Check list of the documents
Check List of Documents (Study Centre should ensure that all the documents are attached to the proposal in the proper sequence as mentioned below with
proper tags and tick appropriate cells in the following table and attach this page as the first page of proposal)
Sr.
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Essential / Additional Documents
To be filled
by Institute
Is document
attached?
YES/NO
To be filled by
SC S, YCMOU
√ for YES and
× for NO
Remarks
(To be filled by SCS, YCMOU)
DD attached
DVD attached
Check list of the documents
Study Centre Evaluation Form for Renewal
Renewal Form
Appendix A: Computers, other devices etc
Appendix B: Office space, Staff details etc
Appendix C: Software
Appendix D: Student Enrollment
Appendix E: Participation in YCMOU Activities
Appendix F: Photographs of the Institute (Post Card Size)
Appendix G: Book Bank (List of Books, Magazines and CBTs in specified format
Appendix H: True copies of Ownership / lease / rent documents
Resolution of the Society or Trust of parent organization as specified in
Appendix I / provide true copy of shop act license
Appendix J: Course Wise Faculty details for 2015-2016
Appendix K: Photocopy of the latest/last Final Approval Certificate/Final
Approval Letter/Email
Appendix L: Attach the Xerox copy of the deposit’s receipt paid to YCMOU
Appendix M: Last Financial Year’s Audited Statement of Trust
Appendix N: Programme-wise Semester-wise copy of the Time table (along
with Faculty/ Instructor names)

Of the current academic year

Of the next academic year
Appendix O: Programme wise student enrollment of last 3 years for YCMOU
programmes

(For 2014-2015), (For 2013-2014), (For 2012-2013)
Appendix P: Programme wise Result analysis of students of last year BCA and
BSc (BIS) programmes (For 2013-2014)
Appendix Q: Supporting Documents of Employees contribution stating
deductions under Provident Fund, Professional Tax
Appendix R: Publicity material
23.
True copies of the letters of Accreditation and Membership of other organization
24.
25.
True copies of the letters of Affiliation / Partnerships / Dealership
26.
True copies of layout of the institute/building with dimensions
On behalf of my Study Centre, I have ensured that all the documents are attached to the proposal in the proper sequence as mentioned above along
with proper tags and have ticked appropriate cells in the above table.
Name of the Study Centre’s Head/Coordinator
Signature of the Study Centre’s Head/Coordinator
Committee Recommendation (To be filled by SCS, YCMOU):
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 1 of 33
School of Computer Science
Yashwantrao Chavan Maharashtra Open University, Nashik – 422 222
Study Centre Evaluation Form for Renewal
B Category Study Centres
Study Centre details:
Study Centre Code
Study Centre Name:
Study Centre Address:
Pin code:
Date of filling the Evaluation Form
Instructions for filling the Evaluation Form
1) If documentary evidence supporting the criteria is attached then only mention 1 else 0.
2) No numbers except 1 or 0 are applicable except Sr. No. Point 22.
3) If any cell is left blank it will be considered as 0.
4) The Study Centre can give justification (if any) wherever required.
Grading Scheme: Total Marks = 50
No. Grade
Scoring system
1)
A Grade (Very Good)
Score more than 40 (i.e. >40)
2)
B Grade (Good)
Score between 35 to 40 (i.e. >35 and <=40)
3)
C Grade (Average)
Score between 30 to 35 (i.e. >=30 and <=35)
4)
Score less than 30
D Grade (Below than average)
No Particulars
.
Norms for Category-B
(Certificate, Diploma and Degree
(BCA and BSc (BIS) Programme)
1)
Processing Fees
2)
DVD
5000/- (non-refundable)
Mention DD details:
DD date: ___________
DD amount: ________
Drawn from Bank name: __
DD no: ____________
DVD prepared and attached in file
3)
Deposit
4)
Latest Final Approval
Certificate/Letter
5)
Intake Capacity
6)
Space
As per
details
provided
in
Appendix
of
Renewal
Form
Beginning
of file
Beginning
of file
The Study Centre should attach the
Form and
Xerox copy of the deposit’s receipt paid L
to YCMOU
 Rs. 1,00,000/- for Private Institute
 Rs. 20,000/- for College affiliated to
Board or University
Mention following details:
Receipt date: ___________
Receipt amount: ________
Bank name: ____________
Receipt no: ____________
Attach the Xerox copy of the deposit’s
receipt paid to YCMOU
Attach the Xerox copy of the latest/last K
Final Approval Certificate/Final
Approval Letter/ Email
Intake capacity assigned to your Study Form
Centre
Mention: 30 or 60
2500 sq. ft.
B
School of Computer Science: Renewal Form for Computer Study Centre 2015
Approval Period
Approval for 3 years
Approval for 2 years
Approval for 1 year
The Study Centre Closure Process will be initiated.
Marking Scheme
Marks to be
Justification by Study
filled by
Centre (if any)
Study SCS,
Centre YCMOU
NA
NA
NA
NA
NA
NA
1 if Yes
0 if No
NA
NA
Area greater than or
Page 2 of 33
Mention Area: ______ sq. ft.
At least 2 lecture halls
Mention Area:
Lecture Hall 1: _________ sq. ft.
Its Seating capacity: _____
B
equal to 2500 sq. ft.
1 if Yes
0 if No
If 2 Lecture Halls
available
1 if Yes
0 if No
Lecture Hall 2: _________ sq. ft.
Its Seating capacity: _____
7)
8)
9)
Computers and other
Hardware
Staff
Staff
Separate room for YCMOU Study
center office is compulsory
Reception room
B
30 Pentium PCs OR Laptops with
minimum configuration of 2 GB RAM,
250GB HDD, CD-ROM Drive, USB
Ports, Networks Card.
OR
Minimum 10 PC’s should be stand
alone. Rest can be Thin client/workstations like Extenda
At least 10 PC’s should support
Windows 7 & Office 2010
LAN with 100 MBPS transmission rate
A
B
A
A
List of all Faculties provided in tabular B
format of Appendix B
B Category are as follows: Minimum
staff includes
1 Coordinator,
4 full time counselors and
3 visiting counselors
1 Lab assistant
Coordinator
B
Min. Qualification of Coordinator: M Sc
(CS / IT) / MCA / MCM / B. E. (CS/ IT) /
ME (CS) / MTech (CS) Computer Post
Graduate/ MBA/ any BE/ any BTech/
any MTech/ any MSc from UGC
recognized University or equivalent
10) Staff
1st full time counselor
Full Time counselors:
Min. qualification of Full
Time Counselor
B
Out of 4 counselors
minimum 2 should
fulfill the criteria a)
and remaining 2
School of Computer Science: Renewal Form for Computer Study Centre 2015
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
If minimum staff
criteria fully satisfied
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of Computer
Science format with
his/her signature
attached
1 if Yes
0 if No
Attested true copy of
Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of Computer
Science format with
his/her signature
attached
1 if Yes
Page 3 of 33
counselors should
fulfill the criteria either
from a), b), c)
a)
2 Full-Time
Counselors should
be Post Graduate
in Computer/IT
from UGC
2nd full time counselor
recognized
University which is
compulsory having
qualification like M
Sc (CS / IT) / MCA
/ MCM / B. E. (CS/
IT) / ME (CS) /
MTech (CS) or
equivalent
B
11) Staff: a) or b) or c)
3rd full time counselor
b) 1 Full-Time
Counselor should
be MSc in Maths /
Stats / any BE /
BTech/MTech/Ph
D from UGC
recognized
University(for
courses like
Maths/Stats)
B
12) Staff: a) or b) or c)
c) 1 Full-Time
Counselor should
be any PG/
MBA/MCom from
UGC recognized
University for
courses like Soft
Skills, ERP,
Computerized
financial
accounting, Ecommerce
B
4th full time counselor
School of Computer Science: Renewal Form for Computer Study Centre 2015
0 if No
Attested true copy of
Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of Computer
Science format with
his/her signature
attached
1 if Yes
0 if No
Attested true copy of
Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of Computer
Science format with
his/her signature
attached
1 if Yes
0 if No
Attested true copy of
Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of Computer
Science format with
his/her signature
attached
1 if Yes
0 if No
Attested true copy of
Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
Page 4 of 33
13) 3 visiting counselors
Min. qualification of
Visiting Counselor:
Same as Full Time
Counselor OR Industry
Expert in respective
subjects
1 Visiting Counselor/ 5th Full-Time
Counselor
B
2nd Visiting Counselor/ 6th Full-Time
Counselor
B
3rd Visiting Counselor/ 7th Full-Time
Counselor
B
14) 1 Lab Assistant:
1 Lab Assistant: Minimum Qualification B
of Lab Assistant:
Diploma/Degree in
comp/IT/Electronics/Instrumentation/El
ectronics/Telecommunication /PG
Diploma/CISCO Certification/MCSE
Certification/CDAC from UGC
recognized University
Video projector Seating capacity of the A
room: 15 Students
Library having at least 100 books
G
related to University syllabus
15) Learning Resource
16) Renewal Application
File
17) Financial Audited
Statement
18) Time Table of
Counseling and
Practical Sessions
19) Time Table of
Counseling and
Practical Sessions
20) Programme wise
student enrollment of
last 3 years for YCMOU
programmes with
reference to intake
capacity allotted to
Study Centre
The Study Centre has properly
File
prepared the Renewal Application File
and submitted in the good quality box
file to permanently preserve the
records.
The Renewal Application File consists
of the completely filled Renewal Form
along with all the documents in the
proper sequence
Proper tags attached in box file (for the
form, the appendix and other
documents as per the Check list of
the documents given at the end of the
Renewal Form)
Side of the Box file and Cover Page to
be pasted on the Hard Copy of the file
Study Centre has filled the Check list
of the documents page completely
and correctly
Last Financial Year’s Audited
M
Statement of Trust
Programme-wise Semester-wise copy
of the Time table (along with Faculty/
Instructor names) to be attached in the
file of the current academic year
Programme-wise Semester-wise copy
of the Time table (along with Faculty/
Instructor names) to be attached in the
file of next academic year
Documents to be attached in the file
(For 2014-2015)
N
According to norms
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
1 if Yes
0 if No
Mention total count:
______
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
If turnover greater
than or equal to 20
lakhs then 1
If turnover less than
20 lakhs then 0
1 if Yes
0 if No
N
1 if Yes
0 if No
O
If Enrollment is
greater than 30%
then 1
If Enrollment is less
than 30% then 0
If Enrollment is
greater than 70%
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 5 of 33
Documents to be attached in the file
(For 2013-2014)
Documents to be attached in the file
(For 2012-2013)
21) Programme wise Result Documents to be attached in the file
analysis of students of (For 2013-2014)
last year BCA and BSc
(BIS) programmes
P
22) Scanned copies of
Documents to be attached in the file
Ownership / lease / rent
documents
H
23) Supporting Documents
of Employees
contribution stating
deductions under
Provident Fund,
Professional Tax
24) Publicity material
Documents to be attached in the file
Q
Documents to be attached in the file
R
then 1
If Enrollment is less
than 70% then 0
If Enrollment is
greater than 30%
then 1
If Enrollment is less
than 30% then 0
If Enrollment is
greater than 70%
then 1
If Enrollment is less
than 70% then 0
If Enrollment is
greater than 30%
then 1
If Enrollment is less
than 30% then 0
If Enrollment is
greater than 70%
then 1
If Enrollment is less
than 70% then 0
If passing
percentage of
students is greater
than 50% then 1
If passing
percentage of
students is less than
or equal to 50% then
0
Ownership: 3 marks
Rent agreement (of
3 or more years): 2
marks
Rent agreement (of
1 year): 1 mark
None of the above:
0 mark
1 if Yes
0 if No
1 if Yes
0 if No
Total Score
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 6 of 33
School of Computer Science
Yashwantrao Chavan Maharashtra Open University, Nashik – 422 222
Study Centre Evaluation Form for Renewal
C Category Study Centres
Study Centre details:
Study Centre Code
Study Centre Name:
Study Centre Address:
Pin code:
Date of filling the Evaluation Form
Instructions for filling the Evaluation Form
1) If documentary evidence supporting the criteria is attached then only mention 1 else 0.
2) No numbers except 1 or 0 are applicable except Sr. No. Point 20.
3) If any cell is left blank it will be considered as 0.
4) The Study Centre can give justification (if any) wherever required.
Grading Scheme: Total Marks = 50
No. Grade
Scoring system
1)
A Grade (Very Good)
Score more than 40 (i.e. >40)
2)
B Grade (Good)
Score between 35 to 40 (i.e. >35 and <=40)
3)
C Grade (Average)
Score between 30 to 35 (i.e. >=30 and <=35)
4)
Score less than 30
D Grade (Below than average)
No Particulars
.
Norms for Category-C
(Certificate and Diploma
Programmes)
1)
Processing Fees
2)
DVD
5000/- (non-refundable)
Mention DD details:
DD date: ___________
DD amount: ________
Drawn from Bank name: __
DD no: ____________
DVD prepared and attached in file
3)
Deposit
4)
Latest Final Approval
Certificate/Letter
5)
Intake Capacity
6)
Space
Approval Period
Approval for 3 years
Approval for 2 years
Approval for 1 year
The Study Centre Closure Process will be initiated.
As per
Marking Scheme
details
provided in
Appendix
of Renewal
Form
Beginning of NA
file
Marks to be
Justification by Study
filled by
Centre (if any)
Study SCS,
Centre YCMOU
Beginning of NA
file
Form and L NA
NA
The Study Centre should attach the
Xerox copy of the deposit’s receipt paid
to YCMOU
 Rs. 30,000/- for Private Institute
 Rs. 15,000/- for College affiliated to
Board or University
Mention following details:
Receipt date: ___________
Receipt amount: ________
Bank name: ____________
Receipt no: ____________
Attach the Xerox copy of the deposit’s
receipt paid to YCMOU
Attach the Xerox copy of the latest/last K
Final Approval Certificate/Final
Approval Letter/ Email
Intake capacity assigned to your Study Form
Centre
Area 1500 sq. ft.
B
School of Computer Science: Renewal Form for Computer Study Centre 2015
NA
NA
1 if Yes
0 if No
0
0
NA
Area greater than
or equal to 1500
sq. ft.
1 if Yes
Page 7 of 33
7)
8)
9)
Computers and other
Hardware
Staff
Staff
10) Staff
Min. qualification of two
Full Time Counselor:
a) Graduate in
Computer/IT from
UGC recognized
University which is
compulsory OR
b) Any MSc in
Computer / IT/
Maths/ Stats/ OR
c) BE /BTech/MTech/
from UGC
750 sq. ft.
Mention Area: ______ sq. ft.
B
At least 1 lecture hall
Mention Area:
Lecture Hall 1: _________ sq. ft.
Its Seating capacity: _____
Separate room for YCMOU Study
center office is compulsory
Reception room
B
10 Pentium PCs OR Laptops with
minimum configuration of 2 GB RAM,
250GB HDD, CD-ROM Drive, USB
Ports, Networks Card. OR
Minimum 5 PC’s should be stand
alone. Rest can be Thin client/workstations like Extenda
All PC’s should support Windows 7 &
Office 2010
LAN with 100 MBPS transmission rate
A
B
B
A
A
List of all Faculties provided in tabular B
format of Appendix B
C Category are as follows: Minimum
staff includes
1 Coordinator
2 full time counselors
Coordinator
B
Min. Qualification of Coordinator: M Sc
(CS / IT) / MCA / MCM / B. E. (CS/ IT) /
ME (CS) / MTech (CS) / MBA/ any BE/
any BTech/ any MTech/ any MSc from
UGC recognized Universityor
equivalent
1st full time counselor
B
School of Computer Science: Renewal Form for Computer Study Centre 2015
0 if No
Area greater than
or equal to 750 sq.
ft.
1 if Yes
0 if No
If 1 Lecture Halls
available
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
If minimum staff
criteria fully
satisfied
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of
Computer Science
format with his/her
signature attached
1 if Yes
0 if No
Attested true copy
of Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of
Computer Science
format with his/her
signature attached
1 if Yes
0 if No
Attested true copy
of Final year
Page 8 of 33
recognized
University (for
Maths/Stats) OR
Any Graduate with
computer Diploma
OR Any PG/
MBA/MCom from
UGC recognized
University for Soft
Skills OR
Preferably Computer
Post-Graduate OR any
computer graduate OR
any graduate with
Computer Diploma.
11) 1 Lab Assistant:
12) Learning Resource
13) Renewal Application
File
14) Financial Audited
Statement
15) Time Table of
Counseling and
2nd full time counselor
B
1 Lab Assistant: Minimum Qualification B
of Lab Assistant:
Diploma/Degree in
comp/IT/Electronics/Instrumentation/El
ectronics/Telecommunication /PG
Diploma/CISCO Certification/MCSE
Certification/CDAC from UGC
recognized University
Video projector Seating capacity of the A
room: 15 Students
Library having at least 100 books
G
related to University syllabus
The Study Centre has properly
prepared the Renewal Application File
and submitted in the good quality box
file to permanently preserve the
records.
The Renewal Application File consists
of the completely filled Renewal Form
along with all the documents in the
proper sequence
Proper tags attached in box file (for the
form, the appendix and other
documents as per the Check list of
the documents given at the end of the
Renewal Form)
Side of the Box file and Cover Page to
be pasted on the Hard Copy of the file
Study Centre has filled the Check list
of the documents page completely
and correctly
Last Financial Year’s Audited
Statement of Trust document attached
Turnover greater than or equal to 20
lakhs
Programme-wise Semester-wise copy
of the Time table (along with Faculty/
File
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
According to norms
1 if Yes
0 if No
Completely filled
Faculty bio-data in
School of
Computer Science
format with his/her
signature attached
1 if Yes
0 if No
Attested true copy
of Final year
Marksheet and
Certificate attached
in file
1 if Yes
0 if No
Lab Assistant
available
1 if Yes
0 if No
1 if Yes
0 if No
Mention total
count: ______
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
M
M
N
School of Computer Science: Renewal Form for Computer Study Centre 2015
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
Page 9 of 33
Practical Sessions
16) Time Table of
Counseling and
Practical Sessions
17) Programme wise
student enrollment of
last 3 years for YCMOU
programmes excluding
students getting
Scholarship from
Social Welfare and
Tribal department
Instructor names) to be attached in the
file of the current academic year
Programme-wise Semester-wise copy
of the Time table (along with Faculty/
Instructor names) to be attached in the
file of next academic year
Documents to be attached in the file
(For 2014-2015)
N
1 if Yes
0 if No
O
If Enrollment is
greater than 30%
then 1
If Enrollment is
less than 30% then
0
If Enrollment is
greater than 70%
then 1
If Enrollment is
less than 70% then
0
If Enrollment is
greater than 30%
then 1
If Enrollment is
less than 30% then
0
If Enrollment is
greater than 70%
then 1
If Enrollment is
less than 70% then
0
If Enrollment is
greater than 30%
then 1
If Enrollment is
less than 30% then
0
If Enrollment is
greater than 70%
then 1
If Enrollment is
less than 70% then
0
1 if Yes
0 if No
Documents to be attached in the file
(For 2013-2014)
Documents to be attached in the file
(For 2012-2013)
18) Programme wise
student enrollment of
last year for YCMOU
programmes getting
Scholarship from
Social Welfare and
Tribal department
19) Programme wise Result
analysis of students of
last year
Documents to be attached in the file
(For 2014-2015)
O
Documents to be attached in the file
(For 2013-2014)
P
20) Scanned copies of
Documents to be attached in the file
Ownership / lease / rent
documents
H
School of Computer Science: Renewal Form for Computer Study Centre 2015
If passing
percentage of
students is greater
than 50% then 1
If passing
percentage of
students is less
than or equal to
50% then 0
Ownership: 3
marks
Rent agreement (of
3 or more years): 2
marks
Page 10 of 33
21) Supporting Documents
of Employees
contribution stating
deductions under
Provident Fund,
Professional Tax
22) Publicity material
Documents to be attached in the file
Advertisements in TV/ Cable/ Print
media
Documents to be attached in the file
News insertions/ scrolling on TV/ Cable
Documents to be attached in the file
News/ articles published in print media
Documents to be attached in the file
Handbills/ Posters/ Brochures etc
Documents to be attached in the file
23) Name board of YCMOU Attach the photograph where Name
board of YCMOU is placed at the Study
Centre
24) Sign board of YCMOU Attach the photograph where Sign
board of YCMOU is placed near the
Study Centre
25) Guest lectures/
Photograph of Guest lectures/
Seminars/ Counseling
Seminars/ Counseling sessions on
sessions on Career
Career guidance/ Self employment for
guidance/ Self
enrolled students to be attached along
employment
with details
Q
Rent agreement (of
1 year): 1 mark
None of the above:
0 mark
1 if Yes
0 if No
R
1 if Yes
0 if No
R
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
1 if Yes
0 if No
R
R
F
F
1 if Yes
0 if No
F
1 if Yes
0 if No
Total Score
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 11 of 33
Yashwantrao Chavan Maharashtra Open University, Nashik
Dnyangangotri, Near Gangapur Dam, Nashik-422 222
Ph. No.: 0253-2230717, 2231714
email-id: scmcs@ycmou.digitaluniversity.ac
Renewal Form
For Computer Study Centre 2015
Recent Photo
of the
Head or
Proprietor or
Principal
Recent Photo
of the
Co-ordinator
Head/Principal/Proprietor
Mention Name: ______________________
Coordinator
Mention Name: ______________________
(Note: Read the Booklet for Renewal of Computer Study Centres: 2015 before filling the application form.)
1.0
Which Category of Computer Programmes is your Study Centre running?
Category
B
C
Intake
Capacity
Programmes
Degree Programmes (BCA, BSc (BIS) and All Certificate and All Diploma
Programmes
All Certificate and All Diploma Programmes Only
Answer
Yes/No
Yes/No
2.0 Details of Study Centre
Name of the Study
Centre
Date of Approval of
Study Centre by YCMOU
Address of the Study
Centre
City/Town
Tehsil
District
State
PIN Code
Telephone with STD
Code
Mobile
Email-id
STD:
No.1:
School of Computer Science: Renewal Form for Computer Study Centre 2015
No.2:
Page 12 of 33
FAX
Name of the nearest
active YCMOU Computer
Study Centre (in km)
3.0 Constitution of Study Centre
Legal status of the
institute
(Propriety / Partnership /
Trust)
Is the institute registered
with charity
commissioner office?
If yes, Registration
Registration No:
Number and Date
Date of Registration:
If not, provide shop act
details
If Trust, name of the
Chairman
4.0 Details of Principal/Proprietor/Director/Head
Name of Principal /
Proprietor / Head
Designation
Residential Address
Phone with STD Code
Office:
Residence:
Mobile
Email Address
For any urgent need for
Friend 1:
Friend 2:
contact, provide details of
Phone Number of friend /
Relative 1:
Relative 2:
relative
5.0 Details of Coordinator
Name of the Coordinator
Date of joining the
Institute
Mention highest
Educational Qualification
Teaching …………….. years
Experience
Professional …………..years
Residential Address
Phone with STD Code
Office:
Mobile
Email Address
For any urgent need for
Friend 1:
contact, provide details of
School of Computer Science: Renewal Form for Computer Study Centre 2015
Residence:
Friend 2:
Page 13 of 33
Phone Number of friend / Relative 1:
relative
6.0 Details of Study Centre Deposit paid by the Centre
Sr. No.
Amount
1
Details of Deposit paid
2
3
4
7.0 Details of Computers
Provide the details as specified in Appendix-A
8.0 Details of LAN, Printers and other Peripheral Devices
Provide the details as specified in Appendix-A
9.0 Details of Internet Account
Name of Service
Provider
Type of account
(Broadband / ISDN / Dialup / Leased Line)
10.0 Details of Teaching Aids
No. Name of the Equipment
Television Set
LCD Projector
Other Equipments (Specify)
Relative 2:
Receipt No
Date
Quantity
11.0 Details of Office Space
Provide the details of office space as specified in Appendix-B
12.0 Details of Furniture and other Infrastructure
Provide the details of furniture and other infrastructure as specified in Appendix-B
13.0 Details of Staff at the study centre
Provide the details of staff as specified in Appendix-B
14.0 Details of Accreditation and Membership of other organization
Provide details if your centre is accredited to some
organization.
Provide details if your centre has membership of some
organization like CSI.
15.0 Details of Affiliation / Partnerships / Dealership
Affiliation with University
Affiliation with
Government Agency
Affiliation/Partnership
with Private Training
Institute
Dealership
16.0 Details of Bank Account of the Study Centre (used for Study Centre financial transactions)
Name of Branch &
Branch Code
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 14 of 33
Name of Bank Account
15 digit Account Number
IFSC
17.0 Financial Status
Give the details for the last financial year (Attach Audit Report of the Trust)
Number
of
students
enrolled
Total fees
Collected (A)
Total
Expenditure
(B)
Expenditure
Total
Faculty
Salary
Total
computer
purchase &
maintenance
Cost of
Books
purchased
Publicity
Net Profit
A-B
Other
(electricity/telephone/rent
etc)
The information filled in the Renewal Form is true to the best of our knowledge.
I have read the Booklet for Renewal of Computer Study Centres: 2015 before filling the application form.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 15 of 33
Appendix-A
Computers: Provide details of computes available at the study centre
Sr.
No.
Machine Type
Desktop / Laptop/ Thin Client
RAM
Hard Disk
Capacity
Version of Operating System
Number of
Computers
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
a) Total Number of Computers =
b) Total Number of Laptops =
c) Total Number of Machines on Thin Client =
Grand Total (a + b + c) =
LAN: Provide details of LAN setup at the study centre
Type
Client/Server
Peer-to-peer
Network operating
system
Number of
computers on
LAN
Make of
HUB / Switch
Number of ports
on HUB / Switch
Speed of
HUB
Details of Other Devices
Sr.
No.
1)
Device Type
Details
UPS
2)
Generator
3)
Scanner
4)
Video Projector
5)
Stabilizer
6)
Digital Camera
7)
Tablet
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 16 of 33
Printers: Provide details of printers available at the study centre
Sr.
No.
Printer Type
(Inkjet or laser)
Make
Model
1)
2)
The information filled above is true to the best of our knowledge.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 17 of 33
Appendix-B
Office Space: Give details of space available at your institute. (Size in Feet)
(Enclose the true copies of layout of the institute/building with dimensions, and Ownership/lease/rent documents)
Table-A
Details of Computer
lab
Lab 1
Lab 2
Lab 3
Lab 4
Lab 5
Dimensions of
Labs
Area in sq. ft.
Student capacity
Total Area =
Table-B
Details of Lecture
Halls
Hall 1
Hall 2
Hall 3
Hall 4
Hall 5
Dimensions of
Halls
Area in sq. ft.
Student capacity
Total Area =
Table-C
Other details
Library
Reception Room
Separate Office Room
Staff Room
Stores
Toilet
Other
Dimensions
Area in sq. ft.
Total Area =
Table-D
Grand Total of Table-A, Table-B and Table-C
_________________
sq. ft.
Furniture and Fixtures: Provide details of furniture and fixtures
Table-E
Tables
Chairs
Cup-boards
School of Computer Science: Renewal Form for Computer Study Centre 2015
Fans
Tube-lights
Page 18 of 33
Other Details
Table-F (Additional Facilities available at the institute
Drinking water
Yes/No
First aid
Yes/No
Parking space
Yes/No
Ladies Room
Yes/No
Table-G
Staff Details: Give details of Counselors at the institute.
(Enclose the Bio-data of each Counselor in prescribed format of School of Computer Science given at the end of
this Appendix along with the true copy mark sheet of highest qualification and its certificate.
Also enclose the acceptance letters of the Visiting Faculty.).
Applicable For B Category: Certificate, Diploma and Degree (BCA and BSc (BIS)) Programmes only
School of Computer Science Faculty
requirements for
Sr.
No.
1
2
3
Name of
Counselor
(Instructor)
B Category are as follows: Minimum
staff includes
1 Coordinator,
4 full time counselors and
3 visiting counselors
1 Lab assistant
Min. Qualification of Coordinator:
M Sc (CS / IT) / MCA / MCM / B. E.
(CS/ IT) / ME (CS) / MTech (CS)
Computer Post Graduate/ MBA/ any
BE/ any BTech/ any MTech/ any MSc
from UGC recognized University or
equivalent
Min. qualification of Full Time
Counselor
Out of 4 counselors minimum 2 should
fulfill the criteria a) and remaining 2
counselors should fulfill the criteria
either from a), b), c)
4
a)
5
b)
2 Full-Time Counselors should be
Post Graduate in Computer/IT
from UGC recognized University
which is compulsory having
qualification like M Sc (CS / IT) /
MCA / MCM / B. E. (CS/ IT) / ME
(CS) / MTech (CS) or equivalent
1 Full-Time Counselor should be
MSc in Maths / Stats / any BE /
BTech/MTech/PhD from UGC
recognized University(for courses
like Maths/Stats)
Faculty
(Visiting /
Full Time)
Highest
Educational
Qualification
successfully
completed
Total
Experience
in Years
Telephone
Number
(Residence
and Mobile)
Is the true
copy mark
sheet of
highest
qualification
and its
certificate
attached
Residence
Phn No:
Coordinator
Yes / No
Mobile No:
1st Full Time
Yes / No
2nd Full Time
Yes / No
3rd Full Time
Yes / No
4th Full Time
Yes / No
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 19 of 33
c)
1 Full-Time Counselor should be
any PG/ MBA/MCom from UGC
recognized University for courses
like Soft Skills, ERP,
Computerized financial
accounting, E-commerce
6
1st Visiting
Yes / No
2nd Visiting
Yes / No
3rd Visiting
Yes / No
Lab Assistant
Yes / No
Min. qualification of Visiting Counselor:
7
Same as Full Time Counselor OR
Industry Expert in respective subjects
8
Minimum Qualification of Lab Assistant:
Diploma/Degree in
comp/IT/Electronics/Instrumentation/El
ectronics/Telecommunication /PG
Diploma/CISCO Certification/MCSE
Certification/CDAC from UGC
recognized University
9
10
Applicable For C Category: Certificate and Diploma Programmes only
School of Computer Science Faculty
requirements for
Sr.
No.
1
2
Name of
Counselor
(Instructor)
C Category are as follows: Minimum
staff includes
1 Coordinator
2 full time counselors
Faculty
(Visiting /
Full Time)
Min. Qualification of Coordinator:
M Sc (CS / IT) / MCA / MCM / B. E.
(CS/ IT) / ME (CS) / MTech (CS)
Computer Post Graduate/ MBA/ any
BE/ any BTech/ any MTech/ any MSc
from UGC recognized University or
equivalent
Coordinator
Min. qualification of two Full Time
1st Full Time
Highest
Educational
Qualification
successfully
completed
Total
Experience
in Years
Telephone
Number
(Residence
and Mobile)
Is the true
copy mark
sheet of
highest
qualification
and its
certificate
attached
Residence
Phn No:
Yes / No
Mobile No:
School of Computer Science: Renewal Form for Computer Study Centre 2015
Yes / No
Page 20 of 33
Counselor:
Graduate in Computer/IT from UGC
recognized University which is
compulsory OR
Any MSc in Computer / IT/ Maths/
Stats/ OR
BE /BTech/MTech/ from UGC
recognized University (for Maths/Stats)
OR Any Graduate with computer
Diploma OR Any PG/ MBA/MCom from
UGC recognized University for Soft
Skills OR
Preferably Computer Post-Graduate
OR any computer graduate OR any
graduate with Computer Diploma.
3
2nd Full Time
Yes / No
4
1) I assure that the information given above is complete and correct.
2) I assure that faculty bio-data is in the prescribed format provided by the School of Computer Science and
have attached the attested true copies of the supporting documents to each bio-data. (This data can be
updated in the database for future reference.)
If any of the above criteria is not fulfilled by me then I will have no objection if the renewal of the Study
Centre is not done.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 21 of 33
Applying for:
1) COORDINATOR
Format for Faculty Biodata
2) COUNSELOR
YASHWANTRAO CHAVAN MAHARASHTRA OPEN UNIVERSITY, NASHIK
Note:
1) Select appropriate box by Check mark.
2) Write Phone No. with STD code & write PIN code in address.
3) Attach true copies of relevant documents (Mark sheets, Certificates etc)
4) Before submitting verify the completeness of the form. Incomplete forms will not be entertained.
Affix here recent
passport size
photograph
(A) Personal Information
Personal Information
Name in English (Write
name in CAPITAL
LETTERS)
Date of Birth
Address (office)
Last Name
First Name
Middle Name
Taluka
Address (residence)
Dist
Pin code
Taluka
Phone (Office)
Fax Details
Mobile No.
Known Language
Dist
Phone (Residence)
Pin code
English
e-mail
Marathi
Hindi
(B) Educational Qualification
Education
Diploma/ Degree
Title
College/
University / Board
Name
Main / Special
Subject
% Marks
Grade &
Class
Passing
Year
Under Graduate
Diploma
Graduation
Post Graduate
Degree
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 22 of 33
Post Graduate
Diploma
M. Phil.
Ph.D.
Other
(C) Teaching / Professional Experience
Teaching at under Graduate level
years
Teaching at Post Graduate Level
years
Industrial/Professional Experience
years
Total Experience
years
(D) Contribution for implementing the programmes
Programme
Sr.
Type of Work
No.
1
Counseling
2
Text Book writing
3
Text Book Editing
4
Syllabus designing
5
Paper setting
6
Item writing/editing
7
Examiner
Course
Year/Duration
University
(E) Operating Systems Handled
Operating System
Version
Experience in years
DOS
WINDOWS
UNIX / LINUX
NOVEL NETWORK
(F) Projects handled while learning and while in Job
Sr.
Project Title
No.
1.
2.
3.
4.
5.
School of Computer Science: Renewal Form for Computer Study Centre 2015
Front end
Back end
Page 23 of 33
(G) Specify Programming Languages / Subjects taught by you
Sr.
Name of Course
Course Code
No.
1.
2.
3.
4.
5.
(H) Specify the YCMOU courses you are interested in for counseling
Sr.
Name of Course
Course Code
No.
1.
2.
3.
4.
5.
(I) Select all those activities where you wish to contribute
Development
Counseling
 Online Counselor
Virtual Classroom Modules
 Academic Resource Person
 Theory Counselor
 Academic and Technical
 Project Work Counselor
Editor
 Language Editor
Textbook or Workbook
 Writer
 Content Editor
 Language Editor
Examination
Question Bank
 Item Writer
 Content Editor
 Language Editor
 Evaluation Editor
End Exam Conduct for Practical, or
Project-Work
 External Examiner
I declare that the above information is true to best of my knowledge. Attested photocopies of relevant documents are attached herewith.
Date:
Signature of Applicant
Forwarded through me for further necessary favourable considerations as COORDINATOR / COUNSELOR
Date:
Seal/Stamp of
Institute
School of Computer Science: Renewal Form for Computer Study Centre 2015
Signature of
Head/Director/Proprietor
Page 24 of 33
Appendix-C
Software: Provide the details of the software available at the study centre
Sr.
No.
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
Name of Software
Windows
MS-Office
Page Maker
Tally
AutoCAD
FoxPro
Visual Basic
Flash
Photoshop
Internet Explorer
Anti Virus Software
WinZip
Acrobat pdf Reader
Disk Manager
IIS
PWS
Apache
HTML/DHTML Editor
ASP Editor
Visual Studio
Visual Studio .NET Enterprise
Edition
ORACLE
Other Standard Software
Version / Specification
1)
2)
3)
4)
5)
The information above is completely filled and is true to the best of our knowledge.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 25 of 33
Appendix-D
Student Enrollment : Provide the details of students registered to YCMOU computer programmes from your study
centre during last year (including MSCIT enrolment)
Sr No
Programme
Number of students
1)
All Certificate Programmes of YCMOU
2)
Diploma in Computing
3)
Diploma in Advanced Computing
4)
B. Sc. (Business Information Systems) – First Year
5)
B. Sc. (Business Information Systems) – Second Year
6)
B. Sc. (Business Information Systems) – Third Year
7)
Bachelor of Computer Applications (BCA) – First Year
8)
Bachelor of Computer Applications (BCA) – Second Year
9)
Bachelor of Computer Applications (BCA) – Third Year
10)
MSCIT
11)
KLiC/WAVE Certificates
The information above is completely filled and is true to the best of our knowledge.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 26 of 33
Appendix-E
Participation in YCMOU Activities
In which of the following activities you or your faculty is ready to participate?
Sr. Co-ordinator /
Programme Course Course Project
No. Counselor Name
Code
Code
Name Examiner
Question Bank
Development
Question Bank
Editing
1)
2)
3)
4)
5)
The information above is completely filled and is true to the best of our knowledge.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 27 of 33
Appendix-F
Photographs of the Institute (Post Card Size)
(The photographs should clearly indicate the following five points. Paste three photos on one paper. )
1. Front View (Displaying Institute's Name Board)
2. Computer Laboratories
3. Library Resource Centre
4. Lecture Halls
5. Office Room with signboard
6. Group Photo of all Faculties
7. Other photos, if any, which will convey the facilities available at the institute.
The information above is completely filled and is true to the best of our knowledge.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 28 of 33
Appendix-G
Book Bank
Books: Provide the list of books in the Book Bank available in the Library in the following format.
Sr.
No.
Book Name
Book Author
Mention the Course Code and
Course Name for which it is useful
No. of
Copies
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Total books=
Magazines: Provide the details of Magazines subscribed by the Study Centre.
Sr.
No.
Name of Magazine
Subscription end
month
No. of Copies
1)
2)
3)
CBTs: Provide the details of CBTs (CDs/DVDs) available at the Study Centre.
Sr.
No.
Name of CBT
Subject Area Covered
1)
2)
3)
4)
5)
The information above is completely filled and is true to the best of our knowledge.
Date:
Name and Signature of
Principal/Proprietor/Director/Head
Name and Signature of Coordinator
Seal of the Study Centre
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 29 of 33
Appendix H
True copies of Ownership / lease / rent documents
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 30 of 33
Appendix I
Format for Resolution of the Society / Trust / Foundation
It
is
resolved
unanimously
in
the
meeting
of
the
Governing
body
of
____________________________________________________________________________________________
_______________________________held on _____________ under the Chairmanship of Shri
______________________________________ that the Study Centre of Yashwantrao Chavan Maharashtra Open
University, Nashik be renewed in ____________________________________________________________
Institute / Foundation / Trust.
If the University permits the Institute/Foundation/Trust to renew the centre, we undertake to provide all the
necessary academic and infrastructure facilities and cooperate for the smooth and efficient functioning of the Study
Centre. We shall extend full cooperation and support for the smooth conduct of these academic programmes
(including end exam and central assessment programme), as per the approved rules of the university. We shall
abide by the rules and regulations of the Yashwantrao Chavan Maharashtra Open University, Nashik prescribed
and revised from time to time.
If the Study Centre is closed down for any reason, equipments, furniture, books and other material, which is
supplied by the University, shall be returned back to the University We shall have no objection if the University
ceases the services of Counselors, Coordinator and Office Staff appointed at the Study Centre.
Proposed by _______________________
Seconded by _______________________
Signature with Date
(Name:
(Seal of the Secretary
Organization)
Institution/Foundation/Trust
Signature with Date
)
School of Computer Science: Renewal Form for Computer Study Centre 2015
(Name:
Chairman/President
Institution/Foundation/Trust
)
Page 31 of 33
Appendix J
Course Wise Faculty details for 2015-2016
Sr.
No.
Course
Code
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)
31)
32)
33)
34)
35)
36)
37)
38)
CMP130
CMP201
CMP202
CMP203
CMP204
CMP205
CMP206
CMP207
CMP208
CMP209
CMP211
CMP212
CMP213
CMP214
CMP215
CMP216
CMP217
CMP218
CMP220
CMP221
CMP222
CMP223
CMP226
CMP227
CMP230
CMP242
CMP247
CMP248
CMP250
CMP253
CMP255
CMP256
CMP258
CMP262
CMP263
CMP401
CMP402
CMP403
Name of the Course
Name of the Faculty
Type of Faculty
(Full-Time/
Visiting)
Mobile No.
Visual Basic
Programming Expertise in C
Data structure using C
OOPs and C++
Office Tools
Software Engineering
Principles of Data Base Management System
Computer Fundamentals
Business Information Systems
Data Communication and Networking
Visual Programming
Building Web Portals through ASP.NET
Programming Excellence through C#
Enterprise solutions using J2EE
Data Structures through C++
Distributed Computing through COM/DCOM
DirectX Game Programming
Writing Windows Device Drivers
Programming Excellence through VB.NET
Statistical Techniques
Computerised Financial Accounting
Computer Organization
Enterprise Resource Planning (ERP)
E-Commerce
Communication skills and Technical writing
Humanities and Social Obligations
JAVA
Linux
Mathematics for Computers
New Development in Information Technology
Operating Systems
ORACLE
Professional Development
Study Skills
Systems Analysis and Design
Cloud computing
Mobile Application Development
Software Testing
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 32 of 33
Appendix K
Photocopy of the latest/last Final Approval Certificate/Final Approval Letter/Email
Appendix L
Attach the Xerox copy of the deposit’s receipt paid to YCMOU
Appendix M
Last Financial Year’s Audited Statement of Trust
Appendix N
Programme-wise Semester-wise copy of the Time table (along with Faculty/ Instructor names)
 Of the current academic year
 Of the next academic year
Appendix O
Programme wise student enrollment of last 3 years for YCMOU programmes
(For 2014-2015), (For 2013-2014), (For 2012-2013)
Appendix P
Programme wise Result analysis of students of last year BCA and BSc (BIS) programmes (For 2013-2014)
Appendix Q
Supporting Documents of Employees contribution stating deductions under Provident Fund, Professional
Tax
Appendix R
Publicity material
School of Computer Science: Renewal Form for Computer Study Centre 2015
Page 33 of 33