UNIVERSITY GRANTS COMMISSION SECOND HIGHER EDUCATION PROJECT SANOTHIMI, BHAKTAPUR
Application Data Form for Community Campuses - Scheme D
OFFICE OF THE CONTROLLER OF EXAMINATIONS CAMPUS REGISTRATION CODE: ______
Campus Name: ______
District: ______
Campus Seal:
Campus Seal: UNIVERSITY GRANTS COMMISSION Second Higher Education Project - Reform Grants Application Data Form for Community Campuses - Scheme D ;fd'bflos SofDk;x?sf] nflu cfj]bg tYofÍ kmf/d
1. CAMPUS DETAILS:
Campus: Address:
District: ...... Telephone: ...... / ......
VDC: ...... Fax: ...... / ......
Municipality: ...... Email: ......
Ward No: ...... PO Box: ...... Website: http://www...... Date of campus establishment: Day: …………… / Month: …………… / Year: …………… Affiliated to the University:
2. FACULTY / PROGRAM INFORMATION:
Phased out Date Name of Programs (if applicable) Starting Date Levels [Write Faculty Name of each program in (DD - MM - YYYY) Affiliating University (DD - MM - YYYY) | Write 'Running' if brackets: e.g.: BBS (Management)] the program is running a Proficiency Certificate b Level c (PCL) d a b c Bachelor d Level e f g h a Master b Level c d
Page 1 of 6 Campus Seal Campus Seal: Make and Use Same Table Structure for Semester Based 3. STUDENT DATA Programs (if any) 3.A. ENROLMENT STATUS:
3.A.1. ENROLMENT NUMBER IN 2066 Programs First Year Second Year Third Year (E.g. B.Ed. or M.Ed.) Total Girls EDJ Dalits Total Girls EDJ Dalits Total Girls EDJ Dalits
TOTAL
3.A.2. ENROLMENT NUMBER IN 2067 Programs First Year Second Year Third Year (E.g. B.Ed. or M.Ed.) Total Girls EDJ Dalits Total Girls EDJ Dalits Total Girls EDJ Dalits
TOTAL
------Note: Please see the attached list of Educationally Disadvantaged Janajati (EDJ) and Dalits.
Page 2 of 6 Campus Seal: 3. B. PASS RATE STATUS: 3.B.1. STUDENTS APPEARED IN FINAL EXAM AND STUDENTS PASSED* IN THE YEAR 2065: First Year Second Year Third Year Programs TOTAL STUDENTS REGULAR STUDENTS TOTAL STUDENTS REGULAR STUDENTS TOTAL STUDENTS REGULAR STUDENTS (E.g. B.Ed. or TOTAL TOTAL REGULAR REGULAR TOTAL TOTAL REGULAR REGULAR TOTAL TOTAL REGULAR REGULAR M.Ed.) APPEARED PASSED APPEARED PASSED APPEARED PASSED APPEARED PASSED APPEARED PASSED APPEARED PASSED
TOTAL
3.B.2. STUDENTS APPEARED IN FINAL EXAM AND STUDENTS PASSED* IN THE YEAR 2066: First Year Second Year Third Year Programs TOTAL STUDENTS REGULAR STUDENTS TOTAL STUDENTS REGULAR STUDENTS TOTAL STUDENTS REGULAR STUDENTS (E.g. B.Ed. or TOTAL TOTAL REGULAR REGULAR TOTAL TOTAL REGULAR REGULAR TOTAL TOTAL REGULAR REGULAR M.Ed.) APPEARED PASSED APPEARED PASSED APPEARED PASSED APPEARED PASSED APPEARED PASSED APPEARED PASSED
TOTAL ------* The 'Passed' student number should be from those students who appeared in final examinations in 'Appeared' columns. Note: 1. Assumption: Appeared are those students who filled up the exam form; 2. Please see the attached list of Educationally Disadvantaged Janajati (EDJ) and Dalits.
Page 3 of 6 Campus Seal: 4. GRADUATE NUMBER IN THE YEARS 2065 AND 2066:
No. of students graduated in the year 2065 No. of students graduated in the year 2066
Level Total Girls EDJ Dalits Total Girls EDJ Dalits Bachelors
Masters Total Please see the attached list of Educationally Disadvantaged Janajati (EDJ) and Dalits. Please send Graduate Name List of each year.
5. RECRUITMENT PRACTICE: Recruitment of Temporary / Part-Time / Contract Staff within last 2 years (2066 and 2067): No. of Staff No. of Staff No. of Staff Recruited Recruited Recruited Recruited through In- through through Remark Number Campus Adver- Individual Vacancy tisement* Contact Posting Teaching Staff Professor Reader Lecturer Teaching Assistant Part Time / Contract Non-Teaching Staff 1st Class 2nd Class 3rd Class Assistant Level Class-Less Total * National dailies; Weekly; Local news paper; TV; Radio; Website (Please provide evidence: photocopies of advertisement or campus record)
6. Does the campus have its own land? Yes No
If 'Yes' then: Particulars Remarks Area of the land Type Uses
7. Has the campus published operation rules and guidelines? Yes No (If 'Yes' then, please attach the copies of the documents)
Page 4 of 6 Campus Seal Campus Seal: 8. FINANCIAL INFORMATION: 8.a. FEE INCOME and SCHOLARSHIP: Please list total annual fee income and total fee waived in the year the FY 2066/067: Particulars Remarks Total Fee Income Total Scholarship / Fee Waived No. of Students who received the Scholarship / Fee Waiver
8.b. ANNUAL INCOME AND EXPENDITURE STATEMENT: Year Income Expenditure Balance (Surplus or Deficit) Remark 2064/065 2065/066 2066/067 As per the Income & Expenditures A/c of audit reports of the respective years. 8.c. AUDIT OBSERVATIONS: Does the campus prepare Annual Statement of Accounts and Audit Report? Yes No Attach Audit Reports of the mentioned Fiscal Years below: Fiscal Year Amount of audit irregularities (Rs.) Amount of irregularities settled (Rs.) Remarks 2064/065 2065/066 2066/067
8.d. Receiving Grants from the UGC? Yes No | if 'Yes', then, since: ...... UGC's Regular Grants Received in the Fiscal Year: a. 2064/065: NRs...... b. 2065/066: NRs...... c. 2066/067: NRs......
8.e. Are all assets held in the name of the campus and disclosed? Yes No | If 'Yes' then, attach copies of the relevant documents.
Page 5 of 6 Campus Seal: 9. MANAGEMENT COMMITTEE INFORMATION:
9.a. When was the first College Management Committee formed? : Day: ...... / Month: ...... / Year: ...... List the dates of the last three renewals of the Management Committee: a. Recent Renewal Date: ...... / ...... / ...... b. 2nd Last Renewal Date: ...... / ...... / ...... a. 3rd Last Renewal Date: ...... / ...... / ......
9.b. Members in College Management Committee (CMC): From Number of Members in the governing body Remarks Faculties Social Worker Student Representative Teacher Representative Community Representative Number of Female Members
9.c. How many meetings of College Management Committee took place? Please list: Held In Number of the meetings Respective Dates of the meetings held (Date format: DD/MON/YEAR)
2065/066
2066/067
2067/068
Verified By: Approved By:
Name: ...... Name: ...... Campus Seal:
Post: ...... Post: ......
Signature: ...... Signature: ......
Page 6 of 6 Campus Seal: REFERENCE: List of Educationally Disadvantaged Students (Janajatis and Dalits)
Literacy Literacy Rate, Rate, Ethnic Ethnic 2001 (Harka 2001 SN Ethnic_Label Code SN Ethnic_Label Code G., New Era/ (Harka G., (103) (103) Wb) New Era/ Wb) 1 Baantar 54 26.1 33 Koiri 18 48.9 2 Badhai 50 47.7 34 Kumal 32 49.4 3 Badi 84 42.6 35 Kumhar 44 42.9 4 Barai 55 49.6 36 Kurmi 19 42.6 5 Baramu/Bramhu 78 46.5 37 Lodha 58 36.4 6 Bhediyar/Gaderi 64 39.7 38 Lohar 38 43.0 7 Bhote 62 50.0 39 Majhi 42 42.5 8 Bing/Bida 63 19.5 40 Mali 72 42.3 9 Bote 77 40.6 41 Mallah 30 31.2 10 Chamar/Harijan 17 23.8 42 Munda 97 47.8 11 Chepang/Praja 46 36.1 43 Musahar 22 11.1 12 Chidimar 70 35.1 44 Muslim 7 40.1 13 Damai/Dholi 12 50.1 45 Nuniya 43 28.1 14 Danuwar 45 48.6 46 Pahari 71 45.6 15 Dhanuk 21 41.4 47 Panjabi/Shikh 88 51.9 16 Dhobi 41 39.1 48 Pattharkatta/Kuswadiya 100 19.5 17 Dhuniya 94 24.0 49 Rajbhar 59 44.7 18 Dom 75 13.8 50 Raji 90 42.0 19 Dusadh/Paswan 23 24.8 51 Raute 98 46.6 20 Gaine 79 50.2 52 Santhal/Satar 52 29.7 21 Gangai 57 52.2 53 Sarki 15 44.8 22 Halkhor 87 37.8 54 Sunuwar 36 51.7 23 Hayu 92 49.5 55 Tajpuriya 68 52.2 24 Jhangad 53 30.8 56 Tamang 5 51.8 25 Kahar 56 38.1 57 Tatma 39 29.1 26 Kamar 76 22.0 58 Thakur/Hazam 33 48.3 27 Kami 8 48.1 59 Thami 60 43.0 28 Kanu 34 48.3 60 Tharu 4 53.7 29 Kewat 26 42.1 61 Unidentified Dalit 102 45.6 30 Khatwe 40 23.5 62 Walung 95 31.1 31 Kisan 89 40.6 63 Yadav 9 46.0 32 Koche 93 35.7 [Note: There might be castes / ethnic groups not enlisted above but are identified as educationally disadvantaged janajatis and dalits in the local community. Therefore, in such cases, it is in the discretion of campus to identify such castes / ethnic groups and include in the data. However, the campus must provide the list (only surnames / castes) of included locally identified educationally disadvantaged janajatis / dalits with the signature of the authorized person and the campus seal for verification purpose.]
Campus Seal: