1. Healthcare

Tracking Number: SIF/2014/100077
PHARMACY COUNCIL OF INDIA
STANDARD INSPECTION FORM
- PHARM.D - PHARM.D. and PHARM.D (POST BACCALAUREATE
General Information pertaining to :- 1. College and teaching hospital (Pharmacy Practice
site)2. Courses of Study leading to :-Pharm D. course
Name of Institution
SRI ADICHUNCHANAGIRI COLLEGE OF
PHARMACY
Place and Address
BALAGANGADHARANATHA NAGARA – 571 448
Principal/Dean
Dr. B.RAMESH
Tel. No. Off
08234 – 287870 .Res......................Fax 08234
- 287590
Mobile No
9845863779
Email
[email protected],
[email protected]
Name and address of Affiliating
University
RAJIV GANDHI UNIVERSITY OF HEALTH
SCIENCES, BANGALORE, KARNATAKA
Date:
Signature of Dean/Principal
..............................................................................................................................
...................................
This form shall be precisely filled in, verified and signed by the Head/Principal, of the
institution and forwarded in triplicate to the Secretary, Pharmacy Council of India. The
entries should be as required under the PCI (Pharm.D.) regulations and norms.
Signature of the Head of the
Institution
Signature of the Inspectors
PHARMACY COUNCIL OF INDIA
Standard Inspection Format (S.I.F) for Pharm D Programme Pharm.D. and
Pharm. D. (Post Baccalaureate) Programme (To be filled and submitted to PCI
by an organization seeking approval of the course / continuation of the
approval)
(SIF-D)
To be filled up by P.C.I
To be filled up by inspectors
Inspection No. :
Date of Inspection:
FILE No.
NAME OF THE INSPECTORS: 1. (BLOCK LETTERS)
2.
PART-1
A-GENERAL INFORMATION
A - I.1
Applicant is for
--
A - I.2
Year of Establishment
1992
A - I.3
Name of the institution
Complete postal address:
Telephone number with STD
Code
Fax No
Email
S.A.S.T. (R) Sri Adichunchanagiri College of
Pharmacy
BALAGANGADHARANATHA NAGARA - 571 448Â
Nagamangala Taluk, Mandya Distt.
08234 287870
08234287590
[email protected]
A - I.4
Status of the course conducting Trust
body
(Enclose copy of Registration
documents of Society/Trust)
A - I.5
Name of the
Society/Trust/Management
Address
Telephone Number with STD
Code
Fax No
SRI SRI SRI BALAGANGADHARANATHA MAHA
SWAMIJI
SRI ADICHUNCHANAGIRI SHIKSHANA TRUST(R),
SHRI KSHETHRA, ADICHUNCHANAGIRI MUTT
08234 287333
08234287105
Email
[email protected]
Website
www.accp.co.in
(Attach documentary evidence)
A - I.6
Name of th person to be
contacted
Designation
DR B RAMESH
Address
DR B RAMESH AIMS PROFESSOR QUARTERS
B.G.NAGARA - 571 448 NAGAMANGALA - TQ,
MANDYA - DIST KARNATAKA - STATE
PRINCIPAL
Telephone Number with STD
Code
Office
08234287870
Residence
08234 287590
Mobile
9845863779
Fax No
08234287590
Email
[email protected]
A - I.7
Name of the Head of the
Institution
Address
DR B RAMESH
DR B RAMESH AIMS PROFESSOR QUARTERS
B.G.NAGARA - 571 448 NAGAMANGALA - TQ,
MANDYA - DIST KARNATAKA - STATE
A - I.8
Examining Authority
Complete Postal address: STD The Registrar, Rajiv Gandhi Univ. of Health
code Telephone No. Fax No. E- Sciences,Karnataka, 4th 'T' Block, Jayanagar,
mail Website
Bangalore - 560 041.
A - I.9
APPLICATION FOR INSTITUTION SEEKING APPROVAL FOR PHARM. D. OR
PHARM. D. AND PHARM.D. (POST BACCALAUREATE) PROGRAMME (Tick
appropriate box)
a. DETAILS OF INSPECTION/AFFLIATION FEE PAID
(a)Pharm D
Affiliation
Fee/Inspection fee
for/up to the year
2015-16
351222 12/06/2014
(b)Pharm. D. (Post Baccalaureate)
2015-16
351222 12/06/2014
Name of the Course
D.D.
No.
Dated
b. APPROVAL STATUS OF THE INSTITUTION
Name
Intake
Approved
of the
Approved
Upto
Course
and
PCI
State Govt
Remarks of
University
the
Inspectors
Admitted
2015-16
17-1/2011 NA
NA
Approved
PCI- 22999 Letter No
23367 dated:
& Date
05.09.2011
D
Pharm
Approved
60
0
0
Intake
Actually
16
0
0
Admitted
2015-16
491/32H.W.F 255PTD ACA/PHApproved 138/20112005,
31/2013-14
Letter No PCI, Dated: BANGALORE
Dated:
& Date
05.09.2011
Dated:
26.10.2013
B
06.09.2006
Pharm
Approved
60
60
60
Intake
Actually
60
60
60
Admitted
Note: Enclose relevant
documents
A - I.10
Whether other educational institutions/courses are also being run by the
trust/instiutuion in the same building/campus?
If yes, give status
No
A - I.10 a
Status of the Pharmacy Course:
Independent Building
Yes
Wing of Another College
No
Separate Campus
Yes
Multi Institutional Campus Yes
A - I.10 b
STATUS OF APPLICATION
Course
Pharm D
IntakePermissible
30
RemarksProposed Intake
30
Pharm. D. (P B)
10
10
Signature of the
Head of the
Institution
Signature of the Inspectors
B - DETAILS OF THE INSTITUTION
B - I.1
Name of the Principal / Head
Dr B Ramesh
Teaching
Actual
ExperienceRequired experience
Qualification*
Qualification/
Experience
M. Pharm
PhD
Yes 15 years in teaching
or Research out of
which 5years should
be as Professor.
Yes
Remarks
of the
Inspectors
26
* Documentary evidence should be provided
B - I.2
For institution seeking continuation of affliation
Course
(a)Pharm D
Remarks of the Deficiencie
Date of
Intakereduced/Stopp
Previous
s rectified
lastInspectio
ed in the last 03
InspectionRepo
/ Not
n
years*
rt
rectified
19/02/2014
Yes
No
(b)Pharm. D. 19/02/2014
(Post
Baccalaureate
)
* Enclose Documents(write NA if not applicable)
No
No
B - I.3
Type of Institution
Trust
Details of the Governing Body
Enclosed
Minutes of the last Governing
council Meeting
Enclosed
B - I.4
Pay Scales
Staff
Teaching
Staff
NonTeaching
Staff
Scale of pay
Yes
Pension
benefit
Yes
Yes
Yes
PF Gratuity
AICTE/UGC/State Yes Yes
Govt.
Yes Yes
AICTE/UGC/State
Government
Remarks of the
Inspectors
B - I.5
Co-Curricular Activities / Sports Activities
Whether college has NSS Unit
Yes
NSS Program Officer's Name
G RAMU
Whether students participating Yes
in University level
culturalactivities/Cocurricular/Sports activities
Physical Instructor
Available
Sports Ground
Individual
Are you Associated with other
Yes
Organization/Institution/Trust/Society
Running Pharmacy Course
Organization/Institution/Trust/Society
Name
Complete Postal Address.
Telephone No.
Nature of Association
Signature of the
Head of the
Institution
Signature of the Inspectors
C - FINANCIAL STATUS OF THE INSTITUTION
Audited financial Statement of Institute should be furnished
C -1.1 Resources and funding agencies (give complete list)
C -1.2 Please provide following Information
Receipts
Sl.
No.
1.
Particulars Amount
Expenditure
Sl.
No.
Particulars
Grants
Amount
Remarks of the
Inspector
CAPITAL EXPENDITURE
a.
0.00
Government
b. Others
0.00
2.
Tuition Fee
13922400.00 1.
Building
299862.00
3.
Library Fee
249100.00
2.
Equipment
392969.00
4.
Sports Fee
115200.00
3.
Others
3706116.00
5.
Union Fee
0.00
6.
Others
1392448.00
REVENUE EXPENDITURE
1.
Salary
14044664.00
2.
i. College
2775358.00
ii. Others
1074753.00
3.
University Fee 2164950.00
4.
Apex Bodies
Fee
Government
Fee
Misc.
Expenditure
100000.00
Total
21741282.00
5.
6.
Total
Maintenance Expenditure
15679148.00
2500.00
169925.00
Note: Enclose relevant documents
Signature of the
Head of the
Institution
Signature of the Inspectors
PART- II PHYSICAL INFRASTRUCTURE
1.
a. Availability of Land for Pharmacy College
b. Building
6 .3 acres
Acres Available
Own
c. Land Details to be in the name of Trust and Society
i). Own Records to be enclosed
Enclosed
Sale deed/relevant document
d. Building
Approved Building plan
e. Total Built Area of the college
building in sq. mts
f. Amenities and Circulation Area in
Sq. mts
Enclosed
Built up
Area
8000
59173
2. Class Rooms
Total Number of Class rooms available and number provided for Pharm. D. or
Pharm.D. and Pharm. D. (Post Baccalaureate) Programme
Required Area * Available Remarks of
Available
Class
Required
for each class Area in Sq.
the
Numbers
room
mts
Inspectors
D.Pharm
2
573
B.Pharm
4
1146
Pharm D
02
6
90 sq. mts each
(Desirable)75 sq.
mts each
(Essential)
1562
Pharm D (Post
3
820
Baccalaureate)
[* To accommodate 30 students for Pharm D and 10 for Pharm. D. Post
Baccalaureate ]
3. Laboratory requirement for both Pharm. D. or Pharm.D. and Pharm.D. (Post
Baccalaureate) Programme*
Requirement As Per Available Area in
Sl.No.
Infrastructure for
Remarks
Norms
No.
Sq. mts
1
Laboratory Area
75 Sq.mts. each
16
4965
Pharmaceutics and Pharmacokinetics
2
2
7
2183
Lab
Life Science Pharmacology
3
2
2
294
Physiology Pathophysiology
Phytochemistry or Pharmaceutical
4
2
2
2079
Chemistry
5
Pharmacy Practice
2
2
269
6
Preparation Room each lab
10 Sq.mts. (Minimum) 14
140
The Institutions will not be permitted to run the above course in rented/leased
building.
1. All the Laboratories should be well lit & ventilated.
2. All Laboratories should be provided with basic amenities and services like exhaust
fans and fuming chamber to reduce the pollution whenever necessary.
3. All the laboratories should be provided with safety measures like fire safety, chemical
exposure safety and bio safety.
4. The workbenches should be smooth and easily cleanable prefebly made of nonabsorbant material.
5. The water taps should be non-leaking and directly installed on skins Drainage should
be efficient.
6. Balance room should be attached to the cocerned laboratories.
4. Administration Area
Sl.
Name of
No
Infrastructure
.
1 Principal's Chamber
2 Office - I Establishment
3 Office - II - Academics
4 Confidential Room
5. Staff Facilities
Requirem Requirem
ents as
ents as
per
per
Norms (in Norms (in
Number)
Area)
01
Available
No.
Remark
Area s of the
in
Inspect
Sq.mt
ors
s
100
30 Sq. mts
1
60 Sq. mts
1
60
1
60
1
40
Sl.
No
Name of
.
Infrastructure
Requirem Requirem
ents as
ents as
per
per
Norms (in Norms (in
Number)
Area)
1 HODs for Pharm. D. and Minimum 4 20 Sq. mts
Post Baccalaureate
x4
Programme
2 Faculty Rooms for
10 Sq. mts
Pharm. D. and
x n (n=No.
Pharm.D. Post
of
Baccalaureate
teachers)
Programme
Available
No.
4
5
Remark
Area s of the
in
Inspect
Sq.mt
ors
s
80
456
6. Museum, Library, Animal House [should have approval of the Committee for
the Purpose of Control and Supervision of Experiments on Animals (CPCSEA)]
and other Facilities:
Available
Requirem Requirem
Remark
Sl.
ents as
ents as
Area
Name of
s of the
No
per
per
in
Infrastructure
Inspect
No.
.
Norms (in Norms (in
Sq.mt
ors
Number)
Area)
s
1 Animal House
01
80 Sq. mts
1
137
2 Library
01
3 Museum
01
4 Auditorium/ Multi
Purpose Hall (Desirable)
01
5 Herbal Garden
(Desirable)
01
150 Sq.
mts
50 Sq. mts
(Maybe
attached to
the
Pharmacog
nosy lab)
250 - 300
seating
capacity
Adequate
Number of
Medicinal
Plants
1
137
1
36
1
503
1
1791
7. Student Facilities
Sl.
Name of
No
Infrastructure
.
1 Girls's Common Room
(Essential)
2 Boy's Common Room
(Essential)
Requirem Requirem
ents as
ents as
per
per
Norms (in Norms (in
Number)
Area)
Available
No.
01
60 Sq. mts
1
01
60 Sq. mts
1
Remark
Area
s of the
in
Inspect
Sq.mt
ors
s
141
141
3 Toilet Blocks for Girls
01
24 Sq. mts
1
25
4 Toilet Blocks for Boys
01
24 Sq. mts
1
50
5 Drinking Water facility Water cooler (Essential)
6 Boy's Hostel (Desirable)
01
--
1
1
01
1
10
7 Girls's Hostel
(Desirable)
01
1
10
8 Power Backup Provision
(Desirable)
01
9 Sq.
mts/Room
Single
occupancy
9
Sq.mts/Ro
om (Single
occupancy)
or 20
Sq.mts/Ro
om (Triple
occupancy)
--
1
200
8. Computer and other Facilities
Available
Name
Required
Computer Room
Multi Media Projector
100
Sq.mts.
1 system
for every
10
students
1 printer
for every
10
computers
01
Generator (5KVA)
01
Computer (Latest Configuration)
Printers
No.
1
Remark
Area
s of the
in
Inspect
Sq.mt
ors
s
300
65
150
10
0
8
0
1
0
9. Amenities(Desirable)
Name
Principal Quarters
Staff Quarters
Canteen
Requirme
nt as per
Norms in
area
120 Sq.
Mtr.
16 x 80 Sq
mts
100 Sq.
Available
No.
Area in Sq.mts
1
150
10
150
1
200
Remark
Not
s of the
Availa
Inspect
ble
ors
mts
Parking Area for staff and
students
Bank Extension Counter
1
60
1
50
Cooperative Stores
1
50
Guest House
80 Sq. mts 1
500
Auditorium
1
1500
Seminar Hall
1
120
Transport Facility for
students
Medical Fecilities(First Aid)
1
0
2
1791
10.A. Library Books and PeriodicalsThe minimum norms for the initial stock of
books yearly addition of the books and the number of journals to be subscribed
are as given below:
Available
Remark
Sl.
Minimum
s of the
No Item
Titles(No) Volumes(
Inspect
Title
No.
.
No)
ors
1 Number Of Books
150
1500
1256
6267
adequate
coverage
of a large
number of
standard
text books
and titles
in all
disciplines
of
pharmacy
2 Annual Addition of
150 books
190
150
Books
per year
3 Periodicals Hard
20
70
77
Copies/Online
National10
Internation
al
periodicals
4 CDS
Adequate
0
10
Nos
5 Internet Browsing
Minimum
Available
Facilities
ten
Computers
6 Reprographic
010101
AvailableAvailableA
Facilities:PhotoCopierFa
vailable
xScanner
7 Library Automation and Computrized System
Available
(desirable)
8
Library timings
9.00 AM to 6.00 PM
10.B.Subject wise Classification
Sl.
Subject
No.
1
Pharmacognosy
2
Pharmacy Practice
3
Human Anatomy & Physiology
Pharmaceutics (Dispensing & General
4
Pharmacy)
5
Pharmaceutical Organic Chemistry
6
Pharmaceutical Inorganic Chemistry
7
Pharmaceutical microbiology
8
Pathophysiology
9
Applied Biochemistry & Clinical Chemistry
10
Pharmacology
11
Pharmaceutical Jurisprudence
12
Pharmaceutical Dosage Forms
13
Community Pharmacy
14
Clinical Pharmacy
15
Hospital Pharmacy
16
Pharmacotherapeutics
17
Pharmaceutical analysis
18
Medicinal Chemistry
19
Biology
Computer Science or Computer
20
Application in pharmacy
21
Mathematics/Statistics
Available
Titles
65
163
35
Available
Numbers
490
233
315
166
495
176
176
31
31
30
72
7
1
20
1
20
148
35
1
1
895
895
150
136
175
402
98
1
95
1
150
406
145
1
1
23
80
13
72
Remarks of the
Inspectors
10.C.Library Staff
Staff
Qualificati
Required
on
Available
1
Librarian
M.Lib.
1
Available
2
Assistant Librarian
D.Lib.
1
Available
3
Library Attenders
10+2 /
PUC
2
Available
Signature of the
Head of the
Institution
Signature of the Inspectors
PART III ACADEMIC REQUIREMENTS
Course Curriculum
Reamrk
s of the
Inspect
ors
1. Student Staff Ratio:
(Required ratio --- Theory → 30:1 and Practicals → 30:1) If more than 20 students in a
batch 2 staff members to be present provided the lab is spacious.
Class
Theory Practicles
Pharm. D.
30:1
15:1
Pharm. D. Post Baccalaureate
10:1
10:1
2. Academic CalenderProposed date of
Commencement of session / sessions for PHARM.
D.:
3. Vacation for Pharm D
Remarks of the Inspectors
Commencement Completion
01/08/2014
No of Days
Summer :
4. Total No. of working days for Pharm
D(Requirement not less than 200
working days/year)
30/06/2015
No of Days
15
Winter :
30
218
5. Date of Commencement of session/ sessions for Commencement Completion
Pharm D Post Baccalaureate
01/08/2014
30/06/2015
6. Vacation for Pharm D Post
Baccalaureate
No of
Days
Summer
:
15
No of
Days
Winter
:
30
7. Total No. of working days for Pharm
D Post Baccalaureate(Requirement not 218
less than 200 working days/year)
8. Time Table copy Enclosed:
a. Pharm. D. course
b. Pharm.D. Post Baccalaureate Course
Yes
Yes
9. Whether the prescribed numbers of classes per week are being conducted as
per PCI norms.*
Pharm D I
No of Theory
Classes
Total No.
of classes
Remark
conducte
s of the
Prescri No of Prescri No of Prescri No of
Subject1
dNo. of
Inspect
bed No Hours bed No Hours bed No Hours
classes x
ors
of
Conduct
of
Conduct
of
Conduct
hours per
Hours2
ed3
Hours4
ed5
Hours6
ed7
class
Human
Anatomy
3
3
3
3
1
1
1
and
Practical Classes Tutorial Classes
Physiology
Pharmaceu
tics
Medicinal
Biochemist
ry
Pharmaceu
tical
Organic
Chemist
Pharmaceu
tical
Inorganic
Chemi
Remedial
Mathemati
cs/ Biology
2
2
3
3
1
1
1
3
3
3
3
1
1
1
3
3
3
3
1
1
1
2
2
3
3
1
1
1
3
3
3
3
1
1
1
Pharm D II
No of Theory
Classes
Subject1
Pathophysiolog
y
Pharmaceutical
Microbiology
Pharmacognosy
&
Phytopharmace
u
Pharmacology-I
Community
Pharmacy
Pharmacothera
peutics-I
Total No.
of
Remar
classes
ks of
Prescri No of Prescri No of Prescri No of conducte
the
dNo. of
bed No Hours bed No Hours bed No Hours
Inspect
of
Conduct
of
Conduct
of
Conduct classes x
ors
hours per
Hours2
ed3
Hours4
ed5
Hours6
ed7
class
3
3
3
3
3
3
3
Practical
Classes
Tutorial Classes
0
1
1
0
3
3
1
1
0
3
3
1
1
0
3
0
3
1
0
2
76
0
1
1
0
3
3
3
3
1
0
3
Pharm D III
No of Theory
Classes
Subject1
Practical
Classes
Total No.
of
Remar
classes
ks of
Prescri No of Prescri No of Prescri No of conducte
the
dNo. of
bed No Hours bed No Hours bed No Hours
Inspect
of
Conduct
of
Conduct
of
Conduct classes x
ors
hours per
Hours2
ed3
Hours4
ed5
Hours6
ed7
class
Tutorial Classes
Pharmacology-II
Pharmaceutical
Analysis
Pharmacothera
peutics-II
Pharmaceutical
Jurisprudence
Medicinal
Chemistry
Pharmaceutical
Formulations
3
3
3
3
1
1
0
3
3
3
3
1
1
0
3
3
3
3
1
1
0
2
2
0
0
3
3
3
3
1
1
0
2
2
3
3
1
1
0
0
Pharm D IV
No of Theory
Classes
Subject1
Pharmacothera
peutics-III
Hospital
Pharmacy
Clinical
Pharmacy
Biostatistics &
Research
Metho
Biopharmaceuti
cs &
Pharmacokin
Clinical
Toxicology
Practical
Classes
Total No.
of
Remar
classes
ks of
Prescri No of Prescri No of Prescri No of conducte
the
dNo. of
bed No Hours bed No Hours bed No Hours
Inspect
of
Conduct
of
Conduct
of
Conduct classes x
ors
hours per
Hours2
ed3
Hours4
ed5
Hours6
ed7
class
Tutorial Classes
3
3
3
3
1
1
0
2
2
3
3
1
1
0
3
3
3
3
1
1
0
2
2
0
1
1
0
3
3
3
1
1
0
2
2
0
1
1
0
3
Pharm D V
No of Theory
Classes
Subject1
Clinical
Research
Pharmacoepide
miology and
Pharm
Practical
Classes
Total No.
of
Remar
classes
ks of
Prescri No of Prescri No of Prescri No of conducte
the
dNo. of
bed No Hours bed No Hours bed No Hours
Inspect
of
Conduct
of
Conduct
of
Conduct classes x
ors
Hours2
ed3
Hours4
ed5
Hours6
ed7 hours per
class
Tutorial Classes
3
50
0
1
1
0
3
75
0
1
1
0
Clinical
Pharmacokineti
cs
Clerkship
Project work
2
76
0
0
20
0
1
1
0
0
25
1
1
0
0
0
10. Work load of Faculty members for Pharm. D. and Pharm.D. Post
Baccalaureate
Pharm. D.
Remark
S.N Name of
Post
Total Work s of the
Subjects Taught
Pharm. D.
o. Faculty
Baccalaure
Load
Inspect
ate
ors
Theor Practi Theo Practi Theor Practi
y
cal
ry
cal
y
cal
Pharmacognosy and
Dr. ANNE PhytochemistryPharmacognosy
1 GOWDA H
and
030
030 000 000
030
030
V
PhytopharmaceuticalsPharmacogn
osy I
Dr. B
2
Ramesh
Dr.
Human Anatomy and
3 Chandra
34
30
00
00
34
30
PhysiologyPharmacology
Prakash K
Dr.
Medicinal Chemsitry IIPh
4 Chethan I
Chemistry IPharmaceutical
003
003 000 000
003
003
A
Inorganic Chemistry
Dr. DR
Ph MarketingPharmaceutics
5
000
000 000 000
000
000
Nagesh
IIPhEngineering
Dr. G B
Ph JurisprudencePh
6
Kiran
000
000 000 000
000
000
JurisprudencePharmaceutics
Kumar
Industrial
Dr. G
7
PharmacognosyPharmacognosyPh 000
000 000 000
000
000
Ramu
armacognosy and Phytochemistry
Dr. Irfan Ali
Ph Organic Chemistry
8
00
00
00
00
00
00
M
IPharmaceutical Chemistry II
Medicinal ChemsitryMedicinal
Dr.
9
Chemsitry IIPh Organic Chemsitry 000
300 000 000
000
300
Jaishree V
II
Dr. Kowti PharmacologyPharmacology and
10
00
00
00
00
00
00
Rajesh
Toxicology
Dr.
11 Kumarasw
ClerkshipHospital Pharmacy
00
00
02
60
02
60
amy M
Clinical Pharmacokinetic and
Dr. Meenu
12
TDMPharmacotherapeutics
260
030 200 000
460
030
Pandey
IPKTDM
Dr.
13
Pharmaceutics
0
0
0
0
0
0
Mohamme
14
15
16
17
18
19
20
21
22
23
24
25
d Gulzar
Ahmed
Dr. N K
Ph AnalysisPharmaceutical
Sathish
Organic Chemistry
Dr. Petricia
PathophysiologyPharmacology and
Regina
ToxicologyPharmacology II
Irene
Dr.
Ph Inorganic
PRAKASH
ChemistryPharmaceutical Analysis
KUMAR B
Dr.
Clinical ResearchCommunity
RAJVEER
PharmacyHospital
SINGH PharmacyPharmacotherapeutics II
Pharmacotherapeutics I and II
Dr. Satish
IIPharmacotherapeutics
Kumar B P IIPhEpidemology and Pharma
economics
Dr.
Advanaced Industrial
SENTHIL PharmacyDSBMPharmaceuticsPh
KUMAR K
armaceutics I
Biostatistics RDClinical
Dr.
ToxicologyHealth Education and
SREECHA
Community PharmacyHospital and
RAN
Clinical
CHAMA
PharmacyPKTDMToxicology
Dr.
Biopharmaceutics and
Vedamurth
PhKineticsPhTechnology and
y Joshi
Biopharmaceutics
Mr.
ABDUL
Ph FormulationPhysical
NASIR
Pharmaceutics
KURNOOL
Mr.
BiochemistryBiochemistryMedicinal
CHETAN
BiochemistryMedicinal Chemistry
MB
Clinical PharmacyHospital and
Mr. K V
Clinical
Ramanath
PharmacyPharmacotherapeutics III
Mr.
Naveen
Kumar HD
23
03
00
00
23
03
403
000
000
000
403
000
00
00
00
00
00
00
3203
0000 3000 0000
6203
0000
033
000
300
336
300
0020
0030 0000 0000
0020
0030
303
20000 00000 2200 00000 22200 00000
020
0
00
0
020
0
200
120
10
30
210
150
20
00
00
00
20
00
0030
0030 0000 0000
0030
0030
3003
600
3306
603
303
003
12. Work load of Faculty members for Pharm. D.
S.
Name of
No
Faculty
.
Subjects Taught
To
tal
W
or
k
Lo
ad
Pharm D
I
Th
II
Pr
Th
III
Pr
Th
Pr
IV
Th Pr
V
Th
Pr
Rema
rks of
the
Inspe
ctors
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Pharmacognosy and
Dr.
PhytochemistryPharmacogno
ANNE
sy and
GOWDA
PhytopharmaceuticalsPharm
HV
acognosy I
Dr. B
Ramesh
Dr.
Chandra
Human Anatomy and
Prakash PhysiologyPharmacology
K
Dr.
Medicinal Chemsitry IIPh
Chethan Chemistry IPharmaceutical
IA
Inorganic Chemistry
Dr. DR Ph MarketingPharmaceutics
Nagesh
IIPhEngineering
Dr. G B
Ph JurisprudencePh
Kiran
JurisprudencePharmaceutics
Kumar
Industrial
Dr. G PharmacognosyPharmacogn
Ramu
osyPharmacognosy and
Phytochemistry
Dr. Irfan
Ph Organic Chemistry
Ali M IPharmaceutical Chemistry II
Medicinal
Dr.
ChemsitryMedicinal
Jaishree
Chemsitry IIPh Organic
V
Chemsitry II
Dr. Kowti PharmacologyPharmacology
Rajesh
and Toxicology
Dr.
Kumaras ClerkshipHospital Pharmacy
wamy M
Dr.
Clinical Pharmacokinetic and
Meenu TDMPharmacotherapeutics
Pandey
IPKTDM
Dr.
Mohamm
ed
Pharmaceutics
Gulzar
Ahmed
Dr. N K Ph AnalysisPharmaceutical
Sathish
Organic Chemistry
Dr.
PathophysiologyPharmacolo
Petricia
gy and
Regina
ToxicologyPharmacology II
Irene
Dr.
Ph Inorganic
PRAKAS
ChemistryPharmaceutical
H
Analysis
KUMAR
000 000 030 030 000 000 000 000 000 000
30
30
04
00
00
00
00
00
00
00
003 003 000 000 000 000 000 000 000 000
000 000 000 000 000 000 000 000 000 000
000 000 000 000 000 000 000 000 000 000
000 000 000 000 000 000 000 000 000 000
00
00
00
00
00
00
00
00
00
00
000 000 000 300 000 000 000 000 000 000
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
60
000 000 030 030 030 000 000 000 200 000
0
0
0
0
0
0
0
0
0
0
03
03
00
00
20
00
00
00
00
00
000 000 400 000 003 000 000 000 000 000
00
00
00
00
00
00
00
00
00
00
B
17
18
19
20
21
22
23
24
25
Clinical ResearchCommunity
Dr.
PharmacyHospital
RAJVEE
PharmacyPharmacotherapeu
R SINGH
tics II
Dr.
Pharmacotherapeutics I and
Satish
II IIPharmacotherapeutics
Kumar B
IIPhEpidemology and
P
Pharma economics
Dr.
SENTHI
Advanaced Industrial
L
PharmacyDSBMPharmaceuti
KUMAR
csPharmaceutics I
K
Biostatistics RDClinical
Dr.
ToxicologyHealth Education
SREECH
and Community
ARAN
PharmacyHospital and
CHAMA
Clinical
PharmacyPKTDMToxicology
Dr.
Biopharmaceutics and
Vedamur PhKineticsPhTechnology and
thy Joshi
Biopharmaceutics
Mr.
ABDUL
Ph FormulationPhysical
NASIR
Pharmaceutics
KURNO
OL
Mr.
BiochemistryBiochemistryMe
CHETAN dicinal BiochemistryMedicinal
MB
Chemistry
Clinical PharmacyHospital
Mr. K V
and Clinical
Ramanat
PharmacyPharmacotherapeu
h
tics III
Mr.
Naveen
Kumar
HD
000 000 020 000 000 000 000 000 300 000
0
0
0
0
3
0
0
0
0
0
000 000 000 000 030 000 000 000 003 000
002 003 000 000 000 000 000 000 000 000
0
0
0
0
0
0
0
0
0
0
000 000 000 000 000 000 200 000 000 000
000 000 000 000 000 000 002 000 000 000
00
00
00
00
00
00
20
60
00
00
00
00
00
00
20
00
00
00
00
00
003 003 000 000 000 000 000 000 000 000
0
0
0
0
0
0
0
0
0
0
000 000 000 000 000 000 300 300 003 003
13. Workload of Faculty members per week for Pharm.D. (Post Baccalaureate)
S.N Name of
o.
Faculty
Subjects Taught
Tot
al Remark
Wo s of the
Pharm D (Post Baccalaureate)
rk Inspect
Loa ors
d
I
II
III
Th
Pr
Th
Pr
Th
Pr
Pharmacognosy and
Dr. ANNE
PhytochemistryPharmacognosy and
1 GOWDA H
000
PhytopharmaceuticalsPharmacogno
V
sy I
000 000
000 000 000
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Dr. B
Ramesh
Dr.
Human Anatomy and
Chandra
PhysiologyPharmacology
Prakash K
Dr.
Medicinal Chemsitry IIPh Chemistry
Chethan I
IPharmaceutical Inorganic
A
Chemistry
Dr. DR
Ph MarketingPharmaceutics
Nagesh
IIPhEngineering
Dr. G B
Ph JurisprudencePh
Kiran
JurisprudencePharmaceutics
Kumar
Industrial
Dr. G
PharmacognosyPharmacognosyPha
Ramu
rmacognosy and Phytochemistry
Dr. Irfan Ali
Ph Organic Chemistry
M
IPharmaceutical Chemistry II
Dr.
Medicinal ChemsitryMedicinal
Jaishree V Chemsitry IIPh Organic Chemsitry II
Dr. Kowti
PharmacologyPharmacology and
Rajesh
Toxicology
Dr.
Kumarasw
ClerkshipHospital Pharmacy
amy M
Dr. Meenu
Clinical Pharmacokinetic and
Pandey TDMPharmacotherapeutics IPKTDM
Dr.
Mohamme
Pharmaceutics
d Gulzar
Ahmed
Dr. N K Ph AnalysisPharmaceutical Organic
Sathish
Chemistry
Dr. Petricia
PathophysiologyPharmacology and
Regina
ToxicologyPharmacology II
Irene
Dr.
Ph Inorganic
PRAKASH
ChemistryPharmaceutical Analysis
KUMAR B
Dr.
Clinical ResearchCommunity
RAJVEER
PharmacyHospital
SINGH
PharmacyPharmacotherapeutics II
Pharmacotherapeutics I and II
Dr. Satish
IIPharmacotherapeutics
Kumar B P
IIPhEpidemology and Pharma
economics
Dr.
Advanaced Industrial
SENTHIL PharmacyDSBMPharmaceuticsPhar
KUMAR K
maceutics I
Dr.
Biostatistics RDClinical
SREECHA ToxicologyHealth Education and
RAN
Community PharmacyHospital and
00
00
00
000
000 000
000 000 000
000
000 000
000 000 000
000
000 000
000 000 000
000
000 000
000 000 000
00
00
00
000
000 000
000 000 000
00
00
00
00
00
00
02
00
00
60
00
00
000
000 200
00
00
00
00
00
00
000 000 000
0
0
0
0
0
0
00
00
00
00
00
00
000
000 000
000 000 000
00
00
00
00
00
00
0000 0000 3000 0000 0000 0000
300
300 003
000 000 000
0000 0000 0000 0000 0000 0000
2200 0000 0000 0000 0000 0000
00
00
00
00
00
00
CHAMA
Clinical
PharmacyPKTDMToxicology
Biopharmaceutics and
PhKineticsPhTechnology and
Biopharmaceutics
Dr.
21 Vedamurth
10
y Joshi
Mr. ABDUL
Ph FormulationPhysical
22
NASIR
00
Pharmaceutics
KURNOOL
Mr.
BiochemistryBiochemistryMedicinal
23 CHETAN
0000
BiochemistryMedicinal Chemistry
MB
Clinical PharmacyHospital and
Mr. K V
24
Clinical
003
Ramanath
PharmacyPharmacotherapeutics III
Mr. Naveen
25
Kumar HD
30
00
00
00
00
00
00
00
00
00
0000 0000 0000 0000 0000
003 300
000 000 000
14. Percentage of students qualified in GATE in the last Three Years
Details
No of Students Appeared
No of Student Qualified
Percentage
Year : 20122013
3
Year : 20132014
10
Year : 20142015
0
2
2
0
67
20
15. Whether Professional Society Activities are Conducted (Enclose Details) (ISTE, IPA, APTI,
ICTA and Related Societies)
Signature of the
Head of the
Institution
Yes
Signature of the Inspectors
PART IV - PERSONNEL
TEACHING STAFF
1. Details of Teaching Faculty available with the institution for teaching for
D.Pharm., B.Pharm. and M.Pharm. Courses to be enclosed in the format
mentioned below:
Teaching
State
Remarks
Signatur
S.No
Qualificatio Date of Experienc Pharmac
of
Name
Designation
e of
.
n
Joining
e (In
y Coun.
Inspecto
Faculty
Years)
Reg No.
r
Chandra
Reader/Senior B Pharm, M 08/08/200
1
8.0 + 0.0
40336
Prakash K
Lecturer
Pharm,
6
G B Kiran
Associate
M Pharm, B 03/12/200
2
6.7 + 5.8
42907
Kumar
Professor
Pharm,
7
Principal/Direct M Pharm, 10/07/200
3
B Ramesh
8.1 + 17.9 14479
or
Phd, B
6
4
5
6
7
8
9
10
11
12
13
Pharm,
Reader/Senior M Pharm, B
Kowti Rajesh
Lecturer
Pharm,
Mohammed
M Pharm,
Gulzar
Professor
Phd, B
Ahmed
Pharm,
Reader/Senior B Pharm, M
G Ramu
Lecturer
Pharm,
Vedamurthy Reader/Senior M Pharm, B
Joshi
Lecturer
Pharm,
B Pharm, M
Jaishree V
Professor
Pharm, Phd,
B Pharm, M
Irfan Ali M Asstt. Professor
Pharm,
M Pharm,
KV
Associate
MBA, B
Ramanath
Professor
Pharm,
Kumaraswam
B Pharm, M
Asstt. Professor
yM
Pharm,
B Pharm, M
N K Sathish
Professor
Pharm, Phd,
B Pharm, M
Chethan I A
Lecturer
Pharm,
19/02/200
6.5 + 0.0
8
30779
01/12/200
4.7 + 10.3
9
17969
15/12/200
9
19/01/200
9
01/09/200
8
01/06/200
9
4.7 + 1.7
9705A1
5.6 + 0.0
42246
6.0 + 5.6
27144
5.2 + 3.5
038845A
1
16/06/200
7.2 + 5.8
7
01/02/201
3.6 + 5.2
1
09/12/200
4.7 + 6.7
9
04/03/201
4.5 + 0.0
0
30076
27157
39661
2. Details of Teaching Faculty exclusively available teaching for Pharm. D. Course
to be enclosed in the format mentioned below:
State
Teaching
Signature Remarks
Date of
Pharmacy
S.No. Name
Designation Qualification
Experience
of
of
Joining
Coun.
(In Years)
Faculty Inspector
Reg No.
Chandra Reader/Senior B Pharm, M
1
08/08/2006 8.0 + 0.0
40336
Prakash K
Lecturer
Pharm,
G B Kiran
Associate
M Pharm, B
2
03/12/2007 6.7 + 5.8
42907
Kumar
Professor
Pharm,
Reader/Senior B Pharm, M
3
G Ramu
15/12/2009 4.7 + 1.7
9705A1
Lecturer
Pharm,
B Pharm, M
4 Jaishree V Professor
01/09/2008 6.0 + 5.6
27144
Pharm, Phd,
NK
B Pharm, M
5
Professor
09/12/2009 4.7 + 6.7
Sathish
Pharm, Phd,
Chethan I
B Pharm, M
6
Lecturer
04/03/2010 4.5 + 0.0
39661
A
Pharm,
ABDUL
Asstt.
7
NASIR
B Pharm, 04/05/2011 3.3 + 6.2
23925
Professor
KURNOOL
SENTHIL
Associate
B Pharm, M
8
10/05/2011 3.3 + 12.8 2221 A1
KUMAR K Professor
Pharm,
3. Details of Teaching Faculty available for teaching for Pharm. D. and Pharm.D.
(Post Baccalaureate) Course to be enclosed in the format mentioned below:
S.No
Qualificatio Date of Teaching
State Signatur Remarks
Name
Designation
.
n
Joining Experienc Pharmac e of the
of the
e
y Council Faculty Inspector
Reg No.
s
After After
UG PG
In
In
Year Year
s
s
1
2
3
4
5
6
Chandra Reader/Senio
Prakash K
r Lecturer
G B Kiran
Associate
Kumar
Professor
Satish Kumar
Asstt.
BP
Professor
Mohammed
Gulzar
Professor
Ahmed
Reader/Senio
G Ramu
r Lecturer
Vedamurthy Reader/Senio
Joshi
r Lecturer
7
Jaishree V
Professor
8
KV
Ramanath
Associate
Professor
9
Kumaraswam
yM
Asstt.
Professor
10
N K Sathish
Professor
11
Chethan I A
Lecturer
12
13
ABDUL
NASIR
KURNOOL
SENTHIL
KUMAR K
Asstt.
Professor
Associate
Professor
B Pharm, M
Pharm,
M Pharm, B
Pharm,
B Pharm, M
Pharm,
M Pharm,
Phd, B
Pharm,
B Pharm, M
Pharm,
M Pharm, B
Pharm,
B Pharm, M
Pharm, Phd,
M Pharm,
MBA, B
Pharm,
B Pharm, M
Pharm,
B Pharm, M
Pharm, Phd,
B Pharm, M
Pharm,
B Pharm,
08/08/200
8.0
6
03/12/200
6.7
7
12/08/200
5.0
9
01/12/200
4.7
9
15/12/200
4.7
9
19/01/200
5.6
9
01/09/200
6.0
8
16/06/200
7.2
7
01/02/201
3.6
1
09/12/200
4.7
9
04/03/201
4.5
0
04/05/201
3.3
1
B Pharm, M 10/05/201
3.3
Pharm,
1
0.0
40336
5.8
42907
10.7
39667
10.3
17969
1.7
9705A1
0.0
42246
5.6
27144
5.8
30076
5.2
27157
6.7
0.0
39661
6.2
23925
12.8 2221 A1
4. Qualification and Number of Staff Members
B Pharm
34
Qualification
M Pharm
29
7
PhD
Others
4
Part Time
5. Staff Pattern for Pharm. D. or Pharm.D. and Pharm. D. (Post Baccalaureate)
courses department wise for full duration of course/courses*: : Professor: Asst.
Professor: Lecturer
Department / Division
Name of
the post
For
Provided by
strength of the
60 students institution
Department of
Pharmaceutics
Professor
Asst.
1
1
121
Remarks of the
Inspectors of
inspection team
Professor
Lecturer
4
Department of
Professor
Pharmaceutical Chemistry Asst.
(including Pharmaceutical Professor
Analysis)
Lecturer
1
1
4
123
Department of
Pharmacology
Professor
Asst.
Professor
Lecturer
1
1
3
002
Department of
Pharmacognosy
Professor
Asst.
Professor
Lecturer
1
1
2
010
* Yearwise availability will be assessed.
6. Selection criteria and Recruitment Procedure for Faculty
a. Whether Recruitment Commitee has been formed
b. Whether Advertisement for vacancy is notified in the
Newspapers
Yes
No
Yes
No
Yes
No
Yes
No
c. Whether Demonstration Lecture has been conducted
d. Whether opinion of Recruitment Committee Recorded
7. Details of Faculty Retention for:
Name of Faculty Member
Period
Dr. B.Ramesh Mr. Senthil Kumar K
Percentage
Duration of 15
year and
above
Dr. Mohammed Gulzar Ahamad K.V.Ramanath
Duration of 10
G.B.KIran Kumar Dr. Jaishree V Dr. N.K.Sathish
year and
Satish Kumar B.P Dr. D. Chikkanna Dr. Janakiram K above
Chandra Prakash K Vedamurthy Joshi Kumaraswamy Duration of 5
M Dr.Irfan Ali.M Abdul Nasir Kurnool G.Ramu Rajesh year and
Kowti B.Prakash Kumar Chetan M.B
above
Chethan I.A Nagesh D.R Dr.Annegowda H.V Petricia Less than 5
Regina Irene Dr.Rajver Singh Dr.Meenu Pandey
years
Sreecharan Chama Rameshaiah Naveen B.T
8
28
32
32
8. Details of Faculty Turnover
Name of Faculty Member
Period
More
50% 25% Less
than
50%
Dr. B.Ramesh Dr.Jaishree V Dr. Mohammed
Gulzar Ahamad Dr. N.K Sathish
K.V.Ramanath Dr.Annegowda H.V G.B.Kiran
Kumar Satish Kumar B.P Chandra Prakash K
Vedamurthy Joshi Kumaraswamy M Dr.Irfan
Ali.M Kowti Rajesh G. Ramu Petricia Regina
Irene Chethan I.A D R Nagesh Prakash
Kumar Senthil Kumar K Abdul Nasir Kurnool
Dr. Rajveer Singh Dr.Meenu Pandey
Sreecharan Chama Chethan M. Dr. D.
Chikkanna Dr. Janakiram K Rameshaiah
Naveen B.T
% of
Yes
faculty
retained in
last 3 yrs
than
25%
No
No
No
9. Number of Non-teaching staff available for Pharm. D. or Pharm.D. and
Pharm.D (Post Baccalaureate course) for full duration of course/courses*.
Sl
Designation
No.
Required
Number
Required
Qualification
Remarks of
Available
the
Number Qualification
Inspectors
1
Laboratory
technician
1 for each
Dept
D. Pharm
1
DMLT
2
Labortory
Assistants/
Attenders
1 for each SSLC
Lab
(minimum)
9
SSLC
3
Office
1
Superintendent
Degree
0
4
Accountant
1
Degree
3
1
D.Pharm or a
B Sc D
Bachelor degree 1 Pharmacy
recognized by a
University or
institution.
1
BCA / Graduate
1 year
with Computer 1 Computer cou
Course
5
Store keeper
6
Computer Data
Operator
B Com
7
Office Staff I
1
Degree
2
B Com
8
Office Staff II
2
Degree
1
BBM
9
Peon
2
SSLC
3
7th
10 Cleaning
personnel
Adequate
---
2
7th
11 Gardener
Adequate
---
1
7th
- Inspectors to verify whether the Non teaching staff requirements for D.Pharm.,
B.Pharm. and M.Pharm. courses conducted by the institution are complied with
or not. * Yearwise availability will be assessed.
10. Scale of pay for Teaching faculty (to be enclosed):
CCA
Ba
S.
H & Other
Qualifi Designat sic D.
Deduct Bank
PAN
EPF Tot Sign
No Name
DA R Addit Allow
cation
ion
Pa P.
ions A/C No
No A/C No al ature
.
A ional ances
y
Pay
T E
P
D P
T
S F
B
22
7
KN 28
DR Pharm,
44 11
25
8610101 AIWPN
1
Lecturer 42 0
0
0
0
8
22092/ 02
Nagesh
M
84 21
0
0 24027 9136G
0
0
111
5
Pharm,
B
Chandra
Reader/S 31
7
KN 39
Pharm,
63 15
10
8610101 ARLPP
2 Prakash
enior 89 0
0
0
0
8
22092/ 86
M
78 95
00
021177 8286H
K
Lecturer 0
0
70
3
Pharm,
M
GB
Associat 47
7
KN 59
Pharm,
95 23
25
8610101 AMXPK
3 Kiran
e
53 0
0
0
0
8
22092/ 41
B
06 77
00
023352 0497N
Kumar
Professor 0
0
89
3
Pharm,
M
63
12
7
KN 84
B
Pharm, Principal/
31
50
8610101 AIKPB7
4
71 0 74
3000
0
0
8
22092/ 63
Ramesh Phd, B Director
86
00
022074 302A
0
2
0
69
8
Pharm,
B
Satish
46
7
KN 58
Pharm, Asstt.
92 23
25
8610101 BMLPS
5 Kumar B
40 0
0
0
0
8
22092 / 00
M Professor
80 20
00
0 21630 5833F
P
0
0
99
0
Pharm,
M
Reader/S 27
7
KN 39
Kowti Pharm,
55 13
50
8610101 AZYPK
6
enior 61 0
0
0
0
8
22092/ 51
Rajesh
B
22 81
0
0 23372 2389P
Lecturer 0
0
90
3
Pharm,
Moham
M
57
11
7
KN 71
med Pharm,
28
50
8610101 AEQPA
7
Professor 25 0 45
0
0
0
8
22092 / 56
Gulzar Phd, B
63
00
0 23759 4818J
0
0
0
107
3
Ahmed Pharm,
M
Vedamu
Reader/S 31
7
KN 39
Pharm,
63 15
10
8610101 AFFPV
8
rthy
enior 89 0
0
0
0
8
22092/ 86
B
78 95
00
0 23575 S019J
Joshi
Lecturer 0
0
96
3
Pharm,
B
Pharm,
51
10
7
KN 63
Jaishree
25
40
8610101 ATEPK
9
M Professor 12 0 22
0
0
0
8
22092/ 90
V
56
00
0 23488 7559B
Pharm,
0
4
0
93
0
Phd,
B
Reader/S 27
7
KN 39
Pharm,
55 13
50
8610101 ASHPR
10 G Ramu
enior 61 0
0
0
0
8
22092/ 51
M
22 81
0
0 23542 5884N
Lecturer 0
0
94
3
Pharm,
B
46
7
KN 58
Irfan Ali Pharm, Asstt.
92 23
25
8610101 AQTPM
11
40 0
0
0
0
8
22092 / 00
M
M Professor
80 20
00
0 23638 2881L
0
0
108
0
Pharm,
12
13
14
15
16
17
18
19
20
21
22
23
24
25
M
KV
Associat
Pharm,
Ramana
e
MBA, B
th
Professor
Pharm,
B
Kumara
Pharm, Asstt.
swamy
M Professor
M
Pharm,
B
Pharm,
NK
M Professor
Sathish
Pharm,
Phd,
B
Chethan Pharm,
Lecturer
IA
M
Pharm,
PRAKA
B
SH
Pharm,
Lecturer
KUMAR
M
B
Pharm,
ABDUL
NASIR
B
Asstt.
KURNO Pharm, Professor
OL
SENTHI
B
Associat
L
Pharm,
e
KUMAR
M
Professor
K
Pharm,
B
CHETA Pharm,
Lecturer
NMB
M
Pharm,
M
Petricia
Pharm,
Regina
Lecturer
B
Irene
Pharm,
B
ANNE
Pharm, Asstt.
GOWDA
M Professor
HV
Pharm,
B
RAJVEE
Pharm,
R
Lecturer
Pharm
SINGH
D,
Pharm
Meenu
Asstt.
D, B
Pandey
Professor
Pharm,
B
Naveen
Pharm, Asstt.
Kumar
M Professor
HD
Pharm,
SREEC
B
Lecturer
47
95 23
53 0
06 77
0
0
0
0
7
KN 59
25
8610101 MJPR0
8
22092/ 41
00
0 22263 212L
0
83
3
46
92 23
40 0
80 20
0
0
0
0
7
KN 58
25
8610101 ARXPK
8
22092/ 00
00
0 23591 8588R
0
98
0
52
10
26
39 0 47
20
0
8
0
0
0
7
KN 65
40
8610101 CLIPS4
8
22092/ 48
00
0 23773 453E
0
109
8
22
44 11
42 0
84 21
0
0
0
0
25
8610101
0
0
023812
KN 28
22092/ 02
127
5
22
44 11
42 0
84 21
0
0
0
0
7
25
8610101
8
0
0 24088
0
KN 28
22092/ 02
110
5
31
63 15
89 0
78 95
0
0
0
0
7
KN 39
20
8610101 ATNPK
8
22092/ 86
0
0 24207 0658E
0
116
3
47
95 23
53 0
06 77
0
0
0
7
KN 59
25
8610101 ASSPK
8
0
22092/ 41
00
0 24211 850N
0
117
3
22
44 11
19 0
38 0
0
0
0
7
26
8610101 AJRPC KN220
8 0 0
73
025400 7098J 92/122
0
8
21
43 10
60 0
20 80
0
0
0
7
KN 22
20
8610101 ACYPI1
8
0
22092/ 86
0
026042 255K
0
128
8
31
62 15
23 0
46 62
0
0
0
7
10
8610101
8
0
00
025413
0
45
KN220
86
92/121
3
21
43
60 0
0
20
0
0
0
7
20
8610101
8
0
0
025399
0
27
KN220
00
92
0
20
00 0 0
0
0
0
0
0
50
0 0
00
0
0
0
0 0 0
20 0 0
0
0
0
0 0 0 8610101 ATZPC
20
20
8610101 APWP
KN
0
00
0
024662 M 1482 22092
0
1145101 AGPN2 KN 50
032309 996PP 22092 00
KN
20
HARAN Pharm,
CHAMA Pharm
D,
00
0
0
4152F 22092 00
0
11. Whether facilities for Research / Higher studies are provided to the faculty?
Yes
No
Yes
No
Yes
No
Yes
No
(Inspectors to verify documents pertaining to the above)
12. Whether faculty members are allowed to attend workshops and
seminars?
(Inspectors to verify documents pertaining to the above)
13. Scope for the promotion for faculty: Promotions
14. Gratuity Provided
15. Details of Non-teaching staff members (list to be enclosed)
Name
Designation Qualification
Date of
Joining
Experience
Lokesh R
Accountant
B Com
21/06/1990
25 Years
Krishna B.M
Store
keeper
B Sc D
Pharmacy
01/12/1992
23 Years
Poornima K D
Computer
Data
Operator
1 year
Computer
course
07/06/2004
11 Years
Shivakumar G
First Division
Assistant
B Com
01/07/1990
25 Years
Mahalakshmi
Second
Division
Assistant
BBM
01/08/2012
2 Years
Narayan
Gowda
Laboratory
Technician
DMLT
01/06/1995
19 Years
Ramadasa
Labortory
Assistants
SSLC
01/07/2003
12 Years
Chandra
Shekar
Labortory
Assistants
BA
20/04/2005
10 Years
Nagesh M T
Labortory
Assistants
PUC
01/12/2003
12 Years
Prakash C R
Labortory
Assistants
SSLC
01/07/1998
17 Years
Prashanth K
Labortory
Assistants
SSLC
18/01/1999
16 Years
Signature
Remarks of
the
Inspectors
Sharadhamma
Peon
7th
09/06/2004
11 Years
Lokesh L
Gardener
7th
08/08/2005
10 Years
Bhagyamma
Cleaning
personnel
7th
25/03/2004
11 Years
Nagamma
Cleaning
personnel
SSLC
01/10/2003
11 Years
Sudha
Labortory
Assistants
PUC
01/04/2011
5 Years
Asma banu
Labortory
Assistants
PUC
24/12/2009
6 Years
Kumar B
Labortory
Assistants
PUC
29/08/2012
3 Years
Madhu B L
Librarian
M lib
10/09/2001
14 Years
Suresh N
Librarian
D Lib
27/11/1998
17 Y
Srinivasamurthy
NH
Peon
7TH
15/09/1993
22 Y
Ramaprasad V
First Division
Assistant
BA
16/10/1989
26
Devappa
Accountant
10th
28/07/1992
26
Sujatha S
Peon
7th
01/02/2013
2Y
Naveen B S
Accountant
SSLC
12/06/2014
3M
Jayanna
Labortory
Assistants
SSLC
01/06/2008
7Y
16. Whether Supporting Staff (Technical and Administrative) are
encouraged for skill up gradation programs.
Signature of the
Head of the
Institution
Yes
Signature of the Inspectors
PART V - DOCUMENTATION
Records Maintained (Essential)
Sl.
Records
No.
1
Admission Registers
Yes/No
Yes
2
Individual Service Register
Yes
3
Staff Attendance Registers
Yes
4
Sessional Marks Register
Yes
Remarks of the
Inspectors
No
5
Final Marks Register
Yes
6
Student Attendance Registers
Yes
7
Minutes of meetings-Teaching Staff
Yes
8
Fee Paid Registers
Yes
9
Acquittance Registers
Yes
10
Accession Register for books and Journals in Library
Yes
11
Yes
12
Log Book for chemicals and Equipment costing more
thanRupees one lakh
Job Cards for laboratories
13
Standrad operating Procedures (SOP's) for Equipment Yes
14
Laboratory Manuals
Yes
15
Stock Register for Equipment
Yes
16
Animal House Records as per CPCSEA
Yes
Signature of the
Head of the
Institution
Yes
Signature of the Inspectors
PART - VI
Financial Resource Allocation and Utilization for the past Three years(Audited
Accounts for previous year to be enclosed)
Remarks
Expenditure in
Expenditure in
Expenditure in
of the
Rs.2012-2013
Rs.2013-2014
Rs.2014-2015
Inspecto
rs*
Total
Total
Total
Non
Non
Non
budget Recurr
budget Recurr
budget Recurr
Recurr
Recurr
Recurr
sanctio
ing
sanctio
ing
sanctio
ing
ing
ing
ing
ned
ned
ned
250182 166000 841825 2556200 587995 163716 340000 234339 360000
50
00
0
0
8
0
00
96
0
Total amount spent on Chemical, Glassware, Equipments, Books and
Journals for the past Three Years(Enclose purchase invoice)
Total
Total
Total
Remarks
budge
budge
budge
Sanctio Incurr
Sanctio Incurr
Sanctio Incurr of the
t
t
t
ned
ed
ned
ed
ned
ed
Inspecto
allocat
allocat
allocat
rs*
ed
ed
ed
Chemicals 50000 63818 Chemical 37653 10118 Chemical 67622 6406
s
7
1
s
7
8
Glassware 400000 406
Glasswar 40000 6020 Glasswar 30000 13423
e
0
0
e
0
2
Equipme 300000 9451 Equipme 60573 24142 Equipme 50000 17058
nt
0
1
nt
3
6
nt
0
1
Books 300000 79346
Books 266549 38630
Books 300000 34223
Journals 100000 2435
Journals 200000 5326
Journals 200000 5130
*Last three years including this academic year till the date of the inspection
Signature of the
Head of the
Institution
Signature of the Inspectors
PART VII – EQUIPMENT AND APPARATUS
1 . Department wise List of Minimum equipments required for Pharm D & Pharm D
Post Baccalaureate
Department of Pharmacology
Equipments:
Sl.
No.
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
Name
Microscopes
Haemocytometer with Micropipettes
Sahli’s haemocytometer
Hutchinson’s spirometer
Spygmomanometer
Stethoscope
Permanent Slides for various tissues
Models for various organs
Specimen for various organs and systems
Skeleton and bones
Different Contraceptive Devices and Models
Muscle electrodes
Lucas moist chamber
Myographic lever
Stimulator
Centrifuge
Digital Balance
Physical /Chemical Balance
Sherrington’s Kymograph Machine or
Polyrite
Sherrington Drum
Perspex bath assembly (single unit)
Aerators
Computer with LCD
Software packages for experiment
Standard graphs of various drugs
Actophotometer
Rotarod
Pole climbing apparatus
Analgesiometer (Eddy’s hot plate and
radiant heat methods)
Convulsiometer
Plethysmograph
Digital pH meter
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
15
20
Yes
20
25
Yes
20
20
Yes
1
1
Yes
5
5
Yes
5
5
Yes
0
1
Yes
0
1
Yes
0
1
Yes
0
1
Yes
0
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
10
10
Yes
10
10
10
1
1
0
1
1
1
10
10
10
1
6
0
1
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
1
2
Yes
1
1
1
1
1
2
Yes
Yes
Yes
Appratus:
Sl.
No.
1 Folin-Wu tubes
Name
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
60
60
Yes
2 Dissection Tray and Boards
10
15
Yes
3 Haemostatic artery forceps
10
15
Yes
Hypodermic syringes and needles of size
4
10
10
Yes
15,24,26G
5 Levers, cannulae
20
20
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Department of Pharmaceutics
Equipments:
Sl.
No.
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
Name
Mechanical stirrers
Homogenizer
Digital balance
Microscopes
Stage and eye piece micrometers
Brookfield’s viscometer
Tray dryer
Ball mill
Sieve shaker with sieve set
Double cone blender
Propeller type mechanical agitator
Autoclave
Steam distillation still
Vacuum Pump
Standard sieves, sieve no. 8, 10, 12,22,24, 44,
66, 80
Tablet punching machine
Capsule filling machine
Ampoule washing machine
Ampoule filling and sealing machine
Tablet disintegration test apparatus IP
Tablet dissolution test apparatus IP
Monsanto’s hardness tester
Pfizer type hardness tester
Friability test apparatus
Clarity test apparatus
Ointment filling machine
Collapsible tube crimping machine
Tablet coating pan
Magnetic stirrer, 500ml and 1 liter capacity with
speed control
Digital pH meter
All purpose equipment with all accessories
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
10
10
Yes
5
5
Yes
5
6
Yes
5
5
Yes
5
5
Yes
1
1
Yes
1
1
Yes
1
2
Yes
1
1
Yes
1
2
Yes
5
5
Yes
1
1
Yes
1
1
Yes
1
1
Yes
0
10
Yes
1
1
1
1
1
1
1
1
1
1
1
1
1
3
1
1
1
1
1
2
1
1
1
1
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
0
5
Yes
1
1
1
1
Yes
Yes
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Aseptic Cabinet
BOD Incubator
Bottle washing Machine
Bottle Sealing Machine
Bulk Density Apparatus
Conical Percolator (glass/copper/ stainless
steel)
Capsule Counter
Energy meter
Hot Plate
Humidity Control Oven
Liquid Filling Machine
Mechanical stirrer with speed regulator
Precision Melting point Apparatus
Distillation Unit
1
2
1
1
2
1
2
1
1
2
Yes
Yes
Yes
Yes
Yes
10
10
Yes
2
2
2
1
1
2
1
1
2
2
2
1
1
2
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Appratus:
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
1 Ostwald’s viscometer
15
20
Yes
2 Stalagmometer
15
20
Yes
3 Desiccator
5
5
Yes
4 Suppository moulds
20
25
Yes
5 Buchner Funnels (Small, medium, large)
0
8
Yes
6 Filtration assembly
1
1
Yes
7 Permeability Cups
5
5
Yes
8 Andreason’s Pipette
3
3
Yes
9 Lipstick moulds
10
10
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Sl.
No.
Name
Department of Pharmaceutical Chemistry
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
Name
Hot plates
Oven
Refrigerator
Analytical Balances for demonstration
Digital balance 10mg sensitivity
Digital Balance (1mg sensitivity)
Suction pumps
Muffle Furnace
Mechanical Stirrers
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
5
5
Yes
3
3
Yes
1
1
Yes
5
5
Yes
10
10
Yes
1
1
Yes
6
6
Yes
1
1
Yes
10
10
Yes
10
11
12
13
Magnetic Stirrers with Thermostat
Vacuum Pump
Digital pH meter
Microwave Oven
10
1
1
2
10
1
1
2
Yes
Yes
Yes
Yes
Appratus:
Sl.
No.
Name
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
2
2
Yes
20
20
Yes
1 Distillation Unit
2 Reflux flask and condenser single necked
Reflux flask and condenser double/ triple
3
20
20
Yes
necked
4 Burettes
40
40
Yes
5 Arsenic Limit Test Apparatus
20
20
Yes
6 Nesslers Cylinders
40
40
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Central Instrumentation Room
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Name
Colorimeter
Digital pH meter
UV- Visible Spectrophotometer
Flourimeter
Digital Balance (1mg sensitivity)
Nephelo Turbidity meter
Flame Photometer
Potentiometer
Conductivity meter
Fourier Transform Infra Red Spectrometer
(Desirable)
HPLC
HPTLC (Desirable)
Atomic Absorption and Emission
spectrophotometer (Desirable)
Biochemistry Analyzer (Desirable)
Carbon, Hydrogen, Nitrogen Analyzer
(Desirable)
Deep Freezer (Desirable)
Ion- Exchanger
Lyophilizer (Desirable)
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
1
1
Yes
1
1
Yes
1
2
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
1
1
Yes
No
1
1
No
1
1
Yes
1
1
Yes
1
1
1
1
1
1
Yes
Yes
No
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Department of Pharmaceutical Biotechnology
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Name
Orbital shaker incubator
Lyophilizer (Desirable)
Gel Electrophoresis (Vertical and Horizontal)
Phase contrast/Trinocular Microscope
Refrigerated Centrifuge
Fermenters of different capacity (Desirable)
Tissue culture station
Laminar airflow unit
Diagnostic kits to identify infectious agents
Rheometer
Viscometer
Micropipettes (single and multi channeled)
Sonicator
Respinometer
BOD Incubator
Paper Electrophoresis Unit
Micro Centrifuge
Incubator water bath
Autoclave
Refrigerator
Filtration Assembly
Digital pH meter
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
0
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
1
1
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Department of Pharmacy Practice
Equipments:
Sl.
No.
Name
1 Colorimeter
2 Microscope
Permanent slides (skin, kidney, pancreas,
3
smooth muscle, liver etc.,)
4 Watch glass
5 Centrifuge
6 Biochemical reagents for analysis of normal
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
2
2
Yes
0
0
Yes
0
0
Yes
0
1
0
0
1
0
Yes
Yes
Yes
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
and pathological constituents in urine and
blood facilities
Filtration equipment
Filling Machine
Sealing Machine
Autoclave sterilizer
Membrane filter
Sintered glass funnel with complete filtering
assemble
Small disposable membrane filter for IV
admixture filtration
Laminar air flow bench
Vacuum pump
Oven
Surgical dressing
Incubator
PH meter
Disintegration test apparatus
Hardness tester
Centrifuge
Magnetic stirrer
Thermostatic bath
2
1
1
1
0
2
1
1
1
1
Yes
Yes
Yes
Yes
Yes
0
0
Yes
0
0
Yes
1
1
1
0
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Department of Pharmacognosy
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Name
Microscope with stage micrometer
Digital Balance
Autoclave
Hot air oven
B.O.D.incubator
Refrigerator
Laminar air flow
Colony counter
Zone reader
Digital pH meter
Microscope with stage and oil immersion
objective
Sterility testing unit
Camera Lucida
Eye piece micrometer
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
15
15
Yes
2
2
Yes
2
2
Yes
2
2
Yes
1
1
Yes
1
1
Yes
1
1
Yes
2
2
Yes
1
1
Yes
1
1
Yes
20
20
Yes
1
15
15
1
15
15
Yes
Yes
Yes
15
16
17
18
19
20
21
22
23
Stage micrometer
Incinerator
Moisture balance
Heating mantle
Flourimeter
Vacuum pump
Micropipettes (Single and multi channeled)
Micro Centrifuge
Projection Microscope
20
1
1
15
1
2
2
1
1
20
1
1
15
1
2
2
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Appratus:
Minimum
Available
Remarks of the
required
Working
Nos.
Inspectors
Nos.
1 Reflux flask with condenser
20
20
Yes
2 Water bath
20
20
Yes
3 Clavengers apparatus
10
10
Yes
4 Soxhlet apparatus
10
10
Yes
5 TLC chamber and sprayer
10
10
Yes
6 Distillation unit
1
1
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each
laboratory and department.
Sl.
No.
Name
2. Hospital Requirements for running Pharm D or Pharm.D. and Pharm.D. (Post Baccalaureate)
courses
Hospital Details
S.No.
1
Name/
Infrastructure
Hospital* with
teaching facility
Minimum 300 bedded
Hospital
Minimum required Nos.
Remarks of
Provided the
Inspectors
Nature of Hospital
- Own
- Teaching hospital recognised
by MCI or University
- Govt. Hospital not below the
level of district Hospital
- Corporate Hospital
2
Place for Pharmacy
Minimum carpet area of 3
YES
Practice Department + sq.mts. per student along with
consent to provide the
professional manpower to
support the programme.
3
Available specialties
++
Medicine (Compulsory)
(Any three of the following)
Surgery
Pediatrics
Gynecology and Obstetrics
Psychiatry
Skin and VD
Orthopedics
4
Location of the
Hospital Give details.
Within the same limits of
YES
Corporation or Municipality or
Campus with Medical Faculty
involvement as adjunct faculty
* Approval letter of the Hospital Authority to be annexed alongwith MOU. +
Inspectors are required to personally verify the space provided at the hospital
and meet the hospital administrators for interaction. ++ to be certified by the
Dean/Director/Medical Supdt. of the hospital.
3. Unit Wise Medical Staff
Unit
Bed Strength
Natur
S.
Date
Designat
e of
N Name
of
ion
emplo
o.
Birth
yment
1
Prof
HOD
Asso
2 Profes
sor
Asso
3 Profes
sor
4
Profes
sor
Assoc
5 Profes
sor
Profes
6
sor
UG/PG QUALIFICATION
Experience Date wise
teaching/Professional
experience with designation &
Institution
Yea
r Of
Subject
Univer Desig
Pas Institution
Institution From To
s
sity nation
sin
g
MYSO
Dr
01/01 Full MEDICI 198 GULBARG RE
Prof GULBARG 30/10 31/08
Jagannat
/1971 Time
NE
7
A
UNIVE HOD
A
/2004 /2010
h
RSITY
Dr
Asso
Nagendr 28/10 Full
197
01/02 31/10
Surgery
MMC
Mysore Profes
MMC
amurthy /1944 Time
5
/2007 /2009
sor
M
Dr
Asso
10/04 Full Medicin 198
01/06 10/04
Shivanna
MMC
Mysore Profes
MMC
/1945 Time
e
6
/2008 /2010
M
sor
Dr S
28/04 Full
198
Profes
16/07 30/04
Linge
Surgery
xyz
Mysore
xyz
/1951 Time
0
sor
/1997 /2011
gowda
Dr
Assoc
01/03 Full Medicin 197
Karnat
04/07 31/12
Vimala
xyz
Profes
xyz
/1947 Time
e
4
aka
/2005 /2009
Iyengar
sor
Dr Gopal 02/08 Full
198
BMC
Bangal Profes
BMC
01/01 03/06
ORTHO
Krishna /1947 Time
0 Bangalore ore
sor Bangalore /2007 /2011
Pe
rio
d
21
31
10
03
67
8
50
36
16
41
16
14
G
MYSO
Dr
Prof
01/01 Full MEDICI 198 GULBARG RE
Prof
7
Jagannat
HOD
/1971 Time
NE
7
A
UNIVE HOD
h
RSITY
MYSO
PROF
Dr
PROF
01/01 Full MEDICI 200
RE
8 ESSO SHASHI
RGUHS
ESSO
/1994 Time
NE
1
UNIVE
R
KANTH
R
RSITY
Dr.
Asso
01/02 Full Medicin 200
AIMS
RGUH Asso
9
Madhura
Prof
/1973 Time
e
5 BGNagara
S
Prof
T.L
Kuvem
Prof
Dr.
J.J.M.M.C,
Prof
10/06 Full Medicin 199
pu
10 and M.E.Moh
Davanager
and
/1964 Time
e
3
Univer
HOD
an
e
HOD
sity
Dr.
S.M.S. Rajast
Asso. Venugop 10/07 Full Medicin 199 Medical
han Asso.
11
Prof alkrishna /1971 Time
e
8
College, Univer Prof
KS
Jaipur
sity
Asso. Dr. Ravi 09/01 Full Medicin 200 K.I.M.S, RGUH Asso.
12
Prof
B.N /1972 Time
e
4 Bangalore
S
Prof
Gulbar
Profes
Dr.
Profes
10/01 Full Medicin 198 V.I.M.S,
ga
13 sor & Jaganath
sor &
/1950 Time
e
7
Bellary Univer
HOD a Karnalli
HOD
sity
Dr.
Profes
16/02 Full Medicin 200
AIMS
RGUH Profes
14
Shashika
sor
/1966 Time
e
1 BGNagara
S
sor
ntha
Dr.
Asst.P
30/06 Full Medicin 199 M.M.C,
Asst.P
15
Rangasw
Mysore
rof
/1949 Time
e
5
Mysore
rof
amy S
Dr.
Asst.P
11/10 Full Medicin 200 J.S.S.M.C, RGUH Asst.P
16
Krishna
rof
/1979 Time
e
6
Mysore
S
rof
Murthy
Dr.
B.R.A
Dr.
S.N.Medic mbedk
Asst.P
21/07 Full Medicin 200
Asst.P
17
Somashe
alCollege,
ar
rof
/1978 Time
e
9
rof
kar C.M
Agra
Univer
sity,
Agra
Dr.
Bangalore
Profes Rangaie 26/02 Full
198 Medical Bangal Profes
18
Surgery
sor
ngar /1946 Time
1
College,
ore
sor
Srinath
Bangalore
GULBARG 30/10 31/08 21
A
/2004 /2010 31
RGUHS
01/07 30/06 14
/2006 /2010 60
AIMS
01/08 15/08 18
BGNagara /2005 /2010 40
J.J.M.M.C,
18/04 28/10 12
Davanager
/2007 /2010 89
e
S.M.S.
Medical
College,
Jaipur
K.I.M.S,
Bangalore
08/05 30/03 10
/2003 /2006 57
31/03 30/06 15
/2006 /2010 52
V.I.M.S, 01/02 31/08 94
Bellary /2008 /2010 2
AIMS
01/07 30/06 14
BGNagara /2006 /2010 60
M.M.C,
Mysore
09/07 11/05 67
/2007 /2009 2
J.S.S.M.C, 01/01 30/12 36
Mysore /2007 /2007 3
S.N.Medic
25/07 02/06 31
alCollege,
/2009 /2010 2
Agra
Bangalore
Medical 15/03 28/07 23
College, /2004 /2010 26
Bangalore
19
20
21
22
23
24
25
26
27
28
29
30
31
Adichunch
Adichunch
anagiri
anagiri
Dr.
Institute of
Institute of
Asso.
20/08 Full
200
RGUH Asso.
01/08 30/11
Abinash
Surgery
Medical
Medical
Prof
/1972 Time
4
S
Prof
/2005 /2009
Hazarika
Sciences,
Sciences,
B.G.Nagar
B.G.Nagar
a
a
Dr. G.
Profes Lakshmi 18/05 Full
199
Bangal Profes
14/02 30/04
Surgery
Bangalore
Bangalore
sor Narayan /1963 Time
3
ore
sor
/2002 /2004
a
Dr.
Asso. Channab 25/04 Full Paediatr 199 JJMMC,Da Kuvem Asso. JJMMC,Da 02/11 30/12
Prof asavann /1963 Time
ics
6 vanagere
pu
Prof vanagere /2006 /2009
aN
Profes
J.J.M.
Profes
J.J.M.
Dr.
sor
Medical
sor
Medical
S.B.Vasa 06/07 Full
198
16/11 31/07
and
Surgery
College, Mysore and
College,
nth
/1950 Time
5
/2006 /2008
Med
Davanager
Med Davanager
Kumar
Suptd
e
Suptd
e
Dr.
Profes
20/07 Full Paediatr 199
KIMS, Bangal Profes
KIMS, 01/09 01/07
Venkatak
sor
/1962 Time
ics
7
B'lore
ore
sor
B'lore /2003 /2007
urthy M
Asst.P Dr. K.S 22/07 Full Paediatr 200
KIMS,
RGUH Asst.P
KIMS, 01/12 01/04
rof Narendra /1977 Time
ics
6
B'lore
S
rof
B'lore /2006 /2008
PROF.
Dr.
PROF.
08/06 Full
198
MYSO
01/01 30/12
&
GUNNAI
ORTHO
MMC
&
MMC
/1949 Time
8
RE
/2000 /2007
HOD AH K.G
HOD
ASSO.
ASSO.
DR.
PROF
04/05 Full
198
MYSO PROF
01/10 31/08
GOPAY
ORTHO
MMC
MMC
ESSO
/1949 Time
5
RE ESSO
/2007 /2008
NAIK V
R
R
PROF
Dr.
PROF
12/05 Full
199
calcutt
01/01 30/12
ESSO NATESH
ORTHO
Calcutta
ESSO Calcutta
/1966 Time
6
a
/2001 /2004
R
J.
R
Bangalore
Bangalore
Dr.
Asso
04/09 Full
200 Medical Bangal Asso
Medical 14/06 31/08
Mahesha
Surgery
Prof
/1971 Time
1
College,
ore
Prof
College, /2007 /2010
S.G
Bangalore
Bangalore
NTR
Dr.
Univer
S.M.Laks
Asst.P
23/08 Full
200
sity of Asst.P
01/07 31/12
hmi
Surgery
xyz
xyz
rof
/1974 Time
8
Health rof
/2004 /2004
Prakash
Scince
Babu
s
Dr.
Dr.
Dr.
B.R.Ambed
B.R.Ambed
Prof &
06/05 Full Paediatr 199
Bangal Prof &
31/12 01/09
Shivapra
kar Medical
kar Medical
HOD
/1963 Time
ics
8
ore
HOD
/2004 /2007
kash N.C
College,Ba
College,Ba
ngalore
ngalore
Asst
Dr
RGUH Asst
09/04 Full
200
15/09 28/09
Profes Sachin
Surgery
MMC
S
Profes
MMC
/1980 Time
9
/2009 /2011
sor Dharwad
Bangal sor
15
82
80
6
11
54
62
3
13
99
48
7
29
20
33
5
14
59
11
74
18
3
97
4
74
3
kar
Asso Dr C S
21/07
32 Profes Hanuma
/1963
sor
ntaiah
Dr
Asst
Avijeet 07/08
33 Profes
Mukherje /1982
sor
e
Dr
Asst
Prakash 06/09
34 Profes
Chinnan /1980
sor
navar
Asst
Dr
26/01
35 Profes
Laliltha R /1976
sor
Profes
Dr S
sor
28/11
36
Vijayalak
and
/1948
shmi
HOD
37
38
39
40
41
42
43
44
45
46
ore
Asso
Gulbar
09/04 31/05
Profes KNMC
ga
/1997 /2002
sor
Adichunan RGUH
Adichunan
Asst
Full
200 agiri Inst of
S
agiri Inst of 02/12 30/09
Surgery
Profes
Time
8
Medical Bangal
Medical /2008 /2011
sor
Sciences
ore
Sciences
Full
199
Surgery
Time
2
KNMC
Full
200
Surgery
PT JNMM
Time
9
Full Medicin 200
Time
e
6
SDUMC
Kolar
GYNAE
Full
198
COLOG
Time
1
Y
MMC
18
78
10
32
Asst
Pt.R.
31/08 30/08 72
Profes PT JNMM
Univ.
/2009 /2011 9
sor
Asst
Profes
sor
Profes
sor
Mysore
and
HOD
xyz
SDUMC 01/08 05/06 10
Kolar
/2007 /2010 39
MMC
01/03 30/09 13
/1999 /2002 09
GYNAE
Dr N 02/03 Full
198
Bangal Profes
16/06 26/03 17
COLOG
xyz
xyz
Gopal /1947 Time
5
ore
sor
/2000 /2005 44
Y
Dr
GYNAE
Profes Sunanda 28/01 Full
197
KIMS
Karnat Profes
KIMS
06/02 22/08 56
COLOG
sor
R
/1948 Time
7
HUBLI
aka
sor
HUBLI /2006 /2007 2
Y1
Kulkarni
Asso
Dr
GYNAE
Asso
05/03 Full
200 MRMC RGUH
MRMC 02/12 26/09 13
Profes Ramesh
COLOG
Profes
/1972 Time
0 Gulbarge
S
Gulbarge /2006 /2010 94
sor
Babu S
Y
sor
Asso
Dr
GYNAE
Asso
06/11 Full
200
Pondic
26/08 26/09 39
Profes Prashant
COLOG
JIPMER
Profes JIPMER
/1976 Time
4
herry
/2009 /2010 6
sor h S Joshi
Y
sor
Asst
GYNAE
Asst
Dr Rekha 21/04 Full
200
RGUH
19/06 15/01 21
Profes
COLOG
BMC
Profes
BMC
R
/1981 Time
9
S
/2009 /2010 0
sor
Y
sor
Asst
GYNAE
Asst
Dr Shilpa 20/05 Full
200
BMC,
RGUH
BMC, 19/06 15/01 21
Profes
COLOG
Profes
Shivanna /1975 Time
9
B.lore
S
B.lore /2009 /2010 0
sor
Y
sor
Asso
Dr
Asso
23/09 Full
200
BMC
RGUH
BMC
30/12 17/04 10
Profes Manjapp
ORTHO
Profes
/1974 Time
3 Bangalore
S
Bangalore /2009 /2010 8
sor
aCN
sor
Dr
Profes Mahiman 16/08 Full
197
Profes
01/03 31/05 15
Surgery
MMC
Mysore
MMC
sor jan Singh /1947 Time
6
sor
/2001 /2005 52
SR
Asst
Asst
Dr Nitin 28/03 Full
201
KIMS
RGUH
KIMS
14/06 30/06 38
Profes
Surgery
Profes
Kumar /1982 Time
0
HUBLI
S
HUBLI /2010 /2011 1
sor
sor
Asst
Asst
Dr
27/05 Full Medicin 201
Gujarat
06/03 30/03 38
Profes
SNNLMMC
Profes SNNLMMC
Shruthi B /1981 Time
e
0
h
/2006 /2007 9
sor
sor
Profes
sor
Other Ancillary staff available
Epidemiologist
Y
Statistician
Y
Physiotherapies
Y
Available Clinical Material
Average daily OPD
750
Average daily IPD
60
Average daily bed occupancy rate
600
Average daily operations
Major
10
Minor
18
Year-wise available clinical
materials (during previous three
years)
Y
Intensive Care facilities
ICU
No. of beds
10
Equipment
Enclosed
Average bed occupancy
10
II. ICCU
No. of beds
10
Equipment
Enclosed
Average bed occupancy
08
III. NICU
No. of beds
16
Equipment
Enclosed
Average bed occupancy
10
IV. PICU
No. of beds
5
Equipment
Enclosed
Average bed occupancy
4
V. Dialysis
No. of beds
3
Equipment
Enclosed
Average bed occupancy
2,3
Specialty clinics and services being provided by the department
2,3
Details for Pharm.D. student and faculty.
A.Accomodation
Faculty
Pharmacy Practice Area
Area in Sq.mtr
Dispensary
Drug Information Centre
Computer/Internet facility
B.Library-Departmental Library standard text and references Indexing and
Abstracting services for DI services should be included as separate
annexure. C.Pharmacy Practice staff details at the hospitalName
Qualification
Signature of Faculty
Signature of the Head of the Institution
Signature of the Inspectors
STANDARD INSPECTION FORM(Pharm.D)TEACHING PROGRAMME/INTERNSHIP
PROGRAMME
1.Prescibed mode of admission to Scheduled PharmD Course.2.Academic Activities please mention the
frequency with which each activity is held.









Case presentation.
Journal Club.
Seminar.
Subject Review.
ADR meeting.
Lectures(separately held for Pharm.D students)
Guest lectures.
Video film.
Others.
3.Log book of Pharm.D.students:
4.Whether Pharm.D. students participate in beside counselling or not? :
Summary Of Inspection report-(check list) to be completed by the Inspector.
Date of inspection:Name of Inspector:Name of theinstitution
Name and other particulars of Intitution(Principal/Head)
Qualification detail.
1
Experience:Adequate/Inadequate
Age
Name of theinstitution
2.
Name and other particulars of Intitution(Principal/Head)
Qualification detail.
Experience:Adequate/Inadequate
Age
Date of last insoection of the institution :
3
4
Number of admission at B.Pharm.
Staff position for B.Pharm.
Other deficiency,if any
Sufficient/Insufficient
Yes
Total Teachers in the Pharmacy Practice Department (with requisite qualifications &
Experience)
Designation
Number
Name
Toatal Experience
Professors
Asst.Profeesors
Lecturers
- All teachers should be physically identified.- Detailed proforma (with photograph affixed) in
respect of every teacher must be obtained signed by the concerned teacher,HPD and Head of
institution.- To ensure that staff is full time, paid and not working in any other institution
simultaneously.
5
Requisite important information of the Hospital
Number
Teaching complement in each Dept.
Full\Partial
Total number of beds Dept.wise
Instruments and other expected facilities
Adequate\Inadequate
Bed side teaching
Yes\No
Laboratory Technician
Number and Names
Department Research Laboratory
Departmental Library - Books\Journals
Central Library - Books\Journals pertaining to the
department.
6
Space for Pharmacy Practice Department at the Hospital
Adequate\Inadequate
Indoor wards(units/Department ) & OPD space
Adequate\Inadequate
Offices for Faculty members
Adequate\Inadequate
Class Rooms and seminar rooms
Adequate\Inadequate
Dept.Library in the hospital supporting Drug Information
Services
Adequate\Inadequate
7
Clinical Material
8
No of publications from the department during 3
years
9
Standard of Examination
10
Year-wise number of
Pharm.Dstudents admitted
and availablestaff during the
last 5 years
Satisfactory/Not Satisfactory
Year
No. of Pharm.Dstudents
admitted
No. of staff available
2008
2009
2010
2011
2012
11 Other relevant facilities in the Institution
12.
Specific remarks if any by the Inspector: (No recommendations regarding
permission/recognitionbe made) Give factual position only).text
Compliance of deficiencies reflected in last Inspection ReportLabel
Specific observations if not rectifiedLabel
Observations of the Inspector:
Signature of Inspectors:
1.
2.
Note:1.The Inspection Team is instructed to physically verify the details and records filled up
by the college in the application form subitted by the college, which is with you now and
record the observations,opinions and recommendations in clear and explicit terms.2. The team
is requested to record their comments only after physical verification of records and details.
Signature of the Head of the Institution
Signature of the Inspectors