Inspection Proforma

for
Approval/Extension/Continuation of Provisional Affiliation of D.P.ED./B.P.ED./
M.P.ED. Courses

Name of the Institution : __________________________________

File / Code No. : __________________________________

Name of the proposed

Course :_________________________________

Date of Inspection : _________________________________

RC order No. & Date :_________________________________

under which inspection team
was constituted :_________________________________

Chaudhary Ranbir Singh University, Jind

(Convener) (Member) (Member)

 Date of Inspection________________

1. Name of the institution / Department

2. Address of the Institution/Department (duly mentioning the Plot/Khasra/Khata

No. / Street etc., location of the institution etc.etc.) (Where the proposed course is
to be run)

3. Name of the Society / Trust / University

4. Address of the Society / Trust / University

5. Date and Registration No of establishment of the trust / society / University

___________________________________________________________________

Whether, the objectives in the Bye-laws of the Trust / Society allow to run the teacher
education / Physical Education courses (Mention Yes / No) ____________________

6. Address for communication

(a) Address:

(b) Whether the place of college is connected with Puckka Road and easy access of
bus & rail service.

Sr. Mode Institute Society Managing

No. Trustee /
(Convener) (Member) (Member)
 Registrar
1. Phone No (with
STD Code

2. Mobile no. of
contacting
person
3. Fax No.
4. E-mail
5. Website
6. Latitude &
longitude of the
location of the
institution

7. Existing Programmes conducted in the Institutional (within campus) :

(Teacher Education Programme):

1 2 3 4
Name of the course in full with Stage / Level Duration No. of Units Intake

(Programme other than teacher education):

1 2 3 4
Name of the course in full with Stage / Level Duration No. of Units Intake

8. Teacher Education Course(s) Proposed:

1 2 3 4 5
Name of the course in full Duration Proposed Year of No. of Intake
with Stage / Level starting the course Units proposed

(Convener) (Member) (Member)

 9. Name of the University/Examining Body to which the institution is proposed to be
affiliated:

10. Date of the issuance of the NOC from the affiliating body (Attached
copy) __________

11. Land and Building (mention Yes/ No)

(a) Title of the land is in favour of institution/society

(b) Whether the title to land in favour of society is on ownership

(c) Whether the title to land is on lease

(i) If yes, lease from Govt. or Private
(ii) No. of years & period of lease
(iii) Is the Lease Deed Registered
(iv) Registration No and date of the lease deed
(v) Whether the lease deed covers only the land or land &
building

(d) Title to land is partly on ownership & partly on lease

(e) If partly on ownership & partly on lease whether the land

earmarked for the proposed programme is on ownership

(f) Total area of the land (In sq. mtr)

(g) Whether the land is free from encumbrances., if yes whether

latest non encumbrance certificate issued by the competent
authority is submitted.

(h) Whether the land is approved by the competent authority for the
purpose of running educational institutions.

(i) Whether the permission for construction of the building for the
proposed programme is obtained from the competent authority, if
yes whether approved building plan is submitted.

(j) Whether the construction of the building is completed, if yes,

whether building completion certificate is submitted.
(k) Whether the building is shared with other programmes.

(Convener) (Member) (Member)

 (l) If yes, please mention the names of the programme that are
conducted in the same building.

(m) Total built up area of the building

(n) Built up area earmarked for the proposed programme

12. Human Resource Information (only for existing institutions)

12.1 Details of Teaching Staff (Please enclose staff list (s) in the approved
Proforma for all the programmes)

12.2 Details of Non-Teaching Staff (Please enclose staff list (s) in the approved
Proforma for all the programmes)

12.3 Whether the appointment of staff is made on regular & full

time basis.

12.4 Whether the scale of pay offered to the staff is

as per Central/State Govt./UGC guidelines
(Mention Yes / No)

12.5 Whether the payment of salary is made through cheque/bank transfer

13. Infrastructural Facilities.

13.1 Instructional Space Earmarked for the proposed course only

Has the institution made provision for the following (mention Yes / No)

13.1.1 Number of Class Room

13.1.2 Size of Class Room (1) (mention size in sq.meters)

13.1.3 Size of Class Room (2) ( -do-)

13.1.4 Size of Multipurpose Hall (-do)

13.1.5 Size of Seminar Room

13.1.6 No. of Halls

13.1.7 Number of Laboratories

(Convener) (Member) (Member)

 13.1.8 Education Technology Laboratory

13.1.9 Anatomy, Physiology & Health Education Lab

13.1.10 Human Performance Lab

13.1.11 Physiotherapy, Ath. Care & Rehabilitation Lab.

13.1.12 Sports Psychology Lab.

13.1.13 Multipurpose Play Field

13.1.14 400 mtr Track

13.1.15 Gymnasium Hall

13.1.16 Indoor Sports Hall

13.1.17 Sports Material as per NCTE Norms

13.1.18 Whether the provision has been made for separate

amenities for staff / students (male and female)
13.1.19 Whether the instructional space is as per NCTE norms
(mention Yes / No)
If no, then mention the 1.
deficiencies
2.

3.

4.

13.1.20 Whether the institution has made provision for

safety measures during exigency.
13.1.21 Whether the instructional space is as per NCTE
Norms.

13.2 Has the institution made provision for the following accommodation?
(Mention yes / no)

(a) Principal Room

(b) Faculty Rooms

(c) Office Room

(d) Store Room

(e) Common Room

(Convener) (Member) (Member)
 (f) Visitors Room

(g) Canteen

a. Sports Facilities (only for teacher education courses) (Mention Yes / No)

Institution has :-

(a) Outdoor Playground (football/hockey etc.)

(b) Outdoor Playground (football/hockey etc.) of another

institution on sharing basis. If so, name of the
institution
____________________________________________

14. Instructional Facilities (Mention Yes / No)

Has the institution created facilities for:

14.1 Details of schools/lower primary schools/elementary schools/secondary

schools/senior secondary schools identified for practice teaching/internship and their distance
from the institution. (Attach copy)

14.1 Curriculum Laboratory

a) Other facilities in the lab (such as working tables,

water arrangements etc) are adequate.

b) Whether vouchers and payment receipts in respect of

equipments and articles indicating proof of purchase
available?

c) Whether the facilities / equipments provided in the lab

is as per the Manual of Teacher Education Institutions
published by NCTE.

d) Whether entries have been made in the stock register ?

(Inspection committee members to kindly affix their
signatures on the last page of Stock Register and
indicate the position).

(Convener) (Member) (Member)

 14.2 Computer Lab (Mention Yes / No)

a) Computer Lab being shared with attached

school/college. If so, names of the institution / schools

b) Access to Internet

c) Availability of OHP

d) Availability of TV

e) Availability of VCR

f) Availability of Projector

(Convener) (Member) (Member)

 g) Availability of camera

h) Availability of ROT (Receive only Terminal)

i) i) Availability of SIT (Satellite Interlinking Terminal)

ii) Availability of Wi-Fi facility in the campus

j) No of computer terminals (PCs (available to be

indicated)

k) No of UPS available

l) Terminal – Student ratio

m) Hardware Specification (P4 programme)

n) Relevant legal software (system software and

application software)

o) Peripherals (ratio of printer to computer available to

be indicated)

p) Availability of radio and television

q) Availability of public-address system

r) Number of computers with supporting accessories

s) Number of Electronic Publications (CD-ROMs) (only

educational)

t) The other facilities in the ICT lab 1.

(such as printer, scanner etc) 2.
3.
4.

u) Whether vouchers and payment receipts in respect of

equipments and articles indicating proof of purchase
available?
v) Whether the facilities / equipments provided in the lab
is as per the Manual of Teacher Education Institutions
published by NCTE.

w) Whether entries have been made in the stock register ?

(VT members to kindly affix their signatures on the
last page of Stock Register and indicate the position)
(Convener) (Member) (Member)
 x) Whether the computer centre is fully furnished?

y) Whether computer facilities for the proposed

institution are being shared with other institution /
programmes. If so, give details

14.3 Library cum Resources Centre

(a) Has the institution created separate library facilities for the
proposed course (Yes / No)

(b) Total number of titles in the library

(c) Total Number of Books in the library

(d) Total Number of educational journals being

subscribed

(e) Total numbers of referred research journals

being subscribed.

(f) Total Number of international research

journals being subscribed

(g) Number of titles of encyclopedia available

in the library

(h) Number of titles available in the reference

section of the library
(i) Total seating capacity in the library

(i) Is the library being shared with other

courses run by the institution / department
(Mention Yes /No)
If Yes, give details of the following :-

1. Courses :- 1.
2.
3.
2. Name of the School/ 1.
College :-
2.
3.
(Convener) (Member) (Member)
 4.

3. Total number of beneficiaries

(ii) Total No of titles related to the
proposed course.
(iii) Total no of the books related to the
proposed course.
(iv) Total no of the titles in the reference
section of the library.
(v) Number of copies of policy
documents.
(vi) Number of copies of education
commission reports
(vii) Number of copies of relevant
curriculum documents (NCT, NCFTE,
National and State Level surveys)
(viii) Number of copies of other
educational reports

(j) In case of University /PG institution

No of dissertations,

No of the thesis related to the proposed

course
No of the project reports available related to
proposed course.
(k) Is the Facility of photocopying available ?

(l) Number of electronic publications (CD

Roms)
i) Encyclopedia
ii) Reference books
iii) Journals

(m) Is the Computer(s) with internet facility

available in the library ?
If yes, Number of computers

(n) Is the library computerized ?

(0) Whether on line resources are available in

the library

(p) Whether vouchers and payment receipts in

respect of equipments and articles
indicating proof of purchase available?
(Convener) (Member) (Member)
 (q) Whether entries have been made in the
Accession register? (VT members to kindly
affix their signatures on the last page of
Accession Register and indicate the
position).

15. FINANCES (Mention Yes / No) (For existing teacher

education institutions)
(a) Whether Salaries are paid in cash

(b) Whether Salaries are paid through account payee cheque /

account transfer

16. Details of Reserve Fund & Endowment Fund (For existing teacher education programmes)
(a) Amount of Endowment fund (Rs. 5 lacs)

(b) FDR Number

(c) Details of the Bank Issuing the FDR

(d) Amount of Reserve fund

(i) Rs. 3 lacs

(ii) Rs. 4 lacs

(e) FDR Number
(i) Rs. 3 lacs

(ii) Rs. 4 lacs

(f) Details of the Bank Issuing the FDR

(g) Apart from the above, Latest amount

deposited in the account of the society /
institution

17. Information furnished above has been provided on the basis of (Mention Yes / No):-

(a) The scrutiny of the records made available to the inspection

team.

(b) The information given by the management of the institution

without providing relevant records to the inspection team.

(c) Partly by the scrutiny of the records and partly by the

information given by the management without providing
relevant records to the inspection team.

(Convener) (Member) (Member)

18. (a) Whether the institution has submitted an Affidavit on Rs. 100/- Stamp
paper duly attested by Oath Commissioner / Notary Public as per para
8(5) of the New Regulation dated 1st September, 2014.
18. (b) Whether the institution has submitted an Affidavit of Teaching Staff
including Librarian on Rs. 10/- stamp paper in case the Appointments
are made
19. Details of Website of the institution

a) Name of the URL www.

b) The information submitted on the Website by the institution is

according to New Regulations of NCTE dated 01.12.2014 as
browsed by the Visiting Team. Please attach a copy of the
home page which is downloaded and printed on the date of
inspection.

(Convener) (Member) (Member)

VERIFICATION OF THE INFORMATION SUBMITTED BY THE INSTITUTION

Sr. Information submitted by the Institution Remarks of the VT

No. after due verification
1. The Management of the institutions has submitted the required Yes/No with specific
information as per the essential data sheet to be submitted by the remarks
institution as per provisions of the NCTE Regulations, 2014 in the
prescribed format.

2. The Management namely ______________________ Yes/No with specific

_____________ _______________________ is a (society/trust or remarks
any other Govt. body/University etc.) which is proposing to run
teacher training institution namely __________________
________________________________________ under Pvt. (self
financed)/Govt./University/University constituent college/govt.
aided institution.

The management of the institution has authorized

Shri_________________________ (Name &
designation)_______________________________________________
vide society/trust resolution/order No._______________
dt.________________ (copy enclosed) to make an application to the
NRC, NCTE for grant of recognition of ____________ (course) with
an intake/additional intake of ____________under __________ (self
finance scheme or under Govt. scheme) and all concerned have read
all the provisions of the NCTE Act, Rules & Regulations. The
application of the institution has been submitted as per the provisions
of the NCTE Regulation, 2014.

3. As per the certificate submitted by the society/trust, it has been Yes/No with specific
established and operated by ‘not for profit’ registered under the remarks
appropriate laws. The same has been registered vide Registrar of
Societies/Trust vide Regd. No.____________________ dated
_____________________ (copy of certificate to this effect be
attached).

4. In case the institution is a minority institution, the details of Minority Yes/No with specific
Status Certificate: remarks

(a) Name and address of the Issuing Authority

(b) Order No.______________ & Date
(c) PAN Card

5. That the institution is having the website Address Yes/No with specific
_______________________________________. The institution remarks
(Convener) (Member) (Member)
 undertake that the same has been developed as per clause 8(14) of the
NCTE Regulation, 2014.

6. That the Management of the institution has displayed a copy of the Yes/No with specific
affidavit as prescribed under clause 8(5) of the NCTE Regulations, remarks
2014 on its official website ____________________________.
The management is aware that in case the contents of the affidavit are
found to be incorrect or false, the society or trust or the institution
concerned shall be liable for civil and criminal action under the
relevant provisions of the Indian Penal Code and other relevant laws,
and shall also be liable for withdrawal of recognition by the Regional
Committee concerned as per clause 8(6) of the NCTE Regulations,
2014.

7. That the Institution is having required land in the name / favour Yes/No with specific
of ......................................................... ........................ (Society/ Trust/ remarks
Institute) vide .............................................................. (Sale deed/ Gift
Deed/ Lease Deed from Govt. or govt. institution for a period of not
less than 30 years duration) dt. ............................ executed
by ............................. and duly registered in the office of
Registrar/Sub-Registrar ..................................................... and actual
location of the land is .........................................

8. That the Institution has got the mutation of the land done by the Yes/No with specific
competent land and revenue authority vide order remarks
No.___________________ dt.______________________(copy
attached).

9. That the land as per land documents and affidavit is in a single well Yes/No with specific
demarcated piece of land remarks

10. In case of more than one plot, all the plots are adjacent to each other Yes/No with specific
(Topo sketch & site plan attached ) remarks

11. That the permission of the competent authority to use the land Yes/No with specific
exclusively for teacher education purposes has been obtained by the remarks
society/Institution trust from the office
of .................................................................................... vide
letter/order/ Memo No ....................... dt........................... (copy

(Convener) (Member) (Member)

 enclosed)]\

12. That the institution has got the conversion of the land use done from Yes/No with specific
the competent authority. A Notarized Copy of conversion/change of remarks
land use certificate (CLU) for Plot No./Khata/khesra
No. ................................... and area ...............................................
as per the affidavit and land documents registered
by ................................................. Dt. ............................................. is
enclosed. The institution undertake that the issuing authority who
issued the CLU i.e. _______________________________ is
empowered by the State Govt. for issuance of CLU under the
rule/clause of the State Govt. Act namely
__________________________________.

13. That the institution undertake that the land and permanent building are Yes/No with specific
at the same place as per provisions of the NCTE Act, Rules & remarks
Regulations. The building plan has been approved by .........................
(Competent authority) and Countersigned by .............................. for
Plot No./ ./Khata/khasra No. .......................................... reflecting
total land area .......................... Total Built up area
is .................................... The address/khasta/khasra/plot no. are
matching with the Regd. Land documents, CLU, Mutation Certificate
etc. as submitted by the institution to the Regional Committee, NCTE
and there is not at all any variation whatsoever in the land & building
documents. Thus the same are elaborated as under:-

14. Infrastructure facilities : Yes/No with specific

remarks
The institution has created the infrastructure facilities as per the
infrastructure details given below which is also shown in the building
plan approved by ................................................... on
…………………………………. Counter signed
by .................................. for plot no. .................................... and
indicating total area ....................... and built up
area .................................................. The Building plan has been
approved by the competent authority.

15. Built up area details Yes/No with specific

remarks
Class Room No. 1 (i)____ (sq. ft.)
Class Room No. 2

(Convener) (Member) (Member)

 Class Room No. 3 As per requirement of the NCTE
Class Room No. 4 norms & standards.
Class Room No. 5
Multipurpose Hall
Library -cum-Reading
Room
ICT Resource Centre
Education Technology
Laboratory
Anatomy, Physiology
& Health Education
Lab
Human Performance
Lab
Physiotherapy, Ath.
Care & Rehabilitation
Lab.
Sports Psychology Lab.
Multipurpose Play
Field
400 mtr Trach
Gymnasium Hall
Indoor Sports Hall
Principal’s office
Staff Room
Administrative office
Girl’s common room
Seminar Room
Canteen
Separate Toilet facility
for boys and girls
Parking space
Store Room (two)
Open space for
additional
accommodation
Total built up area in
the building
Provision for hostel if
any
16. Quality of construction Yes/No with specific
remarks
Packa (RCC) ………………………………………………………
(As per building standards)
Kacha ………………………………………………………….
Asbestos …………………………………………………………
Tin roof ………………………………………………………….
(Convener) (Member) (Member)
 Plastering .…………………………………………………………
Painting …………………………………………………..……..
Flooring ……………………………………….…………………
Wood Work ……………………………………..…………………..
Ventilation …………………………………………………………
Light …………………………………………………………
Boundary wall………………………………..……………………….
The hostel facilities for Girls and Boys provided by the institution
along with the staff residential quarters are not included in the area for
the institution. These facilities are separate

17. The building completion certificate issued by............................. Yes/No with specific
(Competent Authority) Counter signed by ..................... for Plot remarks
No./khata No./ khesra No. ..........................reflecting total land area
………………………Total Built up area……………………………
The building is complete in the form of a permanent structure

18. There is no temporary structure or asbestoses roofing, even in case of Yes/No with specific
structure in addition to the prescribed built up area. remarks

19. The institution undertake that the building of the institution has been Yes/No with specific
constructed in view the provision of the standard by-laws of the remarks
building construction as per the Bureau of Indian Standards and the
same is fully safe and structurally sound having load bearing capacity
as per latest Indian Building standards and the same is safe & secure to
run the teacher training course. (copy of the certificate is attached).

20. The safeguard against fire hazard has been provided in all parts of the Yes/No with specific
building. remarks

21. Electricity and safe drinking water facility has been provided by the Yes/No with specific
institution. remarks

22. The institution is having instructional facilities as per provision of the Yes/No with specific
NCTE Regulations & norms & standards there under. remarks
(1) Education Technology Laboratory, (2) Anatomy, Physiology &
Health Education Lab, (3) Human Performance Lab (4)
Physiotherapy, Ath. Care & Rehabilitation Lab, (5) Sports
Psychology Lab, (6) Multipurpose Play Field (7) 400 mtr Track (8)
Gymnasium Hall (9) Indoor Sports Hall have been created as per
manual for the teacher education institution and teacher educators

(Convener) (Member) (Member)

23. The institution is having adequate no. of furniture facilities for Yes/No with specific
running various infrastructure & instructional facilities as per remarks
provisions of the NCTE Regulations and norms & standards there
under.

24. The institutional campus, building, furniture etc. is barrier free and Yes/No with specific
disabled friendly as per the Persons With Disability (PWD) Act. remarks

25. If the institution is running other programme/school in the same Yes/No with specific
building, the programme wise details be given as under:- remarks

Before making the overall assessment of the institution, the VT certify that it has
scrutinized & verified the following original documents and affix their signatures on
each of the records maintained by the institution and submit a copy of all the important
documents alongwith the VT report for perusal of the concerned Regional Committee
of the NCTE.
The V.T. shall enlist the name of important documents being attached by it with the VT
report and details thereof be given as under
S.No. Name of documents Annexure No. Page No. of the VT
scrutinized & verified by the report.
VT
1.

26. Observations and recommendation of the Inspection Committee.

(Convener) (Member) (Member)

 27. Recommendation by the Inspection Committee (Recommended/Not
recommended for extension/continuation of provisional affiliation for
academic session _____________ ):
__________________________________________________________________

UNDERTAKING
(Convener) (Member) (Member)
We the following V.T. Members hereby undertakes that:-

(1) That we have been appointed as a member of the Visiting Team to visit the Institute
(name and address of the
Institute)_____________________________________________________________
____________________________________________________________________
for scrutinizing/verifying the facts & figures as submitted by the applicant as per their
application alongwith all relevant records of the institution for recognition/permission
for running the teacher training course for ______________
degree/diploma/certificate course.
(2) We certify that we visited the Institute on _____________. The report submitted by
us under our signature is based on our actual visit to the Institute, scrutiny &
verification of all the essential documents, infrastructure & instructional facility
created by the institution and interaction with the Management/Principal and staff
members as per the VT guidelines supplied to us. There is nothing in our report
which is contradictory to the facts.
(3) That the videography has been done in the Institute on _________ and the videotapes
have been submitted along with the report in a closed envelope singed by us.
(4) That we certify that the contents of the above report are based on physical verification
of the institution which are true and correct to the best of our knowledge and on the
basis of all essential original/authentic documents required to be scrutinized/verified
as per provisions of the NCTE Act, Rules & Regulations.
(5) It is further certified that neither we nor any member of our family has any kind of
personal interest or stake in the management of the institution.
(6) In the event of any part of my report is found to be incorrect or deliberately distorted
to mislead the Regional Committee, we shall be personally responsible for that and
the Regional Committee/Council may take suitable action including blacklisting our
name for inclusion in the future Visiting Teams.

Signature of Visiting Team Members (Including nominee of the State Govt. / affiliating
body, if noted by the State Govt./affiliating body)
Name, Designation and complete address of the Signature with Date
V.T. Member
1.
2.
3.

(Convener) (Member) (Member)