5


f) Lab Assistants:


1
2




                             5
        g) Clerical staff:


       1
       2


        h) Counselors:


       1
       2
       3


        i) Any other Supporting Staff:


       1
       2
       3

15. Library (Attach List of Books) :-

        a. No. of books in Library*                        :

        b. No. of Newspapers/Periodicals/Magazines         :

        c. No. of Technical and Non Technical book         :

        d. Library seating capacity (No. of students who
           can be accommodated at a time)                  :

        e. No. of librarians                               :

        f. Annual budget for library (Average)             :




                                                               6
      16. Any collaboration / proposed collaboration with any other university for IT or any other
          programs:



          a. Name of the University:




          b. University Address:




          c.     Programs being undertaken:

                 I. Diploma                :
                II. Undergraduate          :
               III. Post Graduate          :
               IV. Any other Program :


17.    Please fill in the Actual details of your existing set – up

                 KSWU & SVT STUDY CENTER Infrastructure Guidelines (SCIG)


                 A.     General Infrastructure: Required at every STUDY CENTER associated with
                                            KSWU SVT


               Particulars               Minimum Requirement                 Actuals

  Premises                          Minimum carpet area – 2000 Sft

  Furniture & Fixtures              2 classrooms, 25 seats per class




                                                                                                 7
   Basic facility             Conference rooms, staff rooms, etc


   Air-conditioning           Mandatory for computer Lab

   Training Aids              LCD/OHP




b) IT Infrastructure


                              P IV machine with at least 256 MB
   PC Configuration           memory
                              Windows XP professional
                              Network interface card 10/100
                              Duplex sound card
                              CD drive for loading software
                              Headset with microphone


   Network                    Switch based network 10/100 on
                              TCP/IP
                              PC's will be assigned a fixed IP


                               Telephone, Fax, CD-WRITER
   Administrative Equipment    Audio Visual tapes
                               Headsets for audio Listening
                               UPS Provisioning – Min 60 minute
                               back up

   Internet Connection &      Broad Band
   Type
   Modems                     One
   Printers & Copiers         One
   Library                    Minimum 100 Books & 5 sets of
                              course material
   Manpower/Staff Required
   - Total no of courses      1 Counselor for up to 4 programs
   - Total no of counselors   Ratio should be 1 counselor : 50
                              students
   - Total No of students     100 (maximum)
   - Faculty experience       PG with 5 years PG teaching or
                              Managerial experience
   - No of Teaching           One Associate to 30 students 1:30
   Associates
   Others                     Genset , UPS Systems




                                                                   8
C. Computer Lab : Required at every STUDY CENTER supporting KSWU & SVT programs


         Particulars             Minimum Requirement                    Actuals
No of Computer Labs 1           One (1)
No of Computers in Lab 2        Twelve (12)
Configuration of Computers      Intel P IV, 256 MB RAM, 40 GB
                                HDD, etc
Software : All programs         MS Office ver 2003, Windows
                                XP
IT programs                     MS Visual Basic, Corel Draw,
                                SQL Server
Type of Networking in           UTP
Computer Lab


      All STUDY CENTERS are hereby advised to strictly adhere to above-mentioned
      guidelines, failing which they will be delisted as Recognised STUDY CENTERS of
      KSWU & SVT




      Authorized Signatory                                      Authorized Signatory
      KSWU                                                      Sharada Vikas Trust




                                                                                       9
                                                      DECLARATION

1. I/We agree that the advertisements will be centrally controlled by KSWU & Sharada Vikas Trust
   and we undertake not to do any advertisement of our own in print / electronic media without the
   express permission of KSWU & Sharada Vikas Trust
2. I/Certify that we will abide by all decisions taken by KSWU & Sharada Vikas Trust from time to
   time which are related to the programs such as publicity norms, conduct of programs and
   procedures to be followed.
3. I/We undertake to verify and certify that students registered for University programs are eligible
   in all respect as per the eligibility condition laid and will arrange to produce all original
   certificate / documents to prove their eligibility as and when required.
4. I/We hereby certify that I/We shall remain the applicants and if there is any change in the
   composition of applicants before signing of agreement or opening of STUDY Centre. I/We
   hereby agree to get the new applicants as well as the new form of organization approved by
   KSWU & Sharada Vikas Trust. I/We agree to the rejection of this application if KSWU &
   Sharada Vikas Trust does not approve the changes.
5. I/We hereby undertake, if selected to start the STUDY Center within the stipulated time period as
   maybe defined by KSWU & SVT from time to time from the date of Approval of this
   application, failing which I/We agree to the rejection of this application.


6. I/We certify that all information in this application form and on any attachments is true and
   accurately represents my/our current and continuing financial conditions. I/We authorize KSWU
   & Sharada Vikas Trust to verify any information from whatever source it deems appropriate.
   I/We understand that any misrepresentation in this statement may result in rejection of this
   application.
7. We also certify that we shall possess all required and necessary statutory sanctions to run the
   STUDY Center as prescribed by KSWU and SVT, the Government (both Central & State)
   (Regulatory), Universities rules and regulations from time to time.

8. We declare know that the application fee once paid to KSWU / Sharada Vikas Trust will not be
   refunded.


...................................    ........................................     ...............................................

...................................    ........................................     ...............................................

....................................   ........................................     ...............................................

....................................   ..........................................   ................................................

(Name of applicant)                           (Signature)                                             (Date)
                                                                                                                                       10
                       NORMS FOR CREATING STUDY CENTERS:

For effective and efficient functioning of a STUDY CENTER, it is of prime importance that the
organization is owned and managed by professionals. The institute should preferably have experience
of conducting undergraduate and postgraduate programs of recognized/deemed universities in IT
field. The number of STUDY CENTER to be created in a city will depend on the size of the city and
the number of students likely to be enrolled. However, as a guideline, another center may not be
created within five kilometers radius in a small city and within three kilometers in a big city. The
following infrastructure may be a guiding principle for approval of the University STUDY CENTER.

Location of Center:

Covered area of at least 2000 sq. ft., suitably modified for labs and classrooms.

Requirements: Please refer to SCIG (STUDY CENTER Infrastructure Guideline) annexure for
guidelines; the requirements provided are for student strength of 100. Additional infrastructure may
be required for additional students.




                                                                                                 11
                                       Annexure – A
To attach the following Information along with the application form: -

1. Institution
          a. Copy of the Incorporation Certificate
          b. Copy of the MOU / Partnership Agreement / Trust Deed duly attested by a
              Gazette officer.
          c. Last financial year’s Form – 16 & Tax certificate
          d. Last 6 months Bank Statement attested by the Bank Manager



2. Head / Partners / Board of Directors / Trustees of the Institution
          a. Detailed Resumes of all members of management & Faculty
          b. Residential Proof. (PAN Card, Ration Card, Passport, etc.)
          c. Name & Address of Bank
          d. Last 6 months Bank Statement attested by the Bank Manager




                                                                                       12
                                         Annexure-1
                                     IT Programmes

Sl. No.                       Courses                        Duration        Course
                                                            ( in Years)     Selection
  1        Bachelor in Computer Applications (BCA)
                                                                  3
  2        Bachelor of Science in Information Technology
           (BSc (IT))/Computer Science(B.Sc(CS))                  3

  3        Post Graduate Diploma in Computer
                                                                  1
           Applications (PGDCA)
  4        Bachelor of Technology B.Tech(IT) B.Tech(IS)
                                                                  4
           and B.Tech(CS)
  5        Master of Technology (M.Tech (IT) and
                                                                  2
           M.Tech(CS)
  6        Master of Science in Information Technology
           (M.Sc(IT))/Computer Science (M.Sc (CS))                2

  7        Master of Computer Applications (MCA)
                                                                  3




                        Management Programmes


 Sl.                           Courses                           Duration    Course
 No.                                                             (Years)    Selection
  1       Master of Business Administration (MBA)/Executive
          MBA (Specialization in HRM, Finance, IT, IS,
          Marketing, Insurance & Banking, Operations,
          Hospitality & Retail, Infrastructure, International
                                                                   2&1
          Business,    International  Finance,   International
          Marketing, Business, infrastructure management,
          project management, TQM and Knowledge Process
          Outsourcing)
  2       Post Graduate Diploma in Business Management
          (PGDBM) (Specialization in Co-operative Society
                                                                      1
          Management, Women Entrepreneurship and Financial
          Accounting)
  3       Bachelor of Business Management (BBM) ( in Retail           3

                                                                                        13
         Management, Operations Management, Marketing
         Management, IT Management, Insurance and Banking,
         Hospitality Management, HR Management)
4        Bachelor of Business Administration
         (General)(BBA), BBA in Financial Marketing                 3
         Management.
            Professional and Hospitality Programmes

Sl.No.                       Courses                      Duration       Course
                                                         ( in Years)    Selection
    1     Hotel Management (Bachelor & Diploma)
                                                             3&1
          B.Sc(HCM) & DHM
    2     Hotel Management (Masters &PGDiploma)
                                                              2&1
          M.Sc(HCM) & DHM
          Mass Communication & Journalism (BMCAJ &
                                                             3&1
    3     DMCAJ)(Bachelor and Diploma)
    4     Mass Communication & Journalism (MMCAJ
                                                             2&1
          & PGDMCAJ)(Masters and PG Diploma)
    5     Post Graduate Diploma in Design and Drawing
          (PGD&D) (Specialization in AutoCAD, Catia,           1
          Solid edge, 3D Max)
    6     Certificate Course in Web Designing and
                                                         6 Months
          Digital Imaging and allied Programmes
    7     UG/Masters/PG Diploma in Multimedia,
                                                             3,2 &1
          Animation and Digital Film Making




                          Traditional General Programmes

Sl.No.                      Courses                      Duration        Course
                                                        ( in Years)     Selection
    1     Bachelor of Arts (BA) in 4 streams
                                                              3
    2     Bachelor of Commerce (B.Com)
                                                              3
    3     Bachelor in Home Science (B.Sc (Home
                                                              3
          Science))
    4     Master of Arts (Hindi, English, Economics,
                                                              2
          History, Political Science, Sociology) (MA)
    5     Master of Commerce (M.Com)                          2

                                                                                    14
6    Nursery Teacher Training (NTT)
                                                        1
7    Diploma in effective communication,
     executive skill development, time                  1
     management, Herbal Medicine
8    Bachelor of Education (B. Ed)
                                                        2
9    Diploma in Education(D. Ed)
                                                        1
10   Bachelor of Social Work (BSW)
                                                        3
11   Master of Social Work (MSW)
                                                        2
12   Certificate Course in Occupational Health and
                                                     6 Months
     Safety, personality development, soft skills
13   Post Graduate Diploma in Rural Business,
     Renewable Energy, Advance Secretarial              1
     Practice




                                                                15

				
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