applicationnew -smudde

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FM-LC-AF Version 3.0

1

Sikkim Manipal University, Gangtok

APPLICATION FORM FOR BECOMING A LEARNING CENTER -DOMESTIC

Appl ication f or the Stream(s) to be off ered: (Pl tick the respective boxes)

Information Technology

Management

Allied Health Service

Hotel Management & Tourism

Apparel & Fashion Design Arts & Humanities

Journalism & Mass Communication

Please f il l up th is form and attach supporti ng documents.

1. Name of the Trust/ Society / Registered Institution: (Please attach Deed)

2. Registration Number and State where Registered:

3. Address with Pin code:

a) Postal Address:

City: Pin Code:

b) Email Address:

c) Website, if any, then URL:




2

4. Telephone Nos with STD Code:

a.

O -

b. R -

c. Mobile -

d. FAX -

5. Name of the Institution under the Society / Trust where Training will be imparted:

6 Address with Pin code:-

a. Postal Address:

City: Pin Code:

b. Email Address:

c. Website URL (if applicable):

7. Telephone Nos with STD Code:

a)

O -

b) R -

c) Mobile -

d) FAX -




3

YES

YES

YES

YES

YES

8. Name of the Head of Institution: ( Provide detailed information, as per Annexure - B)

9. Work Experience of Management: (Attach details in Annexure - B)

10. Assessment of the Center with respect to location:

a. Location Prime / on Road etc.

b. Commercial / Residential

c.

Owned/ On Lease / Rent etc.

(Attach Lease/Rent Deed)

d. Visibility from Road & Parking space.

e. Familiarity of the location

11. Total carpet area (Please attach the layout plan) :

12. Infrastructure of Center

a.

No. of Class Rooms :

b. Seating capacity with furniture :

c. Total no. of students who can be trained at a time :

d. Air conditioning :

e. Training Aids such as overhead projectors / boards :

f.

Computer / TV / VCR based classroom :

g. UPS for computer System :

h. No. of Counseling Rooms :

i. Conference / Meeting room :

NO

NO

NO

NO

NO




4

YES

YES

YES

YES

YES

j. No. of Computer Labs :

k. No. of computers in each lab and total no. of computers :

l. Configuration of Computers (Attach configuration details) :

m. Software used and their source (Attach software details) :

n. Any specialized multimedia lab withCD-ROM/Speakers/Headphones :

o. Educational CD available :

p. Networking in lab and its type (UTP/OFC/ETC) : Specify

q. Internet Connection & Type : Specify

r. No. of Modems :

s. Number of printers :

t.

Staff room and other facilities provided to staff :

u. Generator for Power backup :

13. Faculty/Lab Assistants/Support Staff :(Provide name, qualification, experience and date of joining – detailed resume of each faculty member

to be attached to the application)

a) Center Manager / Center Head / Technical Head:

1

2

b) System Administrator:

NO

NO

NO

NO

NO




5

c)

Web Administrator:

d) Network Administrator:

e) Senior Faculty Members:

12

f) Junior Faculty Members:

1

2

3

45

g) Lab Assistants:

1

2

h) Clerical staff:

1

2




6

i) Counselors:

1

2

3

j) Any other Supporting Staff:

1

2

3

14. Library (Attach List of Books) :-

a. No. of books in Library* :

b. No. of Newspapers/Periodicals/Magazines :

c. No. of Technical and Non Technical book :

d. Library seating capacity (No. of students who

can be accommodated at a time) :

e. No. of librarians :

f. Annual budget for library (Average) :






8

16. Please fill in the Actual details of your existing set – up and same will be verified during

the inspection of the centre by SMU officials.

SMU Recognized LEARNING CENTER Infrastructure Guidelines (LCIG)

A. General Infrastructure: Required at LEARNING CENTER associated with SMU

Particulars Minimum Requirement Actuals

Filled by LC Verified during Inspection

PremisesMinimum carpet area – 1500

Sft

Furniture &Fixtures

2 classrooms, 25 seats per

class

Basic facilityConference rooms, staff

rooms, etc

Air-conditioning

Mandatory for computer Lab

Training Aids LCD/OHP




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B. I.T. infrastructure : Basic minimum requirements at all LEARNING CENTERS

PC

Configuration

P IV machine with at least

256 MB memory

Windows XP professional

Network interface card

10/100

Duplex sound card

CD drive for loading

software

Headset with microphone

Network

Switch based network

10/100 on TCP/IP

PC's will be assigned a fixed

IP

Administrative

Equipment

elephone, Fax, CD-

RITER

udio Visual tapes

eadsets for audio Listening

PS Provisioning – Min 60

inute

back up

InternetConnection &

Type

Broad Band

Modems One

Printers &Copiers

One




10

LibraryMinimum 100 Books & 5

sets of course material

Manpower/Staff

Required

- Total no ofcourses

1 Counselor for up to 4

programs

- Total no ofcounselors

Ratio should be 1 counselor

: 50 students

- Total No of

students100 (maximum)

- Faculty

experience

PG with 2 years PG

teaching or Managerial

experience

- No ofTeaching

Associates

One Associate to 30

students 1:30

Others Genset , UPS Systems




11

C. Computer Lab : Required at LEARNING CENTER supporting SMU’s IT programs

ParticularsMinimum

RequirementActuals


No of

Computer LabsOne (1)

No ofComputers in

Lab

Twelve (12)

Configurationof Computers

Intel P IV, 256 MB RAM, 40

GB HDD, etc

Software : All

programs

MS Office ver 2003,

Windows XP

IT programsOracle, Developer 2000 Java,

Photoshop, MS Visual Basic,

Corel Draw

Type of Networking in

Computer Lab

UTP




12

D. Allied Health Courses: Required at LEARNING CENTER supporting SMU’s Allied Health Programs

Particulars MinimumRequirement Actuals


FacilitiesRequired

Attachment to a 100 bed

hospital with OT & Minor

OT

Equipments required for the

lab:

- Appropriate Labs for

Anatomy, Physiology &

Biochemistry

- X-Ray Machine

- CT & MRI scan

-ECG Machine

- Ultra Sound Machine

- Drug House

- Ambulance




13

E. Hospitality Courses : Required at LEARNING CENTER Supporting SMU’s Hospitality Programs

Particulars Minimum

Requirement

Actuals


Facilities

Required

Front Office Practical lab

with Reception Area & Bell

Desk

Housekeeping Practical Lab

with furnished Rooms & Full

toilet attachments

Basic cleaning equipments

,like vacuum cleaner,

housekeeping trolleys etc

Food & Beverages Service

Labs with Furnished

Restaurant / Service LabWell equipped bar with

sample liquors (empty bottles

would do).

Conference facility (which

can be used as banquet hall).

Food Production Lab with

well equipped Kitchen

(Indian & International)

Bakery & Confectionery

Section

F. Life Science Course : Required at LEARNING CENTER supporting SMU’s Life Science program

Particulars Minimum

Requirement

Actuals


FacilitiesRequired

Lab with equipment as per

requirements for training

G. Apparel & Fashion Design

Particulars Minimum

Requirement

Actuals


FacilitiesRequired

Drawing boards for

illustration, Mannequins,

Steadlers, Sewing machine-

one for each student,

Embroidery machine- one for

five students, Measuring

tools which include

(measuring tape, L-scale,

Yard stick, Small ruler)








16

NORMS FOR CREATING LEARNING CENTERS:

For effective and efficient functioning of a LEARNING CENTER, it is of prime importance that the

organization is owned and managed by professionals. The institute should preferably have experience of

conducting undergraduate and postgraduate programs of recognized/deemed universities in IT field. Thenumber of LEARNING CENTERs to be created in a city will depend on the size of the city and thenumber of students likely to be enrolled. The following infrastructure may be a guiding principle for

approval of the University Learning Center.

Location of Center :

Covered area of at least 1500 sq. ft., suitably modified for labs and classrooms.

Requirements: Please refer to LCIG (Learning Center Infrastructure Guidelines) annexure for guidelines;the requirements provided are for a student strength of 100. Additional infrastructure may be required foradditional students.

For Official Use Only

Recommended for Inspection : Yes No

_________________________________

RM / ZM Signature




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USE BY SMU OFFICIALS ONLY

Note:

1. The Territory Manager will verify the Infrastructure filled in by the prospective LC during the inspection and fill the

actual in the column 2 of this report. Any discrepancies should be noted and the plan to fulfill the requirements

should be mentioned below:

2. Based on the inspection report RM/ZM should give his remarks and recommendations for final approval by the Head

– Channel Operations

Territory Manager’s Remarks

Regional / Zonal Manager’s Remarks

Territory Manager’s : Name & Signature:____________________

______________________________

Regional/Zonal Manager’s : Name & Signature:__________________

______________________________

Head – Channel Operations Remarks

Head – Channel Operations : Name & Signature:_________________

______________________________

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