The Punjab State Board of Technical Education and Industrial Training

Plot No. 1A, Sector 36 A, Chandigarh

Phone: 0172-2615385, 2622584-85         email : affiliationpsbte@gmail.com


APPLICATION FORM FOR GRANT OF AFFILIATION FOR ACADEMIC SESSION 2021-22

(For NEW INSTITUTE/ EXTENSION OF APPROVAL TO CONTINUE THE CONDUCT OF DIPLOMA COURSE PHARMACY)

CATEGORY OF AFFILIATION APPLIED FOR: - NEW AFFILIATION / EXTENSION OF APPROVAL

Please provide the actual information, if any information found false/incorrect may lead to disaffiliation of the Institute from PSBTE.





PART A: GENERAL INFORMATION




































































PART B: DETAILS OF THE LAND













Plan competent issuing authority Upload
documents
Khasra Plan / Master Plan
Site Plan
Building Plan
Certificate competent issuing authority Upload
documents
Change of Land Use Certificate (CLU)
Occupancy certificate

  • Structural stability certificate issued by Registered Structural Engineer (applicable in case where occupancy certificate is more than 30 years old)




  • NOC from Local Fire Service Authorities(to ensure fire and life safety measures)




  • Whether Ramp provided for PWD for easy access to and evacuation from the building?




PART C: APPROVAL STATUS OF THE INSTITUTE

(for the Year 2019-20, 2020-21; attach copy of all the approval/affiliation letters)

Approving authority Letter Number Date Upload
documents
Copy of AICTE approval letter
Copy of PCI approval letter

  • Whether Anti-ragging committee (As per All PCI) constituted, displayed in the campus of the institute and hoisted on the website of institute?




  • Whether registered on AISHE portal for 2020-21 and data uploaded? (Mention AISHE code)




  • Whether Grievance Redressal Committee in the Institute constituted, displayed in the campus of the institute and hoisted on the website of institute?




  • Whether Internal Complaint Committee (ICC) (As per section 4 of Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2013) constituted, displayed in the campus of the institute and hoisted on the website of institute?






  • Committee for SC/ST (As per the Scheduled Castes and the Scheduled Tribes (prevention of Atrocities) act, 1989, No. 33 of 1989, dated 11.09.1989) constituted, displayed in the campus of the institute and hoisted on the website of institute?




PART D: STAFF STATUS & REQUIREMENT(Attach relevant documents as FLAG-D)

Norms for Faculty requirements and Recommended Cadre Ratio for Diploma Level Pharmacy Institution

Faculty : Student based on Approved Intake Principal/ Director Principal/ Director Lecturer Total
A B C D
Pharmacy 1:20 1 1 (S / 20) –B A+B+C

The faculty details for all the 02 years for the being offered by the institute be elaborated in the table given below:

NAME OF THE PRINCIPAL :
Upload Photograph
Date of Birth
Age
Gender
Qualification with Class obtained starting from the highest Degree
Upload University awarded Degree
Corresponding Specialization
Date of Joining
Scale of Pay
Present Basic Pay
Total emoluments
Aadhaar Number
Upload Signature


PRINCIPAL – EXPERIENCE
Teaching Industry
Institution Position Years Institution Position Years
TEACHING FACULTY – QUALIFICATION
Upload Photograph
Date of Birth
Age
Name of the Faculty Member
Designation
Department
Gender
Qualification with Class obtained starting from the highest Degree
Upload University awarded Degree
Corresponding Specialization
Date of Joining
Scale of Pay
Present Basic Pay
Total emoluments
Aadhaar Number
Upload Signature



NOTE: Faculty Cadre Qualifications and pay scales shall be as per Punjab Government / PCI

TEACHING FACULTY – EXPERIENCE (Teaching & Industry)
Sr.No. Name
of
the
faculty Member
Teaching Industry
Institution Position Years Organisation Position Years
LIBRARY STAFF
Upload Photograph
Date of Birth
Age
Previous Experience
Designation
Gender
Qualification with Class obtained starting from the highest Degree
Upload University awarded Degree
Date of Joining
Scale of Pay
Present Basic Pay
Total emoluments
Aadhaar Number
Upload Signature


TECHNICAL SUPPORTING STAFF
S.No.
Name of the Staff Member
Date of Birth
Age
Previous Experience
Designation
Laboratory
Qualification
Department
Date of Joining
Scale of Pay
Present Basic Pay
Total emoluments
Aadhaar Number
Upload Signature


MINISTERIAL STAFF
S.No.
Name of the Staff
Date of Birth
Age
Previous Experience
Designation
Place of Work
Qualification
Date of Joining
Scale of Pay
Present Basic Pay
Total emoluments
Aadhaar Number
Upload Signature


  1. Whether payment of honorarium for performing all type of examination/evaluation related duties, received from PSBTE, paid to the Concerned Staff members within one week from the date of receipt.







  1. Whether due amount of income tax of each individual who have received Payment on account of honorarium for performing all type of examination/ evaluation related duties, received from PSBTE, have been deducted and deposited with Income Tax authority by clubbing the amount of honorarium in the salary.


















PART E: INFRASTRUCTURAL FACILITIES(Attach relevant documents as FLAG-E)

Norms for Land requirement and built-up area for Diploma Level Pharmacy Institution (for Diploma Courses as per PCI)

PHYSICAL INFRASTRUCTURE - COMPLETE DETAILS OF BUILT-UP AREA
Sr.No. Built-up (Carpet) Area FIRST YEAR & SECOND YEAR
Type of Structure [RCC/ACC] Required Area [sq.m] as per PCI Available Area [sq.m] Shortfall, if any
a)

b)

c)

d)
Instructional area [INA]
Administrative area [ADA]
Amenities area [AMA]
Circulation area [CIA]
[CIA = 0.25 x (INA+ADA+AMA)] TOTAL AREA:
ADMINISTRATIVE AREA REQUIREMENT FOR DIPLOMA IN PHARMACY
Particulars Number of rooms required Minimum Carpet Area required Carpet Area available Shortfall w.r.t. Number of Room & Carpet Area
Principal / Director room 01 30 sqm
Board room 01 20 sqm
Office all inclusive 01 150 sqm
Cabins for HOD’s 01 20 sqm
Faculty rooms 05 05 sqm each
Central stores 01 30 sqm
Maintenance Room 01 10 sqm
Security Room 01 10 sqm
Housekeeping Room 01 10 sqm
Pantry for staff (Desirable) 01 10 sqm
Examination control office 01 30 sqm
Placement office 01 30 sqm
IMPORTANT INFRASTRUCTURE REQUIREMENT FOR DIPLOMA IN PHARMACY
Particulars Number of rooms required Minimum Carpet Area required Carpet Area available Shortfall w.r.t. Number of Room & Carpet Area
Computer Centre inclusive of Language Laboratory 01 75 sqm
Library 01 150sqm
Seminar Hall 01 132 sqm
Smart class room 01 66 sqm
INFRASTRUCTURE REQUIREMENT FOR DIPLOMA COURSES IN PHARMACY
Particulars Number of rooms required Number of rooms available Minimum Carpet Area required(as per PCI) Carpet Area available Shortfall w.r.t. Number of Room & Carpet Area
I II III IV V
Lecture Rooms 2
Tutorial Rooms 1
Total no. of Labs for 1st year diploma 03
Laboratory (other than 1st year) 01 per course per year
Machine Room 01
Instrument Room (2nd year) 01
BASIC AMENITIES FOR DIPLOMA COURSES
Toilets (Ladies & Gents) 01 150 sqm
Toilets for PWD 01 ---
Girls Common Room 01 75 sqm
Boys Common Room 01 75 sqm
Canteen/cafeteria (Desirable) 01 150 sqm
Stationary Store and reprography 01 10 sqm
First aid-cum-sick room 01 10 sqm
Drinking water facility (water cooler) essential Adequate nos. --
Principal’s Quarters Desirable 150 sqm
Guest House Desirable 30 sqm
Sports Club / Gymnasium / Playground Desirable 200 sqm
Auditorium / Amphi Theater Desirable 400 sqm
Boys Hostel Desirable Adequate
Girls Hostel Desirable Adequate
COMPUTERS, SOFTWARE, INTERNET AND PRINTERS
Program Number of PCs/ Laptops to students ratio(Min 20 PCs) Legal System Software @ Legal Application Software LAN and Internet Mail Server and Client Printers including Color Printer (% of total number of PCs/ Laptops)
Pharmacy 1:8 01 10 All Desirable 5%
@ Adequate number of software licences is required

BOOKS, JOURNALS AND LIBRARY FACILITIES
Program Total number of Divisions Titles Volumes National Journals Reading Room Seating Multimedia PCs for Digital Library/ internet Surfing located in reading room
Pharmacy B 50# 250xB# 3xB# 15 % (Max 150) (Minimum 10)
25 per* Course 125 per*Course

Note:

  1. B=Number of divisions at 1st year (Shift 1+2) + Number of 2nd year direct divisions (Shift 1+2)

  2. #Book titles and volumes required at the time of starting new Institution

  3. Total numbers of titles and volumes shall be increased in continuation till 15 years, which shall be the minimum stock of books. However, Institutions shall have to add annual increment of books based on the changes in curriculum and syllabus from time to time by the Board

  4. *Annual increment equally distributed per subject.

  5. Digital Library facility with multimedia facility is essential

  6. Reprographic facility in the library is essential

  7. Document scanning facility in the library is essential

  8. Library books/ non books classification as per standard classification methods is essential

  9. Facilities to access the online courses is essential

  10. The institution shall be a member of National Digital Library. Aggregators shall also be used

PART F – EQUIPMENT AND APPARATUS (Attach relevant documents as FLAG-F)

Laboratory wise List of Minimum equipment’s required for D. Pharm





PHARMACEUTICS

Sr. No. Name Minimum required Nos. Available Nos. Working Yes/No Remarks
1. Continuous Hot Extraction Equipment 05
2. Conical Percolator 05
3. Tincture Press 01
4. Hand Grinding Mill 01
5. Disintegrator 01
6. Ball mill 01
7. Hand operated Tablet machine 01
8. Tablet Coating Pan unit with hot air blower laboratory size 01
9. Polishing pan laboratory size 01
10. Monsanto’s hardness tester 01
11. Pfizer type hardness tester 01
12. Tablet disintegration test apparatus IP 01
13. Tablet dissolution test apparatus IP 01
14. Granulating sieve set 10
15. Tablet counter – small size 05
16. Friability tester 01
17. Collapsible tube – Filling and sealing equipment 01
18. Capsule filling machine – Lab size 01
19. Digital balance 01
20. Distillation unit for distilled water 02
21. Deionisation unit 01
22. Glass distillation unit for water for injection 01
23. Ampoule washing machine 01
24. Ampoule filling and sealing machine 01
25. Sintered glass filters for bacterial proof filtration(four different grades) Adequate
26. Millipore filter (3 grades) Adequate
27. Autoclave 01
28. Hot air sterilizer 01
29. Incubator 01
30. Aseptic cabinet 01
31. Ampoule clarity test equipment 01
32. Blender 01
33. Sieves set (Pharmacopoeial standard) 02
34. Lab Centrifuge 01
35. Ointment slab Adequate
36. Ointment spatula Adequate
37. Pestle and mortar porcelain Adequate
38. Pestle and mortar glass Adequate
39. Suppository moulds of three sizes Adequate
40. Refrigerator 01


PHARMACEUTICAL CHEMISTRY

Sr. No. Name Minimum required Nos. Available Nos. Working Yes/No Remarks
1. Refractometer 01
2. Polarimeter 01
3. Photoelectric colorimeter 01
4. pH meter 01
5. Atomic model set 02
6. Electronic balance 01
7. Periodic table chart Adequate


PHYSIOLOGY & PHARMACOLOGY LABORATORY

Sr. No. Name Minimum required Nos. Available Nos. Working Yes/No Remarks
1. Haemoglobinometer 20
2. Haemocytometer 10
3. Student’s organ bath 1
4. Sherington’s rotating drum 1
5. Frog board Adequate
6. Tray (dissecting) Adequate
7. Frontal writing lever Adequate
8. Aeration tube Adequate
9. Telethermometer 1
10. Pole climbing apparatus 1
11. Histamine chamber 1
12. Simple lever Adequate
13. Staring heart lever Adequate
14. Aerator Adequate
15. Histological Slides Adequate
16. Sphygmomanometer (B.P. apparatus) 5
17. Stethoscope 5
18. First aid equipment Adequate
19. Contraceptive device Adequate
20. Dissecting (surgical) instruments Adequate
21. Balance for weighing small Animals 1
22. Kymograph paper Adequate
23. Actophotometer 1
24. Analgesiometer 1
25. Thermometer Adequate
26. Plastic animal cage Adequate
27. Double unit organ bath with thermostat 1
28. Refrigerator 1
29. Single pan balance 1
30. Charts Adequate
31. Human skeleton 1
32. Anatomical specimen (Heart, brain, eye, ear, reproductive system etc.,) 1 Set
33. Electro-convulsiometer 1
34. Stop watch Adequate
35. Clamp, boss heads, screw clips Adequate
36. Syme’s Cannula Adequate


PHARMCOGNOSY LABORATORY

Sr. No. Name Minimum required Nos. Available Nos. Working Yes/No Remarks
1. Projection Microscope 01
2. Charts (different types) Adequate
3. Models (different types) Adequate
4. Permanent Slides Adequate
5. Slides and Cover Slips Adequate


PHARMACY PRACTICE LABORATORY

Sr. No. Name Minimum required Nos. Available Nos. Working Yes/No Remarks
1. Colorimeter 2
2. Microscope Adequate
3. Permanent slides (skin, kidney, pancreas, smooth muscle, liver etc.,) Adequate
4. Watch glass Adequate
5. Centrifuge 1
6. Biochemical reagents for analysis of normal and pathological constituents in urine and blood facilities Adequate
7. Filtration equipment 2
8. Filling Machine 1
9. Sealing Machine 1
10. Autoclave sterilizer 1
11. Membrane filter 1 Unit
12. Sintered glass funnel with complete filtering assemble Adequate
13. Small disposable membrane filter for IV admixture filtration Adequate
14. Laminar air flow bench 1
15. Vacuum pump 1
16. Oven 1
17. Surgical dressing Adequate
18. Incubator 1
19. PH meter 1
20. Disintegration test apparatus 1
21. Hardness tester 1
22. Centrifuge 1
23. Magnetic stirrer 1
24. Thermostatic bath 1


MUSEUM


Every Institution shall maintain a museum of crude drugs, herbarium sheets, botanical specimens of the drugs, and plants, mentioned in the course in addition the following are recommended

Sr. No. Requirement Prescribed by PCI Available/Not Available Remarks
1. Colored slides of medicine plants
2. Display of popular patent medicines, and
3. Containers of common usage in medicines


Basic amenities to be provided in all the laboratories

Sr. No. Amenities required Available/Not Available Remarks
1. All the Laboratories should be well lit & ventilated
2. All Laboratories should be provided with basic amenities and services like exhaust fans and fume chamber to reduce the pollution wherever necessary
3. The workbenches should be smooth and easily cleanable preferably made of non -absorbent material
4. The water taps should be non-leaking and directly installed on sinks. Drainage should be efficient.
5. Balance room should be attached to the concerned laboratories
6. Fire extinguishers shall be provided inside and outside the laboratory
7. Flooring of the lab shall be non-skid and non-static
8. Standard Operating Procedure (S.O.P.) for all the equipment and system must be prepared and properly displayed near the respective machine
9. All the electrically operated machinery should be properly earthed and bonded.

PART G– LIBRARY BOOKS AND PERIODICALS(Attach relevant documents as FLAG-G)

Subject wise Classification of Books:

Sr.No. Subject Available Remarks
Titles Numbers
1. Pharmaceutics – I
2. Pharmaceutical Chemistry – I
3. Pharmacognosy
4. Biochemistry and Clinical Pathology
5. Human Anatomy and Physiology
6. Health Education and Community Pharmacy
7. Pharmaceutics – II
8. Pharmaceutical Chemistry – II
9. Pharmacology and Toxicology
10. Pharmaceutical Jurisprudence
11. Drug Store and Business Management
12. Hospital and Clinical Pharmacy

PART H – ESSENTIAL AND DESIRABLE REQUIREMENTS

Sr.No. Description Availability [YES / NO] Details to be provided.[Number, if so required]
Essential Requirements
1. Display of information submitted to PCI (including the accreditation status and Board of Governors) along with mandatory disclosures in the Web site of the Institution
2. Establishment of Online Grievance Redressal Mechanism
3. Establishment of Anti Ragging Committee
4. Establishment of Grievance Redressal Committee in the Institution and Appointment of OMBUDSMAN by the University.
5. Establishment of Internal Complaint Committee (ICC)
6. Establishment of Committee for SC/ ST (As per the Scheduled Castes and the Scheduled Tribes (Prevention of Atrocities) Act, 1989, No. 33 of 1989, dated11.09.1989)
7. Barrier Free Built Environment for disabled and elderly persons
8. Fire and Safety Certificate
9. Implementation of examination reforms
10. Safety and Security measures in the Campus
11. Implementation of Food Safety and Standards Act, 2006 at the Institution
12. Digital payment for all financial transactions as per MHRD directives
13. Standalone Language Laboratory
14. Potable Water supply and outlets for drinking water at strategic locations
15. Electrical Grid Power Supply Connection
16. Backup Electric Supply
17. Sports facilities
18. Sewage Disposal System
19. First aid, Medical and Counselling Facilities
20. Students Safety Insurance
21. Group Accident Policy to be provided for the employees
22. General Insurance provided for assets against fire, burglary and other calamities
23. Road suitable for use by Motor vehicle- Motorized Road
24. Copies of PCI approvals (LoA and EoA of subsequent years) obtained since inception of the Institution till date shall be placed on the Web site of the Institution
25. Appointment of Student Counsellor
26. Telephone
27. Vehicle Parking
28. General Notice Board and Departmental Notice Boards
Desirable Requirements
1. Implementation of the schemes announced by Government of India
2. Transport
3. Post Office, Banking Facility/ ATM
4. LCD (or similar) projectors in Class Rooms
5. Auditorium
6. Staff Quarters

PART I – FINANCIAL & PHYSICAL RESOURCES(Attach relevant documents as FLAG-I)


Budgeted Expenditure for the year 2020-21

Expenditure Heads Budget (In lakhs) Actual Expenditure Shortfall if any
I. Academic Buildings:
II. Laboratories/Computing Centre:
III. Salary:
IV. Faculty/Staff Development (Seminars/Workshops/Incentive Schemes/Training/Higher Studies)
V. Library:
VI. Services:
VII. Students Activities:
VIII. Medical Expenses
IX. Any Other, please specify

Latest Balance Sheet of the Society certified from CA is to be attached

PART J – STUDENT RELATED INFORMATION(Attach relevant documents as FLAG-J)


Academic Performance of Last two Years (Attach Annexure if required)

S.No. Course Year Sanctioned intake No. of students admitted Number of students Appeared in Board Exams Students Passed Passed with 1st Division Pass Percentage
A Number (B) (B/A)*100
1. D Pharmacy 1st year
2nd year

Details of classes conducted for D. Pharm 1st Year & 2nd Year

Class / Subject Theory Practical’s Remarks
Prescribed No of Hours No of Hours Conducted Prescribed No of Hours No of Hours Conducted Prescribed No of classes No of classes Conducted
D. Pharm 1st Year
Pharmaceutics – I 75 100 25
Pharmaceutical Chemistry – I 75 75 25
Pharmacognosy 75 75 25
Biochemistry and Clinical Pathology 50 75 25
Human Anatomy and Physiology 75 50 25
Health Education and Community Pharmacy 50 --- ---
D. Pharm 2nd Year
Pharmaceutics – II 75 100 25
Pharmaceutical Chemistry – II 100 75 25
Pharmacology and Toxicology 75 50 25
Pharmaceutical Jurisprudence 50 --- ---
Drug Store and Business Management 75 --- ---
Hospital and Clinical Pharmacy 75 50 25

Details:









  1. Steps taken for improving the academic results.




  1. Conduct of extra classes for weak/ needy students




  1. Total no. of working days observed in Semester




  1. Whether Alumni association is formed or not




  1. Steps taken for improving academic ambiance of the Polytechnic like land scaping, horticulture, tree plantation etc.




  1. Teaching-Learning process:










Student’s Placement:

Course No. of Eligible Students No. of Students Placed Percentage
























PART K- CCTV Camera Details


S.No. Examination Room Size No. of CCTV installed in the room Working/Not Working NVR/DVR storage Capacity Whether Externalhard disk is available to store complete Examination Process

CHECK LIST FOR GRANT OF AFFILIATION FOR ACADEMIC SESSION 2021-22 (DIPLOMA IN PHARMACY)


S.No. ANNEXURE TITLE Attached (Yes/No)
1. FLAG-A GENERAL INFORMATION
2. FLAG-B1 Change of Land Use Certificate (CLU)
3. FLAG-B2 Khasra Plan / Master Plan
4. FLAG-B3 Site Plan
5. FLAG-B4 Building Plan
6. FLAG-B5 Occupancy certificate
7. FLAG-B6 Structural stability certificate
8. FLAG-B7 NOC from Local Fire Service Authorities
9. FLAG-C1 Copy of AICTE approval letter of
10. FLAG-C1 Copy of PCI approval letter of Previous Session
11. FLAG-D STAFF STATUS & REQUIREMENT
12. FLAG-E INFRASTRUCTURAL FACILITIES
13. FLAG-F EQUIPMENT AND APPARATUS
14. FLAG-G LIBRARY BOOKS AND PERIODICALS
15. FLAG-H(15) LATEST ELECTRICITY BILL
16. FLAG-I FINANCIAL & PHYSICAL RESOURCES
17. FLAG-J STUDENT RELATED INFORMATION