University of Mumbai
FORM OF APPLICATION FOR PERMANENT AFFILIATION (A.Y. 2023-24)
Name & Address of the College :
[ ]
Tal. Dist. -
Phone No : 0   Fax No : 0
Application Ref no :
Date :

To,

The Registrar,

University of Mumbai,

Mumbai-400 032
Sir,
I hereby apply for permanent affiliation of the [ ] and maintained by to the University from the academic year beginning from June 2022.
(a) for teaching the courses of study leading to the examination/s for
(b) for teaching the following categories of subjects, faculty classwise :
Sr. No. Course - Year Subject Subject Type
No Records.
I have read all the provisions of Sections 114 of the Mumbai Public University Act, 2016, and the relevant circulars of the University,, and guidelines for granting permanent affiliation and under­take to abide by the said provisions and the relevant circulars and guidelines. The necessary under­taking in terms of the provisions as per the Act.
The information relevant to the present application under Section 114 of the Maharshtfa Public University Act, 2016 and the guidelines for grant of permanent affiliation, is furnished below :-
(1) Case for grant of permanent affiliation
(2) The present affiliation granted on -- ends on --
(3) The extension of affiliation granted on -- ends on --
(4) (i)
A true copye of the certificate of registration of the said Society/Trust is given in Enclosure 1, A copy of the constitution of the said society/Trust is given in enclosure-2. Information regarding the aimsand objects, powers and personnel of the said Govern­ing Body is given in Enclosure-3. A copy of the resolution passed by the competent au­thority in the matter of starting the college is given in Enclosure-4.
  (ii)
Adverse Comment/s, if any, on the said society/trust or the colleges/Institution conducted by the said society/trust made by University or any of its authorities/bodies/committees or by auditors/local authority/Government/AII India or state statutory body and Explanation/ Comments, if any of these aid society/trust with report there to is/are given in Enclosure-5.
(5)
The College Development Committee has been constituted as required under Section 97 of the Act and following are the names and designations of its present members :
College Development Committee Details
Sr. No. Name of College Development Committee Member Designation Mobile Number
No records.

Minutes of the meeting of the Local Managing Committee/Local Advisory Committee will be shown to the Local Inquiry Committee.
(6) (A)
Teaching Staff (including Principal) and the Librarian!:— The information about the teaching staff (including Principal) and the Librarian is given in Appendix-I in the proforma prescribed by the University Pay sheets, Service Books, Roster, Provident Fund pass books will be shown to Local Inquiry Committee. The following posts have remained vacant for the period and reason stated below :
  (B)

Provident Fund Committee has been constiturted, composition of the committee is as per enclosure '6') Minutes of the meetings of the committee will be shown to Local Inquiry Committee
(7)
Information in respect of the non-teaching staff of the college is given in Appendix-ll in the proforma prescribed by the University. Pay sheets, Service books, Roster, Provident Fund pass book will be shown to Local Inquiry Committee. The following posts have remained vacant for the period and reasons stated below :
 
I further undertake to abide by the provisions of Standard Code issued by the Government of Maharashtra from time to time.
(8)
Buildings :- The building/s used by the college is/are owned by the Management of the college on permanent lease. .Information relating to buildings is given in Appendix-Ill. Documentary evidence in support of the statements made and information given in Appendix III will be produced when required.
(9)
Hostel: The Management/College has a hostel/has has other accommodation which provides lodging/boarding for men or women or both. It is located at There is a provision for Men and women students.
(10)
Residential Quarters for the Principal ;—(a) The Principal is provided with residential quarters at having an area of sq.ft.
  OR
 
The Principal is paid an amount of Rs. per month in lieu of the residential quarters. The amount paid is as per the rate of rent prescribed by the Government, (b) The Principal of the College has been provided telephone facilities at his residence.
(11)
Residential Quarters for other teaching and non-teaching Staff;— Information about the provision made for residential quarters for other teaching and non-teaching staff is given in Appendix-IV.
(12)
Laboratories:-Information -about, the laboratories is. given in the; form prescribed by the University in Part-I of the Appendix-V. Information about amount spend on the laboratories in the last three years is given in part II of the Appendix-V. A certificate in; terms of guideline condition-II, is enclosed.
(13)
Library : The library of the college is located on the floor No , of the college building/campus and covers an area of sq. mts. The area provided for the reading hall for students is sq.mts. and for the counter sq.mts. Cubicals of suitable size for teachers have been provided. Information relating to the library is given in Appendix-Vi, Accession Register will be shown to local enquiry committee.
(14)
Financial Assistance from (a) University Grants Commission and (b) any other agency:-
The information is given in Appendix-VII.
(15)
Financial Resources : The financial resources of the college are such as, to enable the management to make due provision for the continued maintenance of the college.
Audited income and expenditure statements and the audited balance sheet of the Society/Trust and the college for six immediate preceding financial years are given in Appendix-Vlll.
  OR
 
As the audited statements for the: preceding financial year/s are not available, the latest statements of Accounts together with the unaudited statements of Accounts for the immediate preceding financial remaining years are given in Appendix VIII.
   
 
A certificate in terms of guideline that the Society/Trust has met all the deficits of the college by way or out-right grant and that it under takes to meet the future deficit of the college, if any, similarly, is also enclosed.
   
 
Dead Stock registers in respect of furniture, equipment, Plant and Machinery will be shown to local inquiry committee.
 
Nature Donations .accepted: if: any and donation, conditions of any, especially with reference to reservation  of seats against donations etc, :
(16)
Reserve Fund -—The College has kept; as required by the University an amount of Rs. in the reserve fund of the college. The necessary information about the reserve fund is given in Appendix-IX. An irrevocable trust deed has also been-executed as per the requirement of the University in this behalf and the; names of trustees have been reported to the University vide this office letter No. dated -- Reserve Fund receipts will be shown to local inquiry committee.
(17)
Student admission and results :— The total number of students admitted in the college for various courses is shown below. Information about the subjectwise, classwise and divisionwise admission is given in Apendix-X. The college requests permission to continue the same number of divisions/to have additional divisions as under :—
Sr. No. Course Year Existing Division - Strength Additional Division Required - Strength
 
A comparative Statement about the results of the college and the University examination for the last three years is given in Appendix-XI. University and College Examination/result sheets will be Shown to local inquiry committee.
(18)

Facilities for co-curricular and extra-curricular activity : -
Information about the facilities provided by the college is given in the order in Appendix XII.
(19) Fees :—The tuition fees, laboratory and other fees and charges collected by the college per term are as under: -
Sr. No. Course Year Tution Fee Lab. Fee Lib. Fee Gym & Union & Sports Fee Lab. Deposit Lib Deposit Other nature State
(20)
Lapsed Caution Money and other deposits :— In the case of lapsed caution money, information as to how it is accounted, invested and utilised is given below.
 
Total amount to the credit of the account on the date of application:
Mode of investment:
Mode of utilisation:
Mode of interest accumulation and amounting:
 
Register of refund of caution money deposits will be shown to local inquiry committee.
(21)
Additional requirement:— Preposals relating to Health care facility to non-teaching/teaching staff. Appendix XIII.
(22)
Fulfilment of conditions of affiliation .:— The report on the fulfillment of conditions of affiliation laid down by the University last time is given in Appendix-XIV.
(23) I hereby undertake that :—
  (i)
the rates of fees charged to the students shall be in accordence with the rates prescribed by the University from time to time;
  (ii)
the college shall not change or transfer its management without previous permission of the Executive Council and shall report any changes in the teaching staff including Principal and Librarian and all other changes that may result in any of the requirements of Section 118 of the Act not being fulfilled  or continuing to be fulfilled;
  (iii)
the emoluments, including allowances, that are required to be paid to, teachers and other employees of the college, are and shall be, in accordance with the grades and allowances sanctioned under the Statutes, from time to time, and that the rules prescribing the qualifications, security of tenure disciplinary matters and other terms of conditions of service of the teachers and other employees of the college shall be in accordance with the Statutes made by the Senate from time to time;
  (iv)
the college shall deposit such funds (including provident funds and permanent funds, if any_ with the University and College Development Finance Corporation, as and when established, as the State Government may, from time to time, direct, if the rate of interest offered by that Corporation for similar investments is not less than that offered by any of the Banks referred to as per the provisions of The Maharashtra Public University Act 2016 and guidelines of the University Act , and
  (v)

the college shall comply with all the provisions of the Act and the Statutes, Ordinances, Regulations and Rules made thereunder and the circulars of the University.
   
24)
The prescribed fee of Rs. ___________________ (Rupees____________________________)  is sent herewith by means of a crossed order demand draft* bearing No. _______________dated _______, drawn on the (Bank)________________________ in favour of Registrar, University of Mumbai, Mumbai, payable at Mumbai. Nine additional copies of the application with all the appendices referred to above are also sent herewith.
Yours faithfully,
 
 
 
(Signature)
PRINCIPAL/I.C. PRINCIPAL
Date :
Address :
 
Note :
In case any of the appendices referred to above is not applicable, the said appendix should be enclosed with a remark "Not applicable"
 
Payment is also acceptable if made by means of a crossed account payee cheque on Scheduled Bank/State Co-operative Bank in Mumbai and payable to the Register, University of Mumbai
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Appendix I - (Teaching Staff) - Details of Teaching staff including Principal and Librarian - As Attached
Appendix II (Non-Teaching Staff) :
Sr.
No.		 Name of Non-Teaching Staff Academic qualification Degree and class obtained Designation Full Time / Part Time Type of appointment Scale of Pay Present Basic Pay Allowances Whether a subscriber to Contributory/GPF or is covered under Pension cum Gratuity Scheme B.C. Recruitment
No Records.
Appendix III (Buildings) - Part I
The plan of the location on which the building is standing or is proposed to be constructed :
* Name of the Locality
 :  
* Name of the Road
 :  
* Plan for the proposed construction
 :  
* Documentary evidence of the legal title of the Society / Trust to the plot
 :  
* The Total area of the plot used for the Building
 :  
* The Total area of the plot on which the building stands or is proposed to be constructed
:  
* The Total floorwise built up area of the building
 :  
* The floorwise carpet area of the building
 :  
* Details of open space on the four sides of the buidling
 :  
Appendix III (Buildings) - Part II
Sr. No. Room/Hall No. Designation of the Room/Hall Floor Area of the Room/Hall The purpose for which it is used / proposed to be used
No Records.
Appendix III (Buildings) - Part III
Sr. No. Designation of Accomodation Number Carpet Area in sq.mtrs Purpose for which other rooms are used
No Records.
Appendix IV - Residential Quarter Information for Other Teaching Staff & Non-Teaching Staff
Sr. No. Location Area in sq.mtrs. Monthly Rent Whether HRA is continued to be paid Whether free of electricity and water Charges Halalkhore tax etc. Whether furnished
No Records.
Appendix V - Laboratory - Part I
Sr. No. Subject Class Area in sq.mtrs. Number of students in each batch Equipments & apparatus
No Records.
Appendix V - Laboratory - Part II
Sr. No. Year Subject(s) Recurring Rs. Non-Recurring Rs. Total Rs.
No Records.
Appendix VI - Library Part I
* Total number of books including text books in the library
 :  
* Approximate value of Rs.
 :  
* Number of study and reference books
 :  
* Number of standard journals / reports
 :  
* Popular journals and reports
 :  
* Academic journals
 :  
 
Appendix VI - Library Part II
Sr. No. Year Number of Books Number of journals Popular Number of journals Academic Amount Rs.
No Records.
Appendix VII - Information regarding grants received - Part I UGC
Sr. No. Purpose for which assistance received Date Amount of UGC's share Share of college State Government's contribution if any Assets acquired out of the UGC grants Remarks
No Records.
Appendix VII - Information regarding grants received - Part II Other Agencies
Sr. No. Purpose for which assistance received Date Amount of UGC's share Share of college State Government's contribution if any Assets acquired out of the grants Remarks
No Records.
Appendix IX - Reserve Fund
What were the requirements by the University
 ?  
Has the amount of the Reserve Fund been invested and How
 ?  
Date/Dates of the Deposit/s and amount
 :  
Bank Certificate/s Nos. and Date/s
 :  
Whether any amount is withdrawn
 ?  
Whether the university has sanctioned the withdrawal
 :  
Whether the withdrawn amount is deposited back
 ?  
Whether an irrevocable Trust Deed is executed
 ?  
Names of Trustees of the Reserve Fund
 :  
Whether names of Trustees have been reported to the University
 ?  
 
Appendix X
(Admission of Students)
Course-Year Division No. Sanctioned Intake of Division Academic Year Total Students Admitted Total Girls Students Admitted Total Boys Students Admitted Total No. of Students
SC ST OBC NT SBC PHC EBC Scholarship GOI Scholarship
Appendix XI
Results - Information about the results of the college for the last 3 years
Academic Year Course-Year Half Total No. fo students appeared Total number of students Passed Pass Percetange University Pass Percentage
Men Women Men Women
Appendix XII - Information regarding Co-curricular and Extra-curricular activities
Sports
 :  
N.C.C.
 :  
Medical Aid
 :  
Canteen
 :  
Students Aid Fund
 :  
Social Service
 :  
Cultural
 :  
Any Other
 :  
 
Appendix XIII
Additional workload
 :  
Time - table adjustments
 :  
Accomodation
 :  
Library
 :  
Equipments
 :  
 
Appendix XIV - Principal's Report of the fulfillment of conditions
Conditions laid down by the university Principal's Report on the actual fulfillment of the condition Reasons, if any, for not fulfilling any of the conditions
1 2 3
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