Tamil Nadu Open University
School of Continuing Education [SOCE]
577, Anna Salai, Saidapet, Chennai-600 015.
Phone: (91-44) 2430 6623
email:
[email protected]; website: www.tnou.ac.in
Application Form for the Establishment of TNOU-Community College (CC)
Filled in Application form along with the prescribed Inspection Fee of Rs.5,000/-and other
relevant documents to be submitted to the Director, School of Continuing Education, No.577,
Anna Salai, Saidapet, Chennai-600015 either in person or by Speed Post/Registered Post
only.
Community College to be approved by TNOU shall have to pay Interest free Refundable
Deposit of Rs.50,000/- (except NGOs)/ Recognition Fee of Rs.25,000/-(for all) to TNOU.
Demand Draft (DD) may be drawn in favour of “The Registrar, Tamil Nadu Open University”
payable at Chennai.
I. Basic Information
Name of the Institution proposed
1.
for Community College
2. Full Postal Address of Institution
with Pin code
3. Whether the Institution is
Government/Private/NGOs?
[Attach Proof]
4. Whether the Institution is Aided or
Self financing?
[Attach Proof]
5. Name, designation and contact
details (Tel/fax/mobile/e-mail) of
Head of the Institution.
6. Name and Designation of Office
in-charge
Mobile No.
E.mail address.
II. Governance Structure of proposed Community College
1. Are there any Board of Management / Executive Council for the proposed Community
College?
Yes/No
2. If Yes, Please provide the proposed composition of Board of Management /
Executive Council of the Community College with name / designation / address and
contact details of Members: (At least one Industry partner should necessarily be a
part of Management)
S.No. Name Designation in Address Contact Details
parent organization (Mobile, email)
1
III. Academic Board of proposed Community College
1. Are there any Board of Studies /Academic Board for proposed Community College?
Yes/No
2. If Yes, please provide composition of Board of Studies of the Community
College with name / designation / address and contact details of Members:
(Subject matter experts from the industry partner should necessarily be
included)
S.No. Name Designation in Address Contact
parent organization Details
(Mobile,
email)
1
2
3
4
5
6
7
IV. Details of industrial partnership with Local industry
1.Is there any Local Industry for proposed Community College for Internship? Yes/No
2.Is the proposed community college passed an MoU? Yes/No ( if yes, enclose the MoU)
3.If Yes, Please provide details of Industry Representatives (Name / Designation/
Address) involved.
S.No. Name of Local Industry Name of Internship Contact Details
and Address Provided (Mobile, email)
1
V. Availability of Faculty
Name of the Number of Faculty Name
Programme Of the Industry
Available with Guest Guest faculty Partner providing
Institution Faculty to be guest faculty
to be hired provided
By Industry
Partner
VI. Availability of Infrastructure
[Please provide details of physical infrastructure available]
Availability of physical infrastructure
Name of the
Programme
Available in the Proposed To be provided by
Infrastructure
Community College Industry Partner
Classroom
Laboratory
Workshop
Library
ICT Facility
Others
VII. Learner placement plan:
Please provide details of plans, for enabling placement of students of Community College in
partner industry:
Name of the Details of proposed placement of learners
Programme
Industry Partner name(s) Expected placement Numbers
by the partner industry at the
end of the programme
VIII. Name of the Programmes now applied for (Refer Programme list)
S.No. Name of the Programme(s)
1.
2.
3.
IX. Details of Application Fee of Rs.2,000/- Paid by the proposed Community College
Name of issuing Bank & Place
Demand Draft Number and Date
X. Details of Inspection Fee of Rs.5,000/- Paid by the proposed Community College
Name of issuing Bank & Place
Demand Draft Number and Date
XI. Enclose the following Supporting Documents / Please Tick ()
1. Memorandum / Bylaws of Society or Trust or NGO or Others.
2. Resolution of Society or Trust for starting Learning Resource
Centre
3. Address Proof of Institution (Lease Deed/Rent Agreement/Sale
Deed/ Ownership Documents)
4. Audited Balance Sheets of previous three years
5. PAN Number of the Institution
6. Photograph of Institution and Infrastructure facilities: Class
Rooms, Lab, Library, Front Office, etc.
7. Photo ID Proof of Head of Institution
8. Two Coloured Photograph of the Head of Institution
9. List of Computers with configuration details
10.List of Softwares available
11.Biodata of the Coordinator of the proposed CC.
12.Bio data of the Academic Counsellors (Teachers)
along with copy of the self attested educational certificates
13.Documents pertaining to association with other Universities
14./Institutions.
15.Industrial Partners Photo
16.Trainers Bio Data at Industry Partners
17.Requested Programme Information as per University Form for
each Programme applied.
18.DD for Application Fee Rs.2,000/-
19.DD for Inspection Fee Rs.5000/-.
Date: Signature
Place: Name and Designation
Office round seal Seal of the Head of Institution
Declaration
1. I/We certify that all the Information given above and in the proceeding pages signed
by me/us is/are complete and correct.
2. I/We declare that the Institute will abide by all the rules and directions of TNOU given
from time to time.
3. In case of any information furnished by me/us is found wrong or incomplete, I/We
declare that the Institution may be derecognized and is also open to any action as
per law.
4. I/We hereby undertake that if it is ever found that the Institution is not able to run as
per the norms, rules and procedures laid down by TNOU. TNOU shall be free to
withdraw the Centre recognition.
5. I/We understand that TNOU reserve the right to terminate the Centre registration, if
it is found that I/We have knowingly made a false declaration.
6. I/We understand that the approval of my/our Institution as Community College shall
be done as per the norms of the TNOU. And I/We understand that TNOU reserve the
right to reject the application without assigning any reason.
7. I / We declare that all the infrastructural facilities and Academic expertise are
available for running the TNOU programmes.
8. I / We understand that TNOU authorities will make periodical inspection / surprise
visits of our institution and premises at any time with notice or without notice and
agreed to rectify the omissions and short comings within a month and submit a
completion report to TNOU.
9. I/We shall verify all the original documents of the students and certify that the
Students enrolled for TNOU Programmes are eligible in all respect as per the
eligibility norms of TNOU. I/We shall produce the original documents of the students
as and when required by TNOU.
10. I / We assure that necessary assistance / help will be rendered to all the students
enrolled for successful completion of their programmes.
11. I / We understand that complaints if any received on us will be enquired and suitable
action taken, as deems fit by the TNOU authorities.
12. I / We understand that the expenditure on Admission, Contact classes, Counselling
and Practical, Assignments will be borne from the funds made available under the
sharing pattern as per MoU executed and will be implemented.
Date: Signature
Place: Name and Designation
Office round seal Seal of the Head of Institution
