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Proforma for Fee Fixation 2011-12 _ 2012 - Admission _ Fee

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Proforma for Fee Fixation 2011-12 _ 2012 - Admission _ Fee Powered By Docstoc
					                                                 INSTRUCTIONS


Please read these instruction before filling the Proforma.

 1   The Proforma and enclosures thereof must be properly indexed and numbered. Further indexing and
     numbering must be mentioned in the index forming part of Proforma.

 2   The Proforma and enclosures thereof must be submitted in two hard copies and one soft copy in Excel-2003
     format.
 3   Do not change the format except where specified.

 4   Both the set of Proforma submitted with AFRC Office should be sealed and signed in original by the
     concerned management office bearers.

 5   Only Statutory Auditor should sign the Auditor’s Certificate in Part-B of Proforma of both sets in original and
     on all the pages of Proforma and Annexures forming part of it including index with Auditor's Report in
     specified format without any supression of facts or contradictions. If Audit Report is not furnished in the
     specified format then the accompanying accounts will be treated as un-audited.
 6   Submit separate audit report for each course and Institution clearly identifying the shared infrastructure and
     resources instead of submitting consolidated audit report of all the courses or Institutions.

 7   Last date of furnishing proforma containing data upto 31.12.2010 is 28.02.2011 and thereafter last date of
     furnishing Audited Balance Sheet with updated Proforma containing data upto 31.03.2011 along with
     required documents is 30.04.2011.
                                                             INDEX
S. Relevant Item No. of         Documents/Information Required                                            For AFRC Office
                                                                                                 From
No.     Proforma                                                          Whether                          Use (Remarks)
                                                                                     Chapter   Page No.
                                                                          enclosed
                                                                                      Name      to Page
                                                                          (Yes/No)
                                                                                                  No.
 1   Item No.1 of Part A    DD of Processing Fees
                                                                                                 N.A.
 2   Item No.4 of Part A    Certificate of Incorporation of the
                            Trust/Society

 3   Item No.6 of Part A    List of Trustees

 4   Item No.11 of Part A   Copy of PAN of Trust/Society

 5   Item No.12 of Part A   Copy of TAN of Trust/Society

 6   Item No.13 of Part A   Copy of Final Accounts and Auditors Report
                            of F.Y. 2009-10 of Trust/Society
 7   Item No.13 of Part A   Copy of Complete Income Tax Return (i.e.
                            all pages of Income Tax Return along with
                            acknowledgement) for the A.Y. 2010-11 of
                            Trust/Society

 8   Item No.9 of Part B    Copy of permission letter of Regulatory
                            Authority for Institutional Preference
                            students from academic year 2010-11

 9   Item No.11 of Part B   Copy of sanction letter of Regulatory Body

10 Item No.14 of Part B     Copy of sanction letter of Regulatory Body

11 Item No.16 of Part B     Copy of sanction letter of Regulatory Body

12 Item No. 26 of Part B Copy of letter from Regulatory Body
                         regarding zero year

13 Item No. 27 of Part B Copy of letter from Regulatory Body
                         regarding discontinuation of course

14 Item No. 28 of Part B Explanation for variation in infrastructure of
                         the Institution
15 Item No. 29 of Part B Salary and Staff Details as per Annexure-I

16 Item No.29 of Part B     Salary and Staff Details as per Annexure-IA

17 Item No.29 of Part B     Salary and Staff Details as per Annexure-IB

18 Item No.37 of Part B     Inspection report from Regulatory Authority

19 Item No. 39 of Part B Copy of Accreditation Certificate

20 Item No. 43 of Part B Audited Final Acoounts of Course for the
                         period 01.04.2010 to 31.12.2010

21 Item No. 45(i) of Part Working and basis of apportionment of
   B                      common expenses

22 Item No. 45(ii) of Part Interest detail as per Annexure-II
   B
23 Item No. 45(ii) of Part Copy of Loan sanction letter
   B

24 Item No. 45(ii) of Part Working and basis of apportionment of loan
   B                       and interest amount amongst different
                           Institution/Courses under one
                           Society/Instituion

25 Item No. 45(v)(v) of     Either Audited Income & Expenditure of
   Part B                   Hostel Accounts or detail as per Annexure -
                            III

26 Item No. 45(vi)(b) of    Either Audited Income & Expenditure of
   Part B                   Mess Accounts or detail as per Annexure -
                            III

27 Item No. 45(vii)(c) of   Either Audited Income & Expenditure of
   Part B                   Transportation Accounts or detail as per
                            Annexure - III

28 Item No. 45(viii)(b) of Either Audited Income & Expenditure of
   Part B                  Training & Placement Accounts or detail as
                           per Annexure - III

29 Item No. 45(ix) of       Either Audited Income & Expenditure of
   Part B                   Hospital/OPD/Clinic etc. Accounts or detail
                            as per Annexure - III

30 Item No. 45(x) of Part Either Audited Income & Expenditure of
   B                      Uniform Accounts or detail as per Annexure
                          - III

31 Item No. 45(xi) of       Audited Income & Expenditure of University
   Part B                   accounts if maintained separately or detail
                            as per Annexure - III.

32 Item No. 45(xiv) of      Either Audited Income & Expenditure of
   Part B                   Growth & Development Fund if maintained
                            separately or reasons for not maintaining
                            separate accounts.

33 Item No.46 of Part B     Fixed Assets schedule prepared in
                            accordance with the Companies Act as per
                            Annexure - IV.

34 Item No. 48 of Part B Copy of DPR submitted to Regulatory
                         Authority.

35 Item No.50 of Part B     Justification for fees proposed
                                                                                                   For AFRC Office use only

                                                                                             AFRC File No.


                                                   FORM - A (In two copies)
                                             Proforma for Information of the Society
  1   Details of Processing Fees                                     DD No.                       Date                  Amount

  2   Name of the Trust/Society
      Address (with pin code)
      Telephone No. (with STD code)
  3   Fax No. (with STD code)
      E-mail ID
      Website
  4   Registration No. of the Trus/Society                        Registration No.
                                                                  (Enclose copy of certificate of incorporation of the Trust/Society)
  5   Year of Establishment of the Trust
  6   Name of the Trutees                                         Enclose list with address along with mobile numbers
  7   Name of the Chairman along with his mobile number
  8   Name of the Secretary along with his mobile number
  9   Name of all the educational Institutions established/       S.No.       Name of Institute      Courses
      funded/ operated by the Trust/ Society and courses
                                                                                                     1
      conducted by such Institutions for which fess is to be
      determined by AFRC                                                                             2
                                                                  S.No.       Name of Institute      Courses
                                                                                                     1
                                                                                                     2
                                                                  S.No.       Name of Institute      Courses
                                                                                                     1
                                                                                                     2
 10 Name of all the educational Institutions established/         S.No.       Name of Institute      Courses
    funded/ operated by the Trust/ Society and courses
    conducted by such Institutions for which fess is not                                             1
    determined by AFRC                                                                               2
                                                                  S.No.       Name of Institute      Courses
                                                                                                     1
                                                                                                     2
                                                                  S.No.       Name of Institute      Courses
                                                                                                     1
                                                                                                     2
 11 PAN of Trust/Soeicty                                          PAN No.        (Enclose copy of PAN No. of Trust/Society
 12 TAN of Trust/Soeicty                                          TAN No.       (Enclose copy of TAN No. of Trust/Society
 13 Annual financial report of Trust/Society for F.Y. 2009-       Attach certified audited copy along with auditor's report and copy of
    10 along with the Income Tax Return                           Income Tax Return

                                                               Verification

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 competent to submit and verify the same.


Place:                                                                                               Signature
Date:                                                                                                (Chairman/Secretary)
                                                     Form - B (In two copies)
                                      Proforma for information on……………( Course ) Of………………..
                                                                 (Institute )
1     Name of the Trust / Society
2     Name of the College / Institute
      Address ( with Pincode)
      Telephone No. (with STD code)
      Fax No. (with STD code)
      E-Mail ID
      Website
3     Name of the Course
      Specify whether UG/ PG or Diploma Course
      Duration of the course
4     Name of the Director/ Principal of the College/Institute
      with mobile number
5     Name of the University to which this course is affiliated
6     Notices issued by the AFRC for the academic years                     2010-11               2009-10                2008-09
      mentioned herein-against
 i    Number of notices issued by AFRC
ii    Number of notices replied by the Institution
iii   Number of notices resolved
iv    Number of notices pending
7     Number of following nature of notices issued by the                   2010-11               2009-10                2008-09
      AFRC for the academic years mentioned herein-against
 i    Non-refund of fees to students
ii    Excess fees charged from students
iii   Denial to return documents to students
iv    Making optional services (e.g. transportation, T&P,
      Hostel, Mess, etc.) as compulsory
v     Others (Please specify)
      Total [(must match with 6(i)]
8     Whether students grievance cell exists in the Institution Yes/No (If Yes, furnish the following details)


 i    No. of complaints received by the Cell during 2009-10
ii    No. of complaints resolved by the Cell during 2009-10
9     Whether Institution has applied to Regulatory Authority       Yes/No (If Yes, enclose copy of relevant letter of Regulatory
      for Institutional Preference Students from academic           Authority and furnish the following details)
      year 2010-11

10 If yes, furnish the Projected Sanctioned Intake capacity
   for first year of the course for the years mentioned              2011-12    2012-13     2013-14     2014-15    2015-16
   herein-against of Institutional Preference Students
11 Sanctioned Intake capacity for first year of the course   2010-11 2009-10 2008-09 2007-08                       2006-07
   for the years mentioned herein-against (As approved by
   regulatory authority) Other then students admitted under
   Government Fees Waiver Scheme
                                                            (Enclose copy of latest sanction letter also)
12 Actual number of students admitted in first year of the
   course during the years mentioned herein against          2010-11 2009-10 2008-09 2007-08                       2006-07
   (Other then students admitted under Government Fees
   Waiver Scheme)
13 Furnish the details of actual number of students                  2010-11    2009-10     2008-09     2007-08    2006-07
   admitted in first year of the course during the years
   mentioned herein against (as submitted in Item No. 12
13 Furnish the details of actual number of students
   admitted in first year of the course during the years
   mentioned herein against (as submitted in Item No. 12
   above)
  i   Student admitted under Institutional Preference seats
 ii   Student admitted under NRI seats
iii   SC/ST Students Admitted
iv    OBC Studetns Admitted
 v    Other Gerenral Studetns Admitted
      Total (must match with actual number of students
      admitted mentioned at point no. 12 above)
14 Sanctioned Intake capacity of students to be admitted  2010-11 2009-10
   under Government Fees Waiver Scheme for first year of
   the course for the years mentioned herein-against (As
   approved by regulatory authority)
                                                         (Enclose copy of latest sanction letter also)
15 Actual number of students admitted under Government    2010-11 2009-10
   Fees Waiver Scheme in first year of the course during
   the years mentioned herein against
16 Sanctioned Intake capacity of lateral entry of students     2010-11     2009-10     2008-09    2007-08     2006-07
   for second year of the course for the years mentioned
   herein-against (As approved by regulatory authority)
                                                              (Enclose copy of latest sanction letter also)
17 Actual number of lateral entry students admitted in         2010-11 2009-10 2008-09 2007-08                2006-07
   second year of the course during the years mentioned
   herein against

18 Regular Students studying as per under mentioned table
   Academic Total No. of regular                                         Studying in
     Year     Students studying the
                course during the    Ist Year        IInd Year                  IIIrd Year       IVth Year    Vth Year
                 repective year

    2006-07
    2007-08
    2008-09
    2009-10
    2010-11
19 Drop-out Students (who have taken TC from the Institution) as per under mentioned table
   Academic Total No. of drop-out                                     Studying in
     Year     Students studying the
                course during the   Ist Year         IInd Year              IIIrd Year           IVth Year    Vth Year
                 repective year

    2006-07
    2007-08
    2008-09
    2009-10
    2010-11
20 Ex Students appearing in examination
   Academic      Total No. of Ex                                         Studying in
     Year    Students studying the
                course during the    Ist Year            IInd Year              IIIrd Year       IVth Year    Vth Year
                 respective F.Y.
       2006-07
       2007-08
       2008-09
       2009-10
       2010-11
21 Furnish Branch/Course wise detail of opening and             2010-11     2009-10 2008-09 2007-08             2006-07
    closing rank of students admitted for the years                           Opening and Closing Rank
    Mechanical
    EC
    EE
    Civil
    Computer Science
    Information Technology
    EI
    AI
    Textile Technology
    Fire Technology
    Architecture
    B.Pharma
    D.Pharma
    MBA
    MCA
    MBBS/BDS/BAMS/BHMS/BUMS
    B.Sc./M.Sc Nursing / P.B.B.Sc.
    Others (Please specify)
22 Furnish number of students admitted for the years            2010-11     2009-10     2008-09     2007-08     2006-07
    mentioned herein-against
  i Through Entrance examination (like PET, PMT, etc.)
 ii On the basis of qualifying examination:
     - By the Counselling Authority through centralised
    counselling
     - By Institution itself at College level counselling
    Total (must match with actual number of students
    admitted mentioned at point no. 12+15 above)

23 Furnish number of students admitted for the years            2010-11     2009-10     2008-09     2007-08     2006-07
   mentioned herein-against having First Divison in
   qualifying examination (like 10+2 or Graduation)
24 Date and year of initial recognition of course by
   Regulatory Authority
25 Date of renewal of recognition of course by Regulatory
   Authority for 2010-11
26 Whether any year during 2006-07 to 2010-11 has been         Yes/No (If Yes, Enclose relevant letter from Regulatory
   awarded as zero year by Regulatory Authority                                      Authority)
27 Whether Institution has applied for discontinuance of       Yes/No (If Yes, Enclose relevant letter from Regulatory
   course                                                                            Authority)
28 Whether infrastructure of the Institution is in excess of     Yes/No (If Yes, give details of the excess capacity)
   the requirement prescribed for the sanctioned intake for
   2010-11
29 Salary and Staff Details                                    Enclose details as per Annexure-I, Annexure-IA and
                                                               Annexure-IB.
30 Teaching Staff                                              Furnish details of teaching staff in the following format

    Requirement as per Regulatory Body norms                            Filled Post                  Total       Vacant
                                                                Regular    Adhoc    Contract         Filled      Posts


    a) Professors
    b) Associate Professors/Reader
    c) Astt.Professors/Lecturers


31 Non Teaching Staff                                          Furnish details of non- teaching staff in the following
    Requirement as per Regulatory Body norms                   format.    Filled Post                 Total       Vacant
                                                                      Regular           Contract     Filled      Posts
                                                                                                     Posts
    Requirement as per Regulatory Body norms                                                          Total         Vacant
                                                                        Regular          Contract     Filled        Posts
                                                                                                      Posts
    a) Technical
    b) Non-Technical
    c) Class -IV

32 Student - Teacher Ratio
    a) With approved staff only
    b) With (regular+ contract) staff
33 Student - Non- teaching Staff Ratio
34 Student - Total Staff Ratio
35 Non- Teaching - Teaching staff Ratio
36 Whether any capital expenditure has been made out of Yes/No(If Yes, furnish the following details)
   fresh interest free funds or collection of donation
   brought in by the Institution/Society during 2010-11

          Head of Capital Expenditure      Amount of Capital     Source of Interest Free Funds or     Total Amount of
                                             Expenditure              collection of donation          Funds Brought In




37 When last inspection was made by the Regulatory
   Authority (like AICTE, MCI, University, etc.)                (give month and year / date of inspection).

38 Whether the approval by Regulatory Authority (like           (Also enclose a copy of approval report of Regulatory
   AICTE, MCI, University, etc.) is subject to any              Authority)
   conditions. If yes, give details thereof.

39 Whether Institution is having:
      - Accreditation from NBA or such other Accreditation      Yes/No(If Yes, enclose a copy of the certificate)

40 Furnish details of University results in the following format
    For Academic Year 2009-10
    Year             No. of students       No. of students          % of       No. of students        No. of students in
                      appeared in         declared PASS by         Result    obtaining more then     University Merit List
                      examination           the University                       75% marks
                   Regular       Ex
    Ist
    IInd
    IIIrd
    IVth

41 Whether Institution/Society is involved in conducting        Yes/No (If yes, furnish following details of said
   any activity/ courses apart from the courses for which       activities/courses)
   fees has been fixed by AFRC for F.Y. 2009-10

    Activity/Course            Fee per     No. of      Total fees received   Total expenditure on      Surplus/(Deficit)
                               student    students                           such activity/course
                             /participan /participan
                                   t          ts
    Computer Course
    B.Com
    BBA
    BCA
    BA
    Paramedical Course
    School
    Cultural/Social
    Activity
    Others (please
    specify each
    course/activity
    individually)

42 Whether Institution/Society is involved in conducting  Yes/No (If yes, furnish following details of said
   any activity/ courses apart from the courses for which activities/courses)
   fees has been fixed by AFRC for the period 01.04.2010
   to 31.12.2010

    Activity/Course          Fee per     No. of       Total fees received   Total expenditure on    Surplus/(Deficit)
                             student    students                            such activity/course
                           /participan /participan
                                 t          ts
    Computer Course
    B.Com
    BBA
    BCA
    BA
    Paramedical Course
    School
    Cultural/Social
    Activity
    Others (please
    specify each
    course/activity
    individually)

43 Audited Financial Statements of the course                  Attach Audit Report along with Audited Final Accounts and all
                                                               necessary schedules for each course separately for the period
                                                               01.04.2010 to 31.12.2010

44 Furnish comparative data of Audited Financial               Furnish comparative data of Audited Final Accounts in the below
   Statements of the course                                    mentioned chart for the last two years i.e. 2008-09 and 2009-10
                                                               along with for the period 01.04.2010 to 31.12.2010


                                                 …………………... INSTITUTION
                                                ………………………….. COURSE
                                              INCOME & EXPENDITURE ACCOUNT

    EXPENDITURE             2008-09     2009-10      01.04.10 to           INCOME                  2008-09    2009-10   01.04.10 to
 (Heads as per Audited                                31.12.10 (Heads as per Audited Income and                          31.12.10
Income and Expenditure                                              Expenditure Account)
       Account)
Surplus                                                             Deficit


              TOTAL                                                              TOTAL




                                                     …………………... INSTITUTION
                                                     ………………………….. COURSE
                                                           BALANCE SHEET


           LIABILITIES           2008-09   2009-10    01.04.10 to                ASSETS               2008-09   2009-10   01.04.10 to
       (Heads as per Audited                           31.12.10       (Heads as per Audited Balance                        31.12.10
          Balance Sheet)                                                          Sheet)




              TOTAL                                                              TOTAL




 45 Financial Information for the year 2009-10 and for the period 01.04.10 to 31.12.10 (submissions to following items
    must be given separately for 2009-10 and for the period 01.04.10 to 31.12.10)
  i.     Give details of common expenses apportioned between different
         courses in the following format
            S.No.          Head of expenditure          Total Expenditure               Amount Apportioned between
                                                                                       Course…………. ...…….
                                                                               Course………….      Course     Course ...…….
                                                                                                                      Course ..
              1
              2
              3
         Note: Also enclose working and basis of apportionment of
         common expenses
  ii.   Interest paid/ provided on loans                                         Give details as per enclosed Annexure-IIA and
                                                                                 Annexure-IIB


 iii.   Advertisement Expenses                                                   Furnish details as per following table:
                  S.No.     Particulars                                                                                     Amount
                   1            Faculty Recruitment
                   2            Counseling/admission of students for regular students
                   3            Counseling/admission of students for lateral students
                   4            Conference/ Seminar
                   5            Training and Placement
                   6            Others (Please specify each head individually)
                                TOTAL (must match with audited Income and Expenditure figure)


 iv. Rent                                                                        Furnish details as per following table:
                   S.No.                                           Particulars                                              Amount
                   1            Paid for Building Premises
                   2            Paid for staff residence and not debited in salary head
                   3            Office Rent
                   4            Paid for Vehicle
                   5            Paid for Equipment
                   6            Others (Please specify)
                                TOTAL (must match with audited Income and Expenditure figure)


v.(a) Whether Hostel Facility is available                                       Yes/No
        If yes, mention capacity                                                 Boys
                                                                                 Girls
                                                                                 Total Capacity
 (b) Whether Hostel accounts maintained separately? (i.e. not clubbed            Yes/No/NA(If Yes,enclose Audited Income &
     with Audited Income & Expenditure furnished in response to item             Expenditure Account of the same and also furnish
     no. 43 above)                                                               following details. If No, give details in annexure-III)

        No. of students using      Fees charged per student pa        Total Hostel Fees recceived           Total Expenses on Hostel
        Hostel facility




vi. (a) Whether Mess Facility is provided to Hostellers                          Yes/No

(b)     Whether Mess accounts maintained separately? (i.e not clubbed            Yes/No/NA (If yes, enclose audited Income and
        with Audited Income & Expenditure furnished in response to item          Expenditure Account of the same also furnish following
        no.43 above)                                                             details. If No, give details in Annexure-III)

        No.of students using       Fees charged per student pa        Total Mess Fees recceived              Total Expenses on Mess
        Mess facility


vii     Whether Transportation Facility is provided to students                  Yes/No
(a)

(b)     Distance of Institution from zero mile stone of the City in which
        Institution is situated.
(c)    Whether Students Transportation accounts maintained separately? Yes/No/NA (If yes, enclose audited Income and
       (i.e not clubbed with Audited Income & Expenditure furnished in Expenditure Account of the same also furnish following
       response to item no.43 above)                                   details. If No, give details in Annexure-III)

       No.of students using      Fees charged per student pa         Total Transport Fees recceived    Total Expenses on Transport
       transport facility



       S.No.        Nature/Head of Transportation Expenses of Students                                                        Amount
       1            Diesel
       2            Bus hire charges
       3            Salary of Transport Staff
       4            Repairs & Maintenance
       5            Others (please specify)

viii        Whether Training & Placement Facility is provided to students                             Yes/No
(a)

(b)    Whether Training & Placement accounts maintained separately?            Yes/No/NA (If yes, enclose audited Income and
       (i.e not clubbed with Audited Income & Expenditure furnished in         Expenditure Account of the same also furnish following
       response to item no.43 above)                                           details. If No, give details in Annexure-III)

          Students using         Fees charged per student pa        Total Training & Placement Fees     Total Training & Placement
       Training & Placement                                                      received                        Expenses
               facility

       Studying       No. of
        in Year      students
           Ist
            IInd
            IIIrd
            Ivth

ix     Whether Hospital/OPD/Clinic etc. accounts maintained separately? Yes/No/NA (If yes, enclose audited Income and
       (i.e not clubbed with Audited Income & Expenditure furnished in  Expenditure Account of the same also furnish following
       response to item no.43 above)                                    details. If No, give details in Annexure-III)

           No. of years completed by the        Hospital/ OPD/ Clinic etc. Bed/ No. required as per   Hospital/ OPD/ Clinic etc. Bed/
                     Institution                            Regulatory Body Norms                        No. actually maintained


x      Whether Uniform accounts maintained separately? (i.e. not clubbed Yes/No/NA (If yes, enclose audited Income and
       with Audited Income & Expenditure furnished in response to item   Expenditure Account of the same also furnish following
       no. 43 above)                                                     details. If No, give details in Annexure-III)

       No.of students              Fees charged per student           Total Uniform Fees received        Total Uniform Expenses




xi     Whether University accounts maintained separately? (i.e. not            Yes/No/NA (If yes, enclose audited Income and
       clubbed with Audited Income & Expenditure furnished in response         Expenditure Account of the same also furnish following
       to item no. 43 above)                                                   details. If No, give details in Annexure-III)

       S.No.        Heads of University Fees                                               Total Fees Received    Total Fees Paid to
                                                                                                                      University

             1      Exam Fees
           2        Development Fees
           3        Student welfare Fees
           4        Others (please specify)
                    Total

xii    Wheter any scholarship / freeship / concessional fess etc. has       Yes/No (if yes, give details of source of scholarship /
(a)    been granted to students                                             freeship / concessional fess, etc.)
xii    If yes, the amount thereof and the head where it has been parked
(b)    in the Income and Expenditure Account.


xiii   Whether any amount has been spent on student welfare                 Yes/No (If Yes, furnish the following details)
       S.No.                Head where parked in Income and                 Nature of Expenditure                      Amount
                                 Expenditure Account

           1        Insurance                                   Insurance of Students
           2                                                    Provision of medical facilities
           3                                                    Others (please specify)
                    Total


xiv    Whether Growth and Development Fund accounts maintained              Yes/No/NA (If yes, enclose audited Income and
       separately? (i.e. not clubbed with Audited Income & Expenditure      Expenditure Account of the same also furnish following
       furnished in response to item no.43 above)                           details. If No, give resons for not maintaining
                                                                            separate accounts and also furnish foolowing
                                                                            details.)
       Receipts: 2008-09 Batch
              Year                       No.of Students          Growth & Development fee per         Total Growth & Development
                                                                           Student                           Fees Received
                Ist Year
               IInd Year
               IIIrd Year
               Total (A)


       Receipts: 2009-10 Batch
              Year                       No.of Students          Growth & Development fee per         Total Growth & Development
                                                                           Student                           Fees Received
                Ist Year
               IInd Year
               Total (B)

       Receipts: 2010-11 Batch
               Year                      No.of Students          Growth & Development fee per         Total Growth & Development
             Ist Year
            Total (C)

       Expenditure on Growth and Development: F.Y.2008-09
       Head of Expenses                                                                                        Amount Expended
       Consturction / Fixed Assets
       Others
       Total (D)

       Expenditure on Growth and Development: F.Y.2009-10
       Head of Expenses                                                                                        Amount Expended
       Consturction / Fixed Assets
      Others
      Total (E)


      Expenditure on Growth and Development: F.Y.2009-10
      Head of Expenses                                                                                      Amount Expended
      Consturction / Fixed Assets
      Others
      Total (F)
            Give reasons for short expenditure [(A+B+C) - (D+E+F)]

Xv    Details of Income/Receipts                                Furnish details of all Income (segregating the same nature wise in
                                                                   as much detail as possible) received in the following format

S.    Head of Income                           Amount          Whether credited in   Head of Income        Specify the nature
No.                                                                Income and      where reflected in the   and purpose for
                                                               Expenditure Account     Income and         which the same has
                                                                  of Institution.  Expenditure Account       been received
                                                                     (Yes/No)

 A    Tuition Fees
 B    Development Fee
 C    Sports Fee
 D    Library/Book Bank Fee
 E    Internet & Email facility fee
 F    Cultural Activity fee
 G    Registration fee
 H    Fine & Penalty
 I    Prospectus Sale
 J    Books & Study Material Sale
 K    Alumni Fees
 L    Admission Fees
 M    University Fees
 N    Hostel Fees
 O    Mess Fees
 P    Transportation Fees
 Q    Training & Placement Fees
 R    Caution Money
 S    Hospital/Clinic /Day Care
 T    Rent Receipts
 U    Donation
 V    Interest
      - On FDRs with Regulatory Body
      - On Caution Money
      - Other Deposit
      - Saving Bank
      - Other (Please specify)
 W    Dividend
      Examination and Enrollment
 X    Fees
 Y    Any Other Fee(Please Specify)

 46 Fixed Assets and Depreciation                                         Enclose Fixed Assets schedule for 2009-10 and
                                                                          01.04.2010 to 31.12.2010 prepared in accordance with
                                                                          the provisions of Companies Act as per Annexure-IV as
                                                                          per Gross Block basis along with land details as per
                                                                          Proforma.

 47 Details of Tution Fees collected during last four years in under-
    mentioned Proformas
       I. Under Graduate other then lateral entry students and students admitted under government fees waiver scheme
(Fill 4 or 5 year data as applicable on Institution)

Year                   NRI Seats                         Institution Preference Seats                         Open Seats                      Total Seats


Studyi   No. of         Fees per     Total Fees      No. of       Fees per      Total Fees       No. of        Fees per    Total Fees     No. of     Total Fees
ng in Students (A)      Student      Collected/     Students      Student       Collected/    Students (E)     Student     Collected/    Students    Collected/
Year                                 Collectible      (C )                      Collectible                                Collectible   (A+C+E)     Collectible
                                         (B)                                        (D)                                        (F)                    (B+D+F)

                                                                           F.Y. 2007-08
Ist
2nd
3rd
4th
5th
Total
                                                                           F.Y. 2008-09
Ist
2nd
3rd
4th
5th
Total
                                                                           F.Y. 2009-10
Ist
2nd
3rd
4th
5th
Total
                                                                           F.Y. 2010-11
Ist
2nd
3rd
4th
5th
Total


         II. Under Graduate for lateral entry students (Fill 4 or 5 year data as applicable on Institution)
Year                                                                                                          Open Seats                      Total Seats

Studyi                                                                                          No. of         Fees per    Total Fees     No. of     Total Fees
ng in                                                                                          Students        Student     Collected/    Students    Collected/
Year                                                                                                                       Collectible               Collectible



                                                                           F.Y. 2007-08
Ist
2nd
3rd
4th
5th
Total
                                                                           F.Y. 2008-09
Ist
2nd
3rd
4th
5th
Total
                                                                           F.Y. 2009-10
Ist
2nd
3rd
4th
5th
Total
                                                                        F.Y. 2010-11
Ist
2nd
3rd
4th
5th
Total


          III. Under Graduate for students admitted under government fees waiver scheme (Fill 4 or 5 year data as applicable on Institution)


Year                                                                                                    Open Seats                      Total Seats

Studyi                                                                                      No. of       Fees per    Total Fees     No. of     Total Fees
ng in                                                                                      Students      Student     Collected/    Students    Collected/
Year                                                                                                                 Collectible               Collectible


                                                                        F.Y. 2009-10
Ist
2nd
Total
                                                                        F.Y. 2010-11
Ist
2nd
Total


         IV. Post Graduate other then of students admitted under government fees waiver scheme (Fill 2 or 3 year data as applicable on Institution)


Year                    NRI Seats                                                                       Open Seats                      Total Seats

Studyi   No. of         Fees per     Total Fees                                             No. of       Fees per    Total Fees     No. of     Total Fees
ng in Students (A)      Student      Collected/                                          Students (C)    Student     Collected/    Students    Collected/
Year                                 Collectible                                                                     Collectible    (A+C)      Collectible
                                         (B)                                                                             (D)                     (B+D)
                                                                        F.Y. 2007-08
Ist
2nd
3rd
Total
                                                                        F.Y. 2008-09
Ist
2nd
3rd
Total
                                                                        F.Y. 2009-10
Ist
2nd
3rd
Total
                                                                        F.Y. 2010-11
Ist
2nd
3rd
Total


         V. Post Graduate students admitted under government fees waiver scheme (Fill 2 or 3 year data as applicable on Institution)

Year                                                                                                    Open Seats                      Total Seats
Studyi                                                                                            No. of       Fees per      Total Fees       No. of      Total Fees
ng in                                                                                            Students      Student       Collected/      Students     Collected/
Year                                                                                                                         Collectible                  Collectible


                                                                            F.Y. 2009-10
Ist
2nd
Total


                                                                            F.Y. 2010-11
Ist
2nd
Total


  48 Whether 2010-11 is the first Academic Year of Institution                                 Yes/No (If Yes, enclose copy of DPR submitted to
                                                                                               Regulatory Authority)
  49 Fees proposed by the Institution for the course for Academic Years                                 2011-12                             2012-13
     mentioned herein against

  50 Justification for fees proposed as above                                                  Enclose working sheet including justification for the fee
                                                                                               proposed as above.

                                                            Verification
          (The person signing the Verfication clause must satisfy himself/herself about correctness of the information before affixing
                                                         his/ her signature)

I, .................................................. (full name in block letters), son/daughter ................................................ 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 ......................................... and I am competent to submit and verify
the same.


                                                                                                                                             (Sign with stamp)
Date :                                                                                                                                     Chairman/Secretary
Place :

                                                                      Auditors Certificate

We have audited the above said Proforma and Annexures thereof. In our opinion and to the best of our information and according
to explanations given to us the particulars given in the said Proforma and Annexures thereof are true and correct.

                                                                                                                                               For XYZ & Co.
                                                                                                                                       Chartered Accountants



Date :                                                                                                                                                      (ABC)
Place :                                                                                                                                              Partner/Prop.
                                                                                                                                                           M. No.

Note: Above certification should be given by the statutory auditor of Trust/Institution.
                                                               ANNEXURE - II

                                                     INTEREST STATEMEMT
                                                            PART - A
Total Interest as per Audited Final Account of F.Y. 2009-10 and for the period 01.04.2010 to 31.12.2010 (Submissions of following
                   information must be given separately for 2009-10 and for the period 01.04.10 to 31.12.2010)

S.      Particulars (Submit      Rate of     Date of     Where           Loan    Interest   Descriptio Wheter        If No, name of the
No.     detail of each loan      Interest   Sanction Reflected          Amount   Amount        n and       said    owner of the security,
            seperately)                     (enclose [i.e. in the                           address (if security is relationship of the
                                                      accounts of
                                            sanction                                          any) of owned by owner with society
                                                       Institution/
                                              letter)                                           the      Society        and nature of
                                                        Society+
                                                        Institution)]                         security (Yes/No) agreement betweet
                                                                                              against               the said owner and
                                                                                               which                     the Society
                                                                                             loan has
                                                                                               been
                                                                                             obtained
  1   Interest on Term
      Loan No.1
  2   Interest on Term
      Loan No.2
  3   Interest on Term
      Loan No.3
  4   Interest on
      Unsecured Loan No.1


  5   Interest on
      Unsecured Loan No.2



  6   Interest on Loan for
      Working Capital No.1
  7   Interest on Loan for
      Working Capital No.2
  8   Other Interest
      (Specify)
Total (Must match with the figure in Income and Expenditure Account.
If not matching explain reasons) (A)
                                                      INTEREST STATEMEMT
                                                              PART - B

Total Interest as per Audited Final Account of F.Y. 2009-10 and for the period 01.04.2010 to 31.12.2010 (Submissions of following
                   information must be given separately for 2009-10 and for the period 01.04.10 to 31.12.2010)
S.                     Particulars                     Purpose of Loan          Loan Amount           Interest & Bank Charges etc.
No.                                                                                                  Financial    Others      Total
                                                                                                    Institution
                                                                                                         (i)        (ii)       (iii)
                                                                                                                           [(i) + (ii)]
  1   Interest attributable to amount borrowed for
      initial infrastructure development. (Give
      name of lender(s) along with interest paid to
      each one)

  2   Interest attributable to amount borrowed for
      Modernisation /Expansion forced due to
      change in norms of Regulatory Body. (Give
      name of lender(s) along with interest paid to
      each one)

  3   Interest attributable to amount borrowed for
      Modernisation /Expansion by the Institute
      voluntarily. (Give name of lender(s) along
      with interest paid to each one)

  4   Interest attributable to amount borrowed for
      Working Capital. (Give name of lender(s)
      along with interest paid to each one)

  5   Others (Please specify the nature) (Give
      name of lender(s) along with interest paid to
      each one)

                                 (B) Total
Note:-Total(A) should match with Total (B). If not give reasons.


Notes-
 1 Interest and charges on amount borrowed for subsequent development/ setting up of infra-structure necessitated due to
    change in curriculum / course requirement / modernization / quality upgradation. This does not include interest and charges
    on capital expenditure related to establishment required as per Regulatory Body Norms in years subsequent to
    establishment which will be includible in item. I i.e. Interest and charges attributable to establishment of institution as per
    regulatory body norms.

  2   Provide above referred details separately in respect of Loan and Interest accounted for in the books of Institution and in
      respect of Loan and Interest accounted for in the books of Society/Trust.

  3   Further if Society/Trust has taken a consolidated loan and used it for different Institution/ Courses then provide the basis and
      working of apportionment of said loan among different Institution/Courses
                                                         ANNEXURE- III

Please submit the details of receipts and expenditure related to mess, transportation, hostel, training & placement, Hospital and
 such other heads if credited / debited to the Income & Expenditure Account for the financial year 2009-10 and the accounting
           heads where these receipts / expenses have been parked / debited in the final accounts for FY 2010-11.

     As per Audited Final Accounts of F.Y. 2009-10 along with provisional accounts for F. Y. 2010-11 up to 31st Dec. 2010

       (Submissions of following information must be given separately for 2009-10 and for the period 01-04-10 to 31-12-2010)

S.                Particulars                       Expenditure                                   Income
No.
                                           Amount    Head Where Parked      No. of     Fees per   Amount     Head Where Parked
                                                                           Students    Student
                                                                           availing
                                                                            facility
 1     Mess
                                             -                                                        -
 2     Hostel
                                             -                                                        -
 3     Transportation
                                             -                                                        -
 4     Training & Placement
                                             -                                                        -
 5     Hospital/OPD/Clinic etc. receipts
                                             -                                                        -
 6     Uniform
                                             -                                                        -
 7     University Fees

 a     Exam Fees

 b     Development Fees

 c     Student welfare Fees

 d     Others (please specify)

 8      Any other head of similar nature



                                             -                                                        -
       Total                                 -                                                        -
X Y Z & Co.                                                                                    IInd Floor, …………,
Chartered Accountants                                             Plot No.- 2, H.S. Complex, Gwalior (MP) - 462 001
                                                                                             E-mail – and Phone No.



                                              AUDIT REPORT FORMAT



We have audited the attached Balance Sheet of BE Course of ABC Institution, Bhopal (Run by DEF Society/Trust)
as at 31st March 2011 together with the Income & Expenditure Account of the BE Course of ABC Institution for
the year ending 31st March 2011 annexed thereto and we report as under:


(a) We have obtained all the information and explanations, which to the best of our knowledge and belief were
necessary for the purposes of the audit.


(b) In our opinion, proper books of account have been kept by the Institution so far as appears from our
examination of the books.


(c) The Balance Sheet and Income & Expenditure Account dealt with by this report are in agreement with the
books of account.

(d) According to information and explanation given to us and books of accounts produced before us, there is no
material concealment and misrepresentation about financial affairs.


(e) No expenses of any other course of institution included in the Income and Expenditure Account. Where-ever
the resources are shared with other courses also common expenses has been apportioned on proper basis and not
in the arbitary manner.

(f) In our opinion, and to the best of our information and according to the explanations given to us, the said
Balance Sheet and Income & Expenditure Account give a true and correct view in conformity with the accounting
principles generally accepted in India:
(i) In so far as it relates to the Balance Sheet, of the state of affairs of the BE Course of ABC Institution as at 31st
March, 2011 and


(ii) In so far as it relates to the Income & Expenditure Account, of the Profit of the BE Course of ABC Institution
for the year ended on that date.


                                                                                                     For A B C & Co.
                                                                                                Chartered Accountants


Place: Bhopal                                                                                                      XYZ
Date: 11.11.2011                                                                                          Partner/Prop.
                                                                                                         M. No. 123456
                                                          ANNEXURE – I

           A. SALARY STATEMENT OF ………. (Course) of ………….COLLEGE / INSTITUTION


     I Primary Sheet (As per audited final accounts of ………..(Course) for F.Y. 2009-10)

S. Heading (as per audited final accounts of F.Y. 2009-10 of College / Institution       Amount
No.

 1   Salary and Wages                                                                             0.00
 2   Other Heads                                                                                  0.00
     (if amount of salary covered in any other head)                                              0.00
     a) Consultancy                                                                               0.00
     b) EPF                                                                                       0.00
     c) Security Expenses                                                                         0.00
     d) Wages and Labour Expenses                                                                 0.00
     e) Rent or other perquisite/facilities provided/paid or reimbursed to Employees              0.00
     f) Others                                                                                    0.00

     Total (A)                                                                                    0.00




     II Secondary Sheet

S. Particulars                                                                           Total Salary
No.                                                                                      during 2009-
                                                                                              10


B1 For Teaching Staff (Required as per Regulatory Body norms)                                     0.00

B2 For Additional Teaching Staff (In excess of Regulatory Body norms)                             0.00

B3 For Administrative Staff (Required as per Regulatory Body norms)                               0.00

B4 For Additional administrative Staff (In excess of Regulatory Body norms)                       0.00

B5 Others, if any                                                                                 0.00

     Total (B)                                                                                    0.00


Note: Total (B) must match with Total(A).
      Annexure to Item No. B1 of Secondary Sheet
      (For Teaching Staff)
S.    Names                Designation        PAN   Whether included      Date of         Date of     Pay scale Gross Salary Gross Salary
No.                                                 in employees list   appointment     leaving if               for March   for the period
                                                      submitted to                     left during                 2010       01.04.09 to
                                                       Regulatory                        the year                               31.03.10
                                                        Authority
                                                        (Yes/No)
 1                                                                                                                                     0.00
 2                                                                                                                                     0.00
 3                                                                                                                                     0.00
                                                                                                                       Total           0.00
                                                                              Note: Must match with Item No. B1 of Secondry Sheet



      Annexure to Item No. B2 of Secondary Sheet
      (For Additional Teaching Staff)
S.    Names                  Designation      PAN   Whether included      Date of         Date of     Pay scale Gross Salary Gross Salary
No.                                                 in employees list   appointment     leaving if               for March   for the period
                                                      submitted to                     left during                 2010       01.04.09 to
                                                       Regulatory                        the year                               31.03.10
                                                        Authority
                                                        (Yes/No)
 1                                                                                                                                     0.00
 2                                                                                                                                     0.00
 3                                                                                                                                     0.00
                                                                                                                       Total           0.00
                                                                              Note: Must match with Item No. B2 of Secondry Sheet




      Annexure to Item No. B3 of Secondary Sheet
      (For Administrative Staff)
S.    Names                  Designation      PAN   Whether included      Date of         Date of     Pay scale Gross Salary Gross Salary
No.                                                 in employees list   appointment     leaving if               for March   for the period
                                                      submitted to                     left during                 2010       01.04.09 to
                                                       Regulatory                        the year                               31.03.10
                                                        Authority
                                                        (Yes/No)
 1                                                                                                                                     0.00
 2                                                                                                                                     0.00
 3                                                                                                                                     0.00
                                                                                                                       Total           0.00
                                                                              Note: Must match with Item No. B3 of Secondry Sheet
      Annexure to Item No. B4 of Secondary Sheet
      (For Additional administrative Staff)
S.    Names                  Designation      PAN            Whether included        Date of            Date of     Pay scale Gross Salary Gross Salary
No.                                                          in employees list     appointment        leaving if               for March   for the period
                                                               submitted to                          left during                 2010       01.04.09 to
                                                                Regulatory                             the year                               31.03.10
                                                                 Authority
                                                                 (Yes/No)
 1                                                                                                                                                         0.00
 2                                                                                                                                                         0.00
 3                                                                                                                                                         0.00

                                                                                                                                     Total                 0.00
                                                                                            Note: Must match with Item No. B4 of Secondry Sheet


      Annexure to Item No. B5 of Secondary Sheet
      (For others)
S.    Names                Designation        PAN            Whether included        Date of            Date of     Pay scale Gross Salary Gross Salary
No.                                                          in employees list     appointment        leaving if               for March   for the period
                                                               submitted to                          left during                 2010       01.04.09 to
                                                                Regulatory                             the year                               31.03.10
                                                                 Authority
                                                                 (Yes/No)
 1                                                                                                                                                         0.00
 2                                                                                                                                                         0.00
 3                                                                                                                                                         0.00

                                                                                                                                     Total                 0.00
                                                                                            Note: Must match with Item No. B6 of Secondry Sheet


REPORT:
We have audited the above statement for the period 01.04.09 to 31.03.10 and we certify the correctness of the above statement. Further, we also certify
that salary of an employee is considered only in one college/instituion or hospital or any other concern run by the Trust/Society out of X no. of institutions
etc. run by Trust/Society and not in more than one college/institution or Hospital or any other concern run by the Trust/Society except the list enclosed.


                                                                                                                                                For X Y Z & Co.
                                                                                                                                         Chartered Accountants


                                                                                                                                                            ABC
PLACE:                                                                                                                                             Partner/Prop.
DATE:                                                                                                                                             M. No. 123456

Notes:
 1 Above certifcation should be given by the statutory auditor of trust/institution.
 2 Further if an employee's salary is included in more then one college/course etc. then give the name of each college/course, amonunt of salary
    debited in each respective college during the period 01.04.2009 to 31.03.2010 and basis of apportionment of such salary.
                                 ANNEXURE – IA

 A. SALARY STATEMENT OF ………. (Course) of ………….COLLEGE / INSTITUTION OF
                               DEC. 2010



     (For Teaching Staff)

S. Name of faculty / Employee               Net Salary       Mode of   Account No. of
No.                                         Paid for the     Payment    employee in
                                             month of                   which salary
                                             Dec. 2010                    credited
 1                                                   0.00
 2                                                   0.00
 3                                                   0.00
                                                     0.00




     (For Non-teaching Staff)

S. Name of faculty / Employee               Net Salary       Mode of   Account No. of
No.                                         Paid for the     Payment    employee in
                                             month of                   which salary
                                             Dec. 2010                    credited
 1                                                   0.00
 2                                                   0.00
 3                                                   0.00
                                                     0.00



                                                            Name of Branch Manager
                                                            Name of Bank and Branch
                                                            Branch Code NO.




Notes:
 1 Above certifcation should be given by the Branch Manager of the bank through which
    trust/institution has paid the salary.
                                                                    ANNEXURE – IB

              A. SALARY STATEMENT OF ………. (Course) of ………….COLLEGE / INSTITUTION


         I Primary Sheet (As per audited final accounts of ………..(Course) for the period 01.04.2010 to 31.12.2010

S. No.   Heading (as per provisional final accounts of 9 months of F.Y. 2010-11 of College / Institution                Amount



   1     Salary and Wages                                                                                                          0.00
   2     Other Heads                                                                                                               0.00
         (if amount of salary covered in any other head)                                                                           0.00
         a) Consultancy                                                                                                            0.00
         b) EPF                                                                                                                    0.00
         c) Security Expenses                                                                                                      0.00
         d) Wages and Labour Expenses                                                                                              0.00
         e) Rent or other perquisite/facilities provided/paid or reimbursed to Employees                                           0.00
         f) Others                                                                                                                 0.00

         Total (A)                                                                                                                 0.00




         II Secondary Sheet

S. No.   Particulars                                                                                               Total Salary during
                                                                                                                     01.04.2010 to
                                                                                                                       31.12.2010


  B1     For Teaching Staff (Required as per Regulatory Body norms)                                                                0.00

  B2     For Additional Teaching Staff (In excess of Regulatory Body norms)                                                        0.00

  B3     For Administrative Staff (Required as per Regulatory Body norms)                                                          0.00

  B4     For Additional administrative Staff (In excess of Regulatory Body norms)                                                  0.00

  B5     Hospital Staff                                                                                                            0.00

  B6     Others, if any                                                                                                            0.00

         Total (B)                                                                                                                 0.00


Note: Total (B) must match with Total(A).
       Annexure to Item No. B1 of Secondary Sheet
       (For Teaching Staff)
S. No. Names                  Designation        PAN     Date of      Date of leaving if   Pay scale     Gross Salary      Gross Salary for the
                                                       appointment     left during the                  for December       period 01.04.10 to
                                                                             year                            2010              31.12.2010
  1                                                                                                                                         0.00
  2                                                                                                                                         0.00
                                                                            Total                                                           0.00
                                                                     Note: Must match with Item No. B1 of Secondry Sheet
       Annexure to Item No. B2 of Secondary Sheet
       (For Additional Teaching Staff)
S. No. Names                    Designation      PAN     Date of      Date of leaving if   Pay scale     Gross Salary      Gross Salary for the
                                                       appointment     left during the                  for December       period 01.04.10 to
                                                                             year                            2010              31.12.2010
  1                                                                                                                                         0.00
  2                                                                                                                                         0.00
                                                                            Total                                                           0.00
                                                                     Note: Must match with Item No. B2 of Secondry Sheet
       Annexure to Item No. B3 of Secondary Sheet
       (For Administrative Staff)
S. No. Names                    Designation      PAN     Date of      Date of leaving if   Pay scale     Gross Salary      Gross Salary for the
                                                       appointment     left during the                  for December       period 01.04.10 to
                                                                             year                            2010              31.12.2010
  1                                                                                                                                         0.00
  2                                                                                                                                         0.00
                                                                            Total                                                           0.00
                                                                     Note: Must match with Item No. B3 of Secondry Sheet

       Annexure to Item No. B4 of Secondary Sheet
       (For Additional administrative Staff)
S. No. Names                    Designation      PAN     Date of      Date of leaving if   Pay scale     Gross Salary      Gross Salary for the
                                                       appointment     left during the                  for December       period 01.04.10 to
                                                                             year                            2010              31.12.2010
  1                                                                                                                                         0.00
  2                                                                                                                                         0.00
  3                                                                                                                                         0.00

                                                                            Total                                                          0.00
                                                                     Note: Must match with Item No. B4 of Secondry Sheet
       Annexure to Item No. B5 of Secondary Sheet
       (For Hospital Staff)
S. No. Names                  Designation        PAN     Date of      Date of leaving if   Pay scale     Gross Salary      Gross Salary for the
                                                       appointment     left during the                  for December       period 01.04.10 to
                                                                             year                            2010              31.12.2010

  1                                                                                                                                        0.00
  2                                                                                                                                        0.00
  3                                                                                                                                        0.00

                                                                            Total                                                          0.00
                                                                     Note: Must match with Item No. B5 of Secondry Sheet
          Annexure to Item No. B6 of Secondary Sheet
          (For others)

 S. No.   Names                    Designation          PAN          Date of        Date of leaving if     Pay scale       Gross Salary     Gross Salary for the
                                                                   appointment       left during the                      for December      period 01.04.10 to
                                                                                           year                                2010             31.12.2010

   1                                                                                                                                                           0.00
   2                                                                                                                                                           0.00
   3                                                                                                                                                           0.00

                                                                                          Total                                                                0.00
                                                                                   Note: Must match with Item No. B6 of Secondry Sheet

REPORT:
We have audited the above statement for the period 01.04.10 to 31.12.10 and we certify the correctness of the above statement. Further, we also certify that
salary of an employee is considered only in one college/instituion or hospital or any other concern run by the Trust/Society out of X no. of institutions etc. run
by Trust/Society and not in more then one college/institution or Hospital or any other concern run by the Trust/Society except the list enclosed.



                                                                                                                                                   For X Y Z & Co.
                                                                                                                                            Chartered Accountants


                                                                                                                                                              ABC
PLACE:                                                                                                                                               Partner/Prop.
DATE:                                                                                                                                               M. No. 123456

Notes:
   1      Give the name of employees in the sequence of Regular employees first then adhoc employees and lastly employees on contract.

   2      Above certifcation should be given by the statutory auditor of trust/institution.

   3      Further if an employee's salary is included in more then one college/hospital etc. then give the name of each college/hospital, amonunt of salary
          debited in each respective college during the period 01.04.2008 to 31.12.2008 and basis of apportionment of such salary
                                                        ANNEXURE - IV: FIXED ASSETS
                                                              For the year 2009-2010

Name of Assets              Rate of             GROSS BLOCK                                    DEPRICIATION                             NET BLOCK
                          Depreciation AS AT    ADDITION      SALE      AS AT      UPTO       ADJUST-   FOR THE       UPTO        AS AT      AS AT
                          as per SLM 31.03.09                          31.03.10   31.03.09     MENT      YEAR        31.03.10    31.03.09   31.03.10
Land & Site Development     0.00%
Building                    1.63%
Lab / workshop /
Laboratory Equipment       7.07%
Other Equipment            7.07%
DG Set                     7.07%
Plant & Machinery          4.75%
Computers & Peripherals    16.21%
Vehicles
 - Motor Car               9.50%
 - Buses                   11.31%
Furniture & Fittings       9.50%
Library Books *            10.00%
Others                     4.75%

Total :Rs.                                  0        0.00       0.00          0        0.00         0         0.00        0.00       0.00           0.00
Previous
Year :Rs.
                                                                  ANNEXURE - IV: FIXED ASSETS
                                                                For the period 01-04-10 to 31-12 2010

Name of Assets              Rate of                        GROSS BLOCK                                   DEPRICIATION                            NET BLOCK
                          Depreciation  AS AT             ADDITION     SALE      AS AT      UPTO       ADJUST-   FOR THE      UPTO        AS AT       AS AT
                          as per SLM   31.03.10                                 31.12.10   31.03.10     MENT       YEAR      31.12.10    31.03.10    31.12.10
Land & Site Development     0.00%
Building                    1.63%
                            Equipment
Lab / workshop / Laboratory 7.07%
Other Equipment             7.07%
DG Set                      7.07%
Plant & Machinery           4.75%
Computers & Peripherals    16.21%
Vehicles
 - Motor Car                9.50%
 - Buses                   11.31%
Furniture & Fittings        9.50%
Library Books *            10.00%
Others                      4.75%

Total :Rs.                                            0        0.00      0.00          0        0.00          0       0.00        0.00       0.00          0.00
Previous
Year :Rs.


                                         Statement of Details of Land
                                              As on 31.12.2010
Initial Cost of Land
Land Area                                                                                      In Sq. Feet
Date of Purchase
Present Valuce of Land as per Collector Rate
Land Location (i.e. Urban / Rural as per GOI norms)                                           Urban / Rural

				
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posted:7/25/2011
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