ANNEXURE- I

Maharashtra University of Health Sciences,

Nashik Nursing Faculty

Information of Subject-wise Intake as per College & University Recognition

Permitted Seat-Matrix Chart for Academic Year 2024-25

Name of College: MATOSHRI COLLEGE OF NURSING ,DHANORE , YEOLA

Intake as per Max. Seats

University Permitted by
UG Degree/PG Degree MUHS as per
/Council
Teacher:
Student Ratio (1:5)
Degree Degree
UG Degree : B. Sc (Nursing) 50 50

P. B. B. Sc (Nursing)
-- NA

PG Degree : M.Sc. (Nursing) Total Aggregate -- -

Community Health Nursing -- -

Obstetric and Gynecological Nursing - -

Child Health Nursing - -

Psychiatric Nursing/Mental Health Nursing - -

Cardio Vascular & Thoracic Nursing - -

Critical Care Nursing - -

Medical Surgical Nursing

Oncology Nursing - -

Neurosciences Nursing - -

Nephro- Urology Nursing - -

Orthopaedic Nursing - -

Gastro Enterology Nursing - -

- -

Original Scan Copy respect to above sanctioned intake as per Government GR, MNC, MUHS, If
Available INC Permission Must be attached for above Information on Website

Any Other, Please Specify:- NA

Date: ………………………. Dean/ Principal Stamp & Signature

Chairman of LIC Member Of LIC Member Of LIC

 ANNEXURE-II

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK

INFRASTRUCTURE DETAILS

This Annexure to be verify at time of inspection by assessors

ALL SUPPORTING DOCUMENT POINT WISE IN CLEAR VISBLE MUST BE UPLOAD ON WEB SITE

Sr. Particulars to be verified Details on Adequate/

No. College Inadequat
Website e
College
1 (All document must be available on web site )
Land details: Total land, owner, unitary or not, NA of all land, 7/12
extracts of all land (Applicable only to Private Colleges).
Yes ADEQUATE
(Verify land documents & Government permissions documents are
uploaded on College Website.
No Land/ Construction documents shall be submitted to the University.
Only deficit information to be pointed out to the University).
2 Total constructed area of college building Attached Completion Certificate with Map
(I) Administrative Section:
Total Area 1856.99 sq.ft (which includes) Principal Room, P.A. Room,
Yes ADEQUATE
Reception cum Visitors lounge, Meeting hall, Account section, Record
and Central store etc.
(II) Lecture Halls:
a) Total No. of Lecture Halls 05
Yes ADEQUATE
b) IT enabled, Audio / Video teaching Aids available
c) Total area for lecture Halls 4548.87 sq ft
(III) Seminar or Conference or Examination Hall for nursing :
a) Total Area . 3003.15 .Sq.ft. b) Total Seating Capacity 300 Yes ADEQUATE
c) Audio / Video System and Other Facilities available
(IV) Library:- (Evidences to be attached)
a) Total Area : 2500.00 sq.ft. Total No. of Books .
…….. . . . . Distribution of books . . . ……. . . . .
Capacity of Reading Hall :-for Students 100 for Teachers 15
No. of Scientific Journals . . . . .No. of News Papers/Research
Yes ADEQUATE
Journals . . . .
Photo Copier Machine . . . . . . . Drinking water &Washrooms. .
b) Digital Library :
No. of Computers - 3 Internet Facility -yes . Speed:-
(V) Teaching Departments:
There shall be Five Teaching Departments as per MSR
No. of departments 05 Departmental Area, 9533.76sq ft ADEQUATE
Yes
No. of Books/ Charts / Models / Specimens (dry and wet) / Museum in
each department information to be uploaded on college website.
(VI) Laboratories :-
Laboratories : As per MSR ( 9533.76 Sq.ft.)
Nursing Foundation and Medical Surgical Nursing Lab (1500 Sq.ft.),
CHN (900 Sq.ft.), Nutrition (900Sq.ft.),
OBG and Paediatric
ADEQUATE
(900Sq.ft.), Pre-Clinical Yes
Science (900Sq.ft.),
Advanced Nursing Skill Lab (900Sq.ft.),
Computer Lab (1500Sq.ft.), with 1:5 computer as per Intake capacity, AV
Aids, well Equipped Lab must have Mannequins, Articles & Beds as per
MSR & INC Norms
(VII) Auditorium:- (As per MSR)
Auditorium should be spacious enough to accommodate at least double
the sanctioned/actual strength of students, so that it can be utilized for

Chairman of LIC Member Of LIC Member Of LIC

 hosting functions of the college, educational conferences/ workshops, Yes ADEQUATE
examinations etc. It should have proper stage with green room facilities. It
should be well – ventilated and have proper lighting system. There should
be arrangements for the use of all kinds of basic and advanced audio-
visual aids.
OR
Multipurpose Hall:-
College of Nursing should have own multipurpose hall

(VIII) Canteen and Kitchen Facility:- attached certificate

[Note: Verify Canteen Facility & Hygiene is monitored as per MUHS Yes ADEQUATE
Circular No.18/2019 dated 19/03/2019.]
(IX) Common Rooms: Is separate common rooms for boys and girls available
(Specify seating capacity) Yes
ADEQUATE
3 University Examination Infrastructure:
Strong Room for examination a) (Area- 300 sq.ft, b) Shelf, c) Steel cupboard –
Yes ADEQUATE
1, d) CCTV, Photocopier Machine, Examination hall with benches, Parking
Facility for vehicle, Guest house facility
4 Other facilities:
Hospital Waste Management, Medical Education Unit, Intercom Network,
Playground, P.T Teacher or Instructor Cafeteria, Facility for indoor games, Yes ADEQUATE
Gymnasium / Gymkhana Facility

5 Hostel facility:
Boys (UG & PG), Girls (UG & PG), Interns, Residents, Warden/ Rector, Yes ADEQUATE
Hygiene, Vending Machine etc.
Hospital attach Relevant Document on web site
6 Hospital Details Details on Adequate/
College Inadequate
Website
Name of the Hospital : Yes/No
Address:
Telephone No. :
Bed Strength :
Distance of Hospital from the College to which it is attached
-
(in kms)
Number of beds registered as per BNH Act (attach certificate on web site ) Yes/No
7 I. Total constructed area of Hospital Building as per MSR attach Yes/No
completion certificate and blue print
(………Sq.mtr. / Sq.ft.) Yes/No
Whether the Hospital is Owned by the College
II. Hospital Administration Block as per MSR
(Superintendent room, Deputy Superintendent room, Medical officers’ room, Yes/No
Matron room, Assistant Matron room, Reception and Registration, etc.)
III. Out–Patient Departments (OPD) as per MSR
Total Area of OPD Complex ………….Sq.ft. No. of OPD’s ……. Yes/No
Facilities shall be as per MSR & all details shall be on college website.
IV. In Patient Departments (IPD) as per MSR
Total Area of IPD Complex ……………….…Sq.ft.
Yes/No
No. of IPD Departments………. Bed Distribution……
Facilities shall be as per MSR & all details shall be on College website.
V. Operation Theatres Block as per MSR
Total Area of OT Block …………sq.ft. No. Of OTs available ………….…… Yes/No
Facilities shall be as per MSR & all details shall be on college website.
VI. Casualty Facilities
Yes/No
State Government Permission Letter attach copy on web site
VII. Central Clinical Laboratory details
(all Relevant information on hospital letter head to be uploaded on web site)
Yes/No
Well-equipped with separate sections for Pathology, Biochemistry and Micro-
biology. Attached toilet shall be there for collection of urine samples. Other
diagnostic tools for ECG or TMT etc. shall be Provided.
Chairman of LIC Member Of LIC Member Of LIC
 VIII. Radiology or Sonography Section:- :-
(all Relevant information on hospital letter head to be uploaded on web Yes/No
site )
Radiologist chamber, X-ray room,
Dark room, film drying room, store room, patients waiting and dressing room,
reception or registration or report room.
IX. Labor Room :- Yes/No
Average Deliveries conducted annually/Monthly/ Daily as per Birth record maintained by
hospital:- (information to be available on web site)

BASIC DETAILS ABOUT INFRASTRUCTURE CHECK LIST

PARTICULAR TO BE VERIFY BY ASSESOR YES /
Remark
NO
Certified Copy of Location Of College Building Address by Government authority YES
(Search Report) to be uploaded at website
Certified Copy of Location Of Hostel Building Addressed by Government authority YES
(Search Report) to be uploaded on website
Is Separate College Building Not Available
{Attach resolution of Trust /owner for Area Allocation } to be uploaded on website
Is Separate Hostel Building Available YES
{ Attach resolution of Trust /owner for Area Allocation} to be uploaded at website
YES
Authorized Building Plan approved by Competent Authority to be uploaded at website

Availability of Building Completion (College / Hostel ) Certificate by Competent YES

Authority to be uploaded at website
NO
Lease or Rent Agreement of College if Required to be uploaded at website
YES
Provision Of Fire Safety Measure as per standard norms of Government
YES
Fire Safety Certificate for College , Hostel And Hospital to be uploaded at website
YES
General Student Safety Measures done in Building as per norms
Provision for facility Physically Challenged Students YES

OTHER INFRASTRUCTURAL PROVISIONS YES/NO REMARK

Playground (Playground should be spacious for outdoor sports like YES
volleyball, football, badminton and for athletics)
Provision for Physical Teacher for Student in College And Hostel YES
Garage (Garage should accommodate a 50 seated vehicle) YES
Gymnasium Facility to be uploaded on website YES

Any Other Remarks ( Please Specify) :-

Here by I declare all relevant document uploaded are clear and visible on web site are true as per
my best knowledge:-

Date:- Dean/ Principal Stamp & Signature

ANNEXURE- III

Maharashtra University of Health Sciences, Nashik

Chairman of LIC Member Of LIC Member Of LIC

 Following documents need to available on web site

Trust Deed / Bylaws/ Registration Certificate (Trust / Hospital (Bombay Nursing Act))

Faculty :NURSING

Name of College/Institute : MATOSHRI COLLEGE OF NURSING ,DHANORE,YEOLA

Name of Trust / Society

Registration Certificate Trust / Society :- To be uploaded on web site
To be uploaded on web site clear
and original copy Trust Deed / Bylaws:- To be uploaded on web site

Hospital Ownership Documents:-

Hospital (Bombay Nursing Act) :- To be uploaded on
web site
MPCB Certificate of Parent Hospital :- To be uploaded
on web site
Hospital Type as Per Bombay Nursing Act :-
Hospital (Bombay Nursing Act) issuing Authority :-
Hospital Bed as per Certificate:-
Name of the College / Institute :
(As per First Affiliation letter)

Address :

Email ID :
Telephone / Mobile No.(s) :
Website :
College Code :

Here by I declare all relevant document uploaded are clear and visible on web site & are
true as per my best knowledge

Any Other, Please Specify:-

___________________________________________________________________________________
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Date:- Dean/ Principal Stamp & Signature

ANNEXURE-IV

Maharashtra University of Health Sciences, Nashik

Chairman of LIC Member Of LIC Member Of LIC
 Inspection Committee Report for Academic Year 2024-
2025 Details of Library

Name of College/Institute : Matoshri College Of Nursing ,Dhanore,Yeola Faculty : Nursing

01 Total Books (Other than Book Bank scheme)

02 Last year purchase
03 Invoice & payment details Copy need to uploaded on web site
04 Total Hours Day Library Open
05 Total area available in Library
List of Journal subscribed Current year :- January:-________To December_______
National International
06
Printed Hard Copy Online Printed Hard Copy Online

07 Total Back Volumes of Printed Journals Available

08 Separate Reading room facilities for staff and students

Provision for Extended Hour , after College ,Sundays and holidays

09 Reading Room Facility
10 Library Software Available if yes attaché documents
11 Provision for Photo Copy in Library
12 Provision for Drinking Water Facility in Library
13 Daily Available( at least 02 News Papers) in library for staff and students
14 Book bank facility for needy and SC/ST students
15 Library orientation program is arranged for every year
16 Collection of competitive exam related books
17 Library WEB OPAC
18 Celebrate birth and death anniversary of Great Indian Leaders
19 Washroom Facility in Library
20 Book bank facility for needy and SC/ST students
Here by I declare all relevant document uploaded are clear and visible on web site & are
true as per my best knowledge

Any Other, Please Specify:-

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___

Chairman of LIC Member Of LIC Member Of LIC

 Particula
Sr No LIBRARY Remark
r
1 Total National Journals Subscribed this year
2 Total International Subscribed Journals this year
3 Total Back Volumes of Printed Journals Available
4 Provision for Digital Library
Reading Room for teacher with at least 80% seating
5
capacity (chairs table)
Reading Room for students with at least 80% seating
6
capacity of total strength (chairs table)
Provision for Extended Hour , after College ,Sundays
7
and holidays Reading Room Facility
8 Provision for Photo Copy (Xerox) in Library
9 Provision for Lockers For Faculty and students
10 Provision for Drinking Water Facility in Library
Daily Available at least 02 News Paper in library for
11
staff and students
12 Book bank facility for needy and SC/ST students
Library orientation program is arranged for every
13
year
14 Collection of competitive exam related books
15 Plagiarism Checking Service (Software)
16 Library WEB OPAC
Celebrate birth and death anniversary of Great
17
Indian Leaders
18 TOTAL HOURS DAY LIBRARY OPEN
19 Washroom Facility in Library

Date:- Dean/ Principal Stamp & Signature

Chairman of LIC Member Of LIC Member Of LIC

 Annexure-V

Maharashtra University of Health Sciences, Nashik

Inspection Committee Report for Academic Year 202----202---

Clinical Material in Hospital

Name of College/Institute…………………………………………………
Faculty………………..

HOSPITAL DETAILS

Sr. Particulars to be verified Particular Adequate/

No. Inadequate
1 The Institute / College shall execute a MoU with any
institute for affiliation of hospital in addition to
minimum100 bedded own/parent Hospital
(Affiliatedhospitalmustbe50beddedor more.)
To be made available on web site
a. Whether Hospital is registered under any act under Local
Authority such as
Corporation, Municipality, Gram Panchayat etc.:
Copy to be made available on web site
b. Student Bed Ratio for UG & PG to be verified:(As per MSR)
Calculate at Actual ……………………
c. Average Bed Occupancy in % : (Minimum 75%)
………………………
d. Clinical facilities for PG to be verified:-(As per MSR)
(i) Whether OPD is functioning to be verified
(ii) Total No of OPD (on the day of inspection)
(iii) Average Number of patients attending OPD(current
year)
(iv) Average Number of Delivery (Current year)
(v) Average Number of abnormal Delivery (Current year)

 As per Central Council Norms/ University Norms, above Infrastructure must be

available at College.
 If Infrastructure is available, then mark “Adequate”& do not attach any
Documents it should be available on college website
 In case of “Inadequate”, it must be marked as “Inadequate” with evidence. To be
submit to university with report

Here we declare all relevant document uploaded are clear and visible on web site & are true
as per my knowledge & Belief
Any Other, Please Specify:-
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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Date:- Dean/ Principal Stamp & Signature

Chairman of LIC Member Of LIC Member Of LIC

 ANNEXURE–VI

Maharashtra University of Health Sciences, Nashik

Name of College: MATOSHRI COLLEGE OF NURSING ,DHANORE,YEOLA Faculty:- NURSING
Academic Year :- 2024-2025 College Code:………..… MUHS Staffing Pattern 07/2024 Table No:-………………………………..
Intake:- B.Sc Nursing:- 50 P.B.B.Sc :- 00 Nursing:- 00 M.Sc Nursing:- 00
Teaching Staff :-( UG/PG)
PROFESSOR CUM
PROFESSOR CUM ASSOCIATE ASSISTANT TUTOR/CLINICAL
VICE PROFESSOR TOTAL PERCENTAGE
PRINCIPAL PROFESSOR PROFESSOR/LECTURER INSTRUCTOR
PRINCIPAL

Deficit
Exist
Req.
Deficit

Deficit

Deficit

Deficit

Deficit

Deficit
Deficit

Exist
Exist

Exist

Exist

Exist

Exist

Exist
Req.

Req.

Req.

Req.

Req.

Req.

Req.
% % %
01 01 01 01 00 00 02 02 00 06 06 00 10 01 01 90% 10%
TOTAL
Approved

100%
Unapproved

Staff Approval on Process Not to be counted as Approved Staff till get approval letter from University and Check Eligibility of Unapproved Staff before Counting

Date:-…………………… Dean/Principal Stamp & Signature

Date:- Dean/ Principal Stamp & Signature

 ANNEXURE–VII
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
DETAIL INFORMATION OF TEACHING STAFF (Approved & Not Approved Separate Sheet to be used )
UG & P.G Degree AS ON:-….. /……./………. Faculty:-Nursing
Name of College: MATOSHRI COLLEGE OF NURSING ,DHANORE,YEOLA Last Staff Approval Process Conducted on :- / /20
College Code:-……….……Intake Capacity:- B.Sc Nursing:- 50 P.B.B.Sc Nsg:- 00 M.Sc Nsg:- 00
Teaching Experience Latest Photo
Under graduate Qualifications and Year

Whether belongs to Reserved

Experience graph (not

University U.G approval valid till date

University Approval Status U.G
Staff Enrolled in OTD MUHS YES /

category (if Yes, specify category)

M.N.C REGISTRATION VALID
Subject of Post graduate Subject if

older than 3
Collegiate Experience

Date of Birth (DD/MM/YYYY)

Total Clinical Experience In Yrs

months ) with
Staff Mob. No. OTD Registered
Passing year Of M.sc Nursing If

M.N.C REGISTRATION NO

+clinical Exp

DD/MM/YYYY date
Total Clinical exp in Yrs before
NUID NO IF AVAILABLE Signature with

applicable
Name of the Teaching Staff

Total Teaching exp after m.sc

University Approval U.G

Staff Personal E-mail ID
date don’t print

Programme
Date of previous Inst reliving
Name of previous institution

(Nsg) Qualification In Yrs

(Yes/No)
Yrs
Assistant Professor /Lecturer
photo here

Tutor / Clinical Instructors

Designation write full

Date of appointment

Post in Previous institute

expIfIn
Associate Professor.

Type of Appointment
(DD/MM/YYYY)

Vice Principal

Nursing

Letter No. & date

Teaching
Professor

Principal
Adhar Card No

Temp./ Permanent
In Yrs (24+25)
Teaching

TotalCollegiate
Age In Years

Total
applicable

applicable
of Passing

P.B.B.Sc
Sr No

TILL

Total
NO

Non
01 02 03 04 05 06 07 08 09 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

01

02

03

Note :The College shall submit one hard copy & soft copy (in Excel Format) separate for approved and non approved & the
list from Academic Section online Teacher Database (OTD)/Automation software to be enclosed.
Its Mandatory that Teacher must be registered In Maharashtra Nursing Council it can be verified in
https://maharashtranursingcouncil.org log in tab – registration log in – Nurse Info tab
Non Approved Staff Eligibility for the post Nursing Council Registrations previous reliving all document in original to be checked
before making remarks
Photograph should not print on this sheet
Only latest 3 month photo which should be clear and original to be pasted on this sheet
Use A-3 Page for print Out this sheet Signature of Dean/ Principal
 Annexure-VIII

Maharashtra University of Health Sciences, Nashik

TEACHERS FOR NON-NURSING COURSES (PART-TIME / EXTERNAL FACULTY**).
All details must be available with college regarding Qualifications

Name of College: MATOSHRI COLLEGE OF NURSING ,DHANORE,YEOLA

Course-B.Sc. NURSING / P.B.B.Sc. NURSING / M.Sc. NURSING
Academic Year 2024-2025 College Code:………..…

Sr. Subject Name of the Teachers Post Qualification Presently Working Signature
No. Institute
Ms.aishwarya katkar tutor PB.BSc Nursing MATOSHRI
1. English CON,DHANORE

Ms.prachi khaul Tutor B.BSc Nursing MATOSHRI

2. Anatomy CON,DHANORE

Dr..bharti weljale professor Ph.D Nursing MATOSHRI

3. Physiology CON,DHANORE

Ms.pratiksha zalte tutor B.BSc Nursing MATOSHRI

4. Sociology CON,DHANOREMATOSHR
I CON,DHANORE
MATOSHRI
5. Psychology Mr.nikhil gholap tutor B.BSc Nursing CON,DHANORE
Mr.shubham sonawane tutor B.BSc Nursing MATOSHRI
6. Biochemistry CON,DHANORE
Ms.sapna surwase tutor B.BSc Nursing MATOSHRI
7. Nutrition & Dietetics CON,DHANORE
Ms. Pratiksha zalte tutor B.BSc Nursing MATOSHRI
Health Nursing Informatics and
8. CON,DHANORE
Technology
Mr.rupesh anarthe lecturer MSc.Nursing MATOSHRI
9. Microbiology CON,DHANORE
Ms.sapna surwase tutor B.BSc Nursing MATOSHRI
10. Microbiology CON,DHANORE
Ms.jayashri khallkar lecturer MSc.Nursing MATOSHRI
11. Pathology & Genetics CON,DHANORE
Dr.bharti weljale professor Ph.D Nursing MATOSHRI
12. Forensic Nursing CON,DHANORE

**The above teachers should have postgraduate qualification with teaching experience in respective discipline.
50% of non-nursing courses/subjects should be taught by the nursing faculty. However, it will be supplemented
by external faculty who are doctors or faculty in other disciplines having Post Graduate qualification in their
requisite course. Nursing faculty who teach these courses shall be examiners for the concern subject. The above
teachers should have postgraduate qualification with teaching experience in respective area.

Note:-
1. Minimum 1M.Sc.(Nursing) faculty for each specialty i.e. Medical Surgical Nursing , Child Health Nursing, Obstetrics & Gynae.
Nursing, Community Health Nursing & Mental Health is required for basic programme.
2. Part time nursing faculty will not be counted for calculating total number of faculty required for a College.
3. Irrespective of number of admissions, all faculty positions (Lecturer to Professor)must be filled.
4. For M.Sc.(N) programme appropriate number of M.Sc. faculty in each specialist be appointed subject to the condition that
total number of teaching faculty ceiling is maintained.
5. All nursing teachers must possess a basic University or equivalent qualification .They shall be registered under the
Maharashtra State Nursing Registration Act, 1966.
6. Nursing faculty in Nursing College except tutor / clinical instructors must possess the requisite recognized post graduate
qualification in nursing subjects.
7. All teachers of nursing other than Principal and Vice-Principal should spend at least 4 hours in the clinical area for clinical
teaching and / or supervision of care every day.

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Date:- Dean/ Principal Stamp & Signature

Annexure-IX

Maharashtra University of Health Sciences, Nasik Nursing Faculty

 Name of the College: MATOSHRI COLLEGE OF NURSING ,DHANORE,YEOLA
Detail List to be available on College website

Sr. Required as per Qualified

Available Deficit Remark
No intake capacity For Post
01 Ministerial
A Administrative Officer
B Office Superintendent
C PA to Principal
D Accountant/Cashier
E Upper Division Clerk (Min 02)
F Lower Division Clerk (Min 02)
G Store Keeper (Min 02)
H Classroom Attendants
Sanitary Staff - As per the
I
physical space
Security Staff - As per the
J
requirement
K Peons/Office Attendants (Min 04)
L Driver
02 Library
A a) Librarian 2 (Min 02)
b) Library Attendants - As per
B
the requirement
03 Hostel
A a) Wardens (Min 03)
B Cooks,
1: For every 20 students
for each shift
C Bearers - As per the
requirement
1: For every 20 students
for each shift
D Gardeners and Dhobi
(Desirable)
E Sweeper (Min 03)

F Gardener (Min 02)

G Security Guard /Chowkidar

(Min 03)

Req.-As per M.S.R. Ext. -Existing Def.– Deficiency

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per my knowledge & Belief

Any Other, Please Specify:-

Date:- Dean/ Principal Stamp & Signature

Annexure-X
 Maharashtra University of Health Sciences, Nashik

Inspection Committee Report for Academic Year 2024-2025

Webinar/Workshop/CME/Activities/ Performed in Last One Year.

All report must be available on web site

Name of the College /Institute:-MATOSHRI COLLEGE OF NURSING ,DHANORE,YEOLA Faculty -NURSING

No. of Webinars Arranged, Guest Lectures & CME/ Workshops (Publish details on College website)

Sr No Details of Webinar/ Workshop/CME/ Activities/ Perform

Supportive document to be uploaded on web site
1 Positive communication with patients and relatives
2 Blood transfusion nurse roles and responsibilities
3 NSI and Blood /Body fluid spill management
4 Patients safety goals
5 Infection control practices (hand hygiene, 5 moments and BMW waste)
6 Documentation of nurses care plan and nurses notes

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per my knowledge & Belief

Any Other, Please Specify: -

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Date:- Dean/ Principal Stamp & Signature

 Annexure-XI

Maharashtra University of Health Sciences, Nashik

Inspection Committee Report for Academic Year202----202---

Attendance Details/ Research Details/ Welfare Scheme Details

***All report must be available on web site

Name of College/Institute………………………………… Faculty………………

1 Attendance Month-wise Biometric

attendance to be uploaded by the
Teaching Staff
college on College Website
Non teaching staff
(No hard copies of attendance to be
Hospital Staff
submitted to the University)
UG &PG Students
2 Project
Research Articles/Publications
Research Award(Student/Teacher)

3 Utilization of Student Welfare Schemes:-

Earn and Learn Scheme
Dhanwantri Vidyadhan Scheme
Sanjivani Student Safety Scheme
Student Safety Scheme
Book Bank Scheme
Savitribai Phule Vidyadhan Scheme
Bahishal Shikshan Mandal Scheme
4 Sport participants/Other Activities:
i) Information of Student(s) who participated
University level & State level Avishkar Competition.
ii) Information of Student(s) who participated in
Regional Sport Competition & State level Sports
Competition.
iii) Information of Student(s)who participated in
Cultural Activities.
iv) Does the college have NSS Unit?

5 Whether “Swaccha Bharat Abhiyan” implemented in

College

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per my knowledge & Belief

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Date:- Dean/ Principal Stamp & Signature

 Annexure–XII

Date of College data uploaded on web portal (http://aishe.gov.in) regarding“ All India Survey
on Higher Education”.

Year of which AISHE Certificate Updated:-

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per my knowledge & Belief

Any Other, Please Specify:-

Date:- Dean/ Principal Stamp & Signature

 Annexure-XIII

For Online Transmission of Question Papers :- Make details to be available at web site

Sr.
No. Infrastructure facilities at College Yes/No

Strong Room:
1 It must have Single Door Entry /Exit (with Safety Door/Grill for YES
windows)
2 Minimum Area shall be 20x20sq.ft. YES
3 Adequate Steel Almirah /Cupboard for storage of Answer Books. YES
4 C.C.T.V. Camera with recording facility that covers entire area or YES
Downloading and Printing of online transmission of Question Paper
process.
5 Latest version Computer(Minimum4) and Printer(Minimum4)with YES
Inverter facility, MSOffice , PDF Reader ,Winrar or Win zip.
6 Dual Internet service, Primary with 1:1 dedicated line of 100 mbps YES
speed by class ‘A’ ISP, and alternate line with 1 : 1 dedicated line of
50mpbs speed, by an another Class ‘A’ ISP to ensure uninterrupted
Downloading facility, with 2 (two) static IP’s, Internet Dongle.
7 Adequate Number of Paper Rims for printing Question Papers. YES
8 One Photo copy Machine, UPS Backup. YES

Scanning Room:
9 Separate Scanning Room for scanning Answer Books after end of YES
Examination Session under CCTV Surveillance. (Laptop and
Scanners will be provided by the University Appointed Agency)
10 Dual Internet service, Primary with 1:1 dedicated line of 100 mbps YES
speed by class ‘A’ ISP, and alternate line with 1 : 1 dedicated line of
50 mbps speed, by an another Class ‘A’ ISP to ensure uninterrupted
Downloading facility, with2(two) static IP’s, Internet Dongle.

To Set Up DEC for On screen Evaluation of Answer Books :

Sr. Infrastructure facilities at College Yes/No

No.
1 Computers (20) with latest licensed Operating System Software YES
(OSS) with antivirus and firewalls to provide all lock, work station with
Computer charts and key board tray.
2 Wiring and Networking (with Raw Power Supply and UPS) and one YES
Printer per DEC
3 Air conditioners, Biometric system, CCTV installation, Restrooms YES
And 24x7 security.
4 Collapsible gate for the main entrance with Name board and locking YES
Facility.
5 Dual Internet service, Primary with 1:1 dedicated line of 100 mbps YES
speed by class ‘A’ ISP, and alternate line with 1 : 1 dedicated line of
50mpbsspeed,byananotherClass‘A’ISPtoensureuninterrupted
Downloading facility,with2(two) static IP’s.
6 Appointment of one Professor as a Examination Co-ordinator to YES
Co-ordinate this Online process.
7 Separate Evaluation Room for Evaluating the Answer Books under YES
CCTV Surveillance
Here by I declare all relevant document uploaded are clear and visible on web site & are true as per my knowledge & Belief

Date Dean / Principal

 7
6
5
4
3
2
1
Sr. No.

01
College Name

District where college

02
situated

Region of examiner

03
College

Subject thought
use separate row for

04
separate subjects
Subject Code

05
Full name of the
Teacher

06
(First/Middle/Last)

Designation as per staff

07
approval letter

08 Date of Joining current

institute
UG
Qualification &
09

Passing year
Post Graduate
10

Qualification

Refer Annexure VII also before Submitting this Sheet

PG
11

Qualification
Passing year (YYYY)
PG
12

Qualification Subject
PG
Qualification Sub
13

Specialty if any
Ph.D Completed if Yes
14

Mention Year of Passing

Teaching Experience in
15

years after PG passing

Total Teaching Experience

16

in years
MUHS
17

Approval (Yes/No)

If Yes MUHS
Approval Letter &
18

Date
SUBJECTWISE ELIGIBLE EXAMINERS LIST (UG Courses)

Approval Valid Till date

19
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK

(DD/MM/YYYY)
Adhar No.
20

Pan No.
21

 Print must be taken on A-3 Page, In MUHS approval status don’t write under process Exercise Yes or No

Date of Birth
22

Age in years
23
Annexure-XIII(A)

Latest Email Address

Name of the College:-____________________________________________ Phone/Mobile No of college. :-_____________

24

Contact No. (Mob.) give

only OTD Registered 10
25

digit number only one

 This list hard Copy to be sent with inspection report and keep soft copy Excel format (don’t paste signature) in Inspection Pen Drive to university
26

Debarred Yes/No
Signature of teacher
27

 Regularly Updated list in Excel Format (don’t paste signature) must be available at College website for use of Examination Department
 Annexure-XIII(B)

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK

SUBJECTWISE ELIGIBLE EXAMINERS LIST (PG Courses)

Name of the College: -___________________________________________Institute Phone/Mobile No. :-

Full Address Of College :-____________________________________________________________________

(Recognition Letter Date issued

Student s Guided last 5 year

Teach PG Student In Years
(Regular/Temp./ Honorary)
M.Sc Passing Year (YYYY)
P.G Subject thought use

Recognition Valid Till date

Yes / No if yes passing year
separate row for separate

Mobile No. give only one

Teaching Experience to

PG Teacher Recognition
(Last Name First Name

If Debar red (Yes/ No)

UG Teaching
Type of Appointment

Teaching Experience e
Experience
Name

Sub Specialty If any

Sr.No.

(DD/MM/YYYY)
Name of Teacher

Aadhar Card No
M.Sc (N) Subject
Don’t use short form

Sign..of Teacher
in year
Middle Name)

Ph.D Nursing

by University.)
College

Qualification

Date of Birth
No. of PG

E-mall ID
subjects

Designation

(in Years)

number
After PG

Yes/No
1 2 3 4 5 6 7 8 9 10 11 12 1 1 1 16 1 19 20 21 23
3 4 5 7
1

 This list hard Copy to be sent with inspection report with Dean and teachers signature and keep soft copy in Excel format (don’t
paste signature) in Inspection pen Drive to university
 Print must be taken on A-3 Page, MUHS approval status don’t write under process Yes or No
 Regularly Updated list in Excel Format (don’t paste signature) must be available at College website for use of Examination Department only
for Colleges under MUHS not applicable to external teacher from other university
 Annexure-XIV
Result Last Three Years
Information Need to be made available on website also (A-appeared, P-Pass) ATKT count as failed only
20 20 20
Year
Summer Winter Summer Winter Summer Winter

A P % A P % A P % A P % A P % A P %
First
Semester
Second
Semester
Third
Semester
Fourth
Semester
Fifth
Semester
Sixth
Semester
Seventh
Semester
Eight
Semester
P.B.B.Sc
First
P.B.B.Sc
Second
M.Sc
Nursing
First
M.Sc
Nursing
Second
Average
Result %
 ANNEXURE XV
MINIMUM HOSTEL FACILITY AVAILABLE AS PER MSR
REMARK
Sr. Available
Facility BRIEF AND
No (YES/ NO)
SPECIFIC
There should be a separate hostel for the male and female YES
1.
students.
Pantry YES
2. One pantry on each floor should be provided. It should have
water cooler and heating arrangements
Washing & Ironing Space YES
3. Facility for drying and ironing clothes should be provided on
each floor.
Warden’s Room YES
Warden should be provided with a separate office room
4.
besides her residential accommodation. Intercom facility with
College & hospital shall be provided.
Telephone YES
5. Telephone facility accessible to students in emergency
situation shall be made available.
6. Emergency alarm system in Hostel YES
Canteen YES
7. There should be provision for a canteen for the students, their
guests, and all other staff members
FDA License YES
8. Verify Canteen Facility is monitored as per MUHS Circular
No. 18/2019 dated – 19/03/2019 )
YES
9. Transport From Hostel to College / Hospital
10. C.C.T.V Cameras in Hostel YES
11. Security Facility in Hostel YES
12. Safe Drinking Water in Hostel YES
13. Sport & Recreational Activities in Hostel YES
14. Anti Ragging Measures in Hostel YES
15. Bio Metric Attendance System in Hostel YES
16. Hostel Student Record in Hostel YES
Cleanliness and hygiene: The hostel is kept clean and YES
17. hygienic at all times, with regular cleaning and
18. maintenance schedules
Daily News Paper for common
& Magazine in areas,
Hostel toilets, and bathrooms. YES
Visit Register Record by Dean Principal / Teacher and other YES
19.
Concerns authority in Hostel
20. Hostel Students Parent Meeting minutes Register YES
21. Students Health Register in Hostel YES

The hostel rooms are spacious with natural light and

22. YES
ventilation in Hostel
 REMARK
Available
23. Facility BRIEF AND
(YES/ NO)
SPECIFIC
Student is provided with a study table, chair. Wardrobe or
24. YES
Cupboards
25. Available books and Magazines for reading in Hostel YES
26. Safe disposal of wastes in Hostel YES
YES
27. Provision For Equipped Sick Room in Hostel
YES
28. Provision For Guest Room in Hostel
Laundry facilities: The hostel provides laundry facilities YES
29.
which allows students to wash their clothes and dry it.
Counseling services: The hostels have arrangements for YES
providing counseling and support services to students who
30.
may need help with academic, personal, or emotional
issues.
31. Gymnasium Facility with Equipment in Hostel YES
32. Yoga Meditation Facility in Hostel YES
Health Services YES
33. To students like Vaccination, An annual medical examination,
Free medical care during illness.
34. Provision of Hot water Supply in Hostel YES
35. Independent Generator Supply capacity (mention in KV) YES

36. ATM Facilities Near hostel YES

Secure Wi-Fi internet connectivity through high end firewall YES
37.
and Hi-speed secured browsing in Hostel
Provision for Residential Accommodations / Quarters For YES
38.
Teaching and Non-Teaching Staff Mention brief in Remark
39. Feed Back / Compliant Register in Hostel YES
Accommodation In Hostel
Make a Clear Remark
Total No of Students Stay In
Percentage Day Scholar Percentage about hostel
In College Hostel
utilization
Boys 01 01 100% 00 00
Girls 01 01 100% 00 00
Total 02 02 100% 00 00
Average
Percentage Hostel=100% Day Scholar =00
 ANNEXURE-XVI

DECLARATION
(To be prepared on a Stamp Paper of Rs.500 Duly Notarized)
I, the Dean / Director/ Principal of the ……………………………............. College / Institute solemnly
states on affirmation, that the information provided by me in Inspection Format as well as uploaded
on College Website along with all Annexure is true and correct to my knowledge & Belief. The said
information is provided to me by the concerned teachers and duly verified by me. It is further
submitted the teachers information attached in respective Annexure- …. & ….are not working in /
at any other College /Institute or presented themselves at any inspection for the Academic Year 20..
…-20……, as per my knowledge and information provided by the concerned teachers. The teachers in
the Annexure- …. & ….are staying in the same city / town / village where the College / Institute is
situated or adjacent to the city / town / village, where the College/Institute is situated and having the
valid proof of residence of the said city / town / village. The teachers in the Annexure- …. & ….are
not practicing in College working hours or out-side the City where the College /Institute is situated.
Infrastructure Required as per MSR and Indian Nursing Council Norms is available and we have
own building for Nursing Institute or Required Specified Constructed Area as per Norms Laid by
Authorities for College and Hostel as per Intake capacity and further No Other Nursing Colleges
Running in Same campus or In Same Building

I am further hereby declaring that every information or contents in this Inspection Format is
based on the information provided by the concerned teachers and endorsed by me after due
verification and the same is/are absolutely true and correct. If at any stage it is revealed that any
information or content given in this declaration is not true and correct, in such event the
undersigned/ the concerned teacher as the case may be, shall be liable for disciplinary action or penal
action or Affiliation of the College shall be withdrawal, as the case may be.

This declaration is voluntarily signed by me on…..day of …………..20……at………….

Date :…………………….

Place:……………………
Signature of Dean/Principal Name
of the Signatory-
(With Seal of the College/Institute)
Date: …………………
Short Report
To,
The Registrar
M.U.H.S., Nashik

Sub: - Short Report of Local Inquiry Committee for Continuation of

Affiliation for the Academic Year 20 -24
Ref:- Letter No Of University___________________________________________
Respected Sir,
With reference to above mentioned subject and letter issued by the university we are
visiting____________________________________________ on dated ____________and sending a
Short Report regarding present Teaching Staff, and IPD in your prescribed format as follows at on or
before 11.00 a.m. through Email Mentioned in appointment same will be Enclosed at end of inspection
Performa along with biometric attendance ,Leave applications and Muster roll (Teaching & Non Teaching
including Hostel staff ) duly Certified by Dean or Principal of Institute
Intake Capacity:- B.Sc Nursing:-____________ Post Basic. B.Sc Nursing:-_________ M.sc Nursing:-__
Ph.D Nursing :-_________Fellowship Courses:-______Any Other Specify:-__________
On
Sr. No. Designation Required Present
Leave
01 Principal
02 Vice-Principal
03 Professor
04 Associate Professor
05 Assistant Professor
06 Tutor
Total :-
Total in Percentage :- 100%

1. Number of Non-Teaching College and Hostel Staff present: …………………………………………

1. Number of IPD patients admitted Parent Hospital:- ……..……Percentage of Bed Occupancy………%

2. Number of IPD patients admitted Affiliated Hospitals-……… Percentage of Bed Occupancy………%.

1) ………………………………………… 3) …………………………………………
(Name & Sign of LIC Member) (Name & Sign of LIC Member)

2) ………………………………………… 4) …………………………………………
(Name & Sign of LIC Member) (Name & Sign of LIC Chairman)
Remark:-