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INSTRUCTIONS

Please read these instruction before filling the Proforma.


1

The Proforma and enclosures thereof must be properly indexed and numbered. Further indexing and
numbering must be mentioned in the index forming part of Proforma.

The Proforma and enclosures thereof must be submitted in two hard copies and one soft copy in Excel-2003
format.

Do not change the format except where specified.

Both the set of Proforma submitted with AFRC Office should be sealed and signed in original by the concerned
management office bearers.

Only Statutory Auditor should sign the Auditors Certificate in Part-B of Proforma of both sets in original and
on all the pages of Proforma and Annexures forming part of it including index with Auditor's Report in
specified format without any supression of facts or contradictions. If Audit Report is not furnished in the
specified format then the accompanying accounts will be treated as un-audited.

Submit separate audit report for each course and Institution clearly identifying the shared infrastructure and
resources instead of submitting consolidated audit report of all the courses or Institutions.

Last date of furnishing proforma containing data upto 31.12.2012 is 28.02.2013 and thereafter last date of
furnishing Audited Balance Sheet with updated Proforma containing data upto 31.03.2013 along with
required documents is 30.04.2013.

INDEX
S. Relevant Item No. of
No.
Proforma

Documents/Information Required
Whether
enclosed
(Yes/No)

Item No.1 of Part A

DD of Processing Fees

Summary Sheet

Details as per summary sheet

Item No.4 of Part A

Certificate of Incorporation of the


Trust/Society

Item No.6 of Part A

List of Trustees

Item No.11 of Part A

Copy of PAN of Trust/Society

Item No.12 of Part A

Copy of TAN of Trust/Society

Item No.13 of Part A

Copy of Audited Final Accounts and Auditors


Report of F.Y. 2010-11 and 2011-12 of
Trust/Society

Item No.13 of Part A

Copy of Complete Income Tax Return (i.e.


all pages of Income Tax Return along with
acknowledgement) for the A.Y. 2011-12 and
2012-13 of Trust/Society

Item No. 11 of Part B Copy of sanction letter of Regulatory Body

10 Item No. 23 of Part B Must enclose a copy of last inspection report


of Regulatory Authority in respect of renewal
of recognition of course
11

Item No. 24 of Part B Must enclose a copy of latest order in


relation to Income Tax matter of
Trust/Society

12 Item No. 25 of Part B Copy of Accreditation Certificate

13 Item No. 26 of Part B Copy of letter from Regulatory Body


regarding zero year
14 Item No. 27 of Part B Copy of letter from Regulatory Body
regarding discontinuation of course
15 Item No. 28 of Part B Salary and Staff Details as per Annexure-I
16 Item No. 28 of Part B Salary and Staff Details as per Annexure-II
for the period April-2012 to Dec. 2012
17 Item No. 28 of Part B Salary and Staff Details as per Annexure-III
18 Item No. 39 of Part B Audited Final Acoounts of Course for the
F.Y. 2010-11 & 2011-12 and for the period
01.04.2012 to 31.12.2012
19 Item No. 41(i) of Part Working and basis of apportionment of
B
common expenses

Chapter
Name

From
Page No.
to Page
No.
N.A.

For AFRC Office


Use (Remarks)

20 Item No. 41(ii) of Part Interest detail as per Annexure-IVA and IVB
B
21 Item No. 41(ii) of Part Copy of Loan sanction letter
B
22 Item No. 41(ii) of Part Working and basis of apportionment of loan
B
and interest amount amongst different
Institution/Courses under one
Society/Instituion
23 Item No. 41(v)(b) of
Part B

Either Audited Income & Expenditure of


Hostel Accounts or detail as per Annexure V

24 Item No. 41(vi)(b) of


Part B

Either Audited Income & Expenditure of


Mess Accounts or detail as per Annexure - V

25 Item No. 41(vii)(c) of


Part B

Either Audited Income & Expenditure of


Transportation Accounts or detail as per
Annexure - V

26 Item No. 41(viii)(b) of Either Audited Income & Expenditure of


Part B
Training & Placement Accounts or detail as
per Annexure - V
27 Item No. 41(ix) of
Part B

Either Audited Income & Expenditure of


Hospital/OPD/Clinic etc. Accounts or detail
as per Annexure - V

28 Item No. 41(x) of Part Either Audited Income & Expenditure of


B
Uniform Accounts or detail as per Annexure
-V
29 Item No. 41(xi) of
Part B

Audited Income & Expenditure of University


accounts if maintained separately or detail
as per Annexure - V

30 Item No. 41(xv) of


Part B

Either Audited Income & Expenditure of


Growth & Development Fund if maintained
separately or reasons for not maintaining
separate accounts.

31 Item No.42 of Part B

Fixed Assets schedule prepared as per


Annexure - VI.

32 Item No. 45 of Part B Copy of DPR submitted to Regulatory


Authority.
33 Item No. 47 of Part B Justification for fees proposed

Summary Sheet
Summary information on( Course ) Of..
(Institute )
1
2

Name of the Trust / Society


Name of the College / Institute
Address ( with Pincode)
Telephone No. (with STD code)
Fax No. (with STD code)
E-Mail ID
Website
Name of the Course
Specify whether UG/ PG or Diploma Course
Duration of the course
Sanctioned Intake capacity for first year of the course
for the years mentioned herein-against (As approved by
regulatory authority) Other then students admitted
under Government Fees Waiver Scheme

2012-13

2011-12

2010-11

2009-10

2008-09

2008-09

Actual number of students admitted in first year of the


course during the years mentioned herein against
(Other then students admitted under Government Fees
Waiver Scheme)

2012-13

2011-12

2010-11

2009-10

Sanctioned Intake capacity of students to be admitted


2012-13
under Government Fees Waiver Scheme for first year of
the course for the years mentioned herein-against (As
approved by regulatory authority)

2011-12

2010-11

2009-10

Actual number of students admitted under Government


Fees Waiver Scheme in first year of the course during
the years mentioned herein against

2011-12

2010-11

2009-10

Present Fess Structure of the Institute for the course for


Academic Years mentioned herein against

2013-14

2014-15

2015-16

Fees proposed by the Institution for the course for


Academic Years mentioned herein against

2013-14

2014-15

2015-16

- For open seats


- For NRI Seats
- For Institution Preference Seats
10 Total Income of the Institue from the course for the
period 01.04.2012 to 31.03.2012
11

Total Expenditure of the Institue from the course for the


period 01.04.2012 to 31.03.2012

2012-13

For AFRC Office use only


AFRC File No.

Details of Processing Fees

Name of the Trust/Society

FORM - A (In two copies)


Proforma for Information of the Society
DD No.

Date

Amount

Address (with pin code)


Telephone No. (with STD code)
3

Fax No. (with STD code)


E-mail ID
Website

Registration No. of the Trust/Society

Year of Establishment of the Trust

Name of the Trutees

Name of the Chairman along with his mobile number

Name of the Secretary along with his mobile number

Name of all the educational Institutions established/


funded/ operated by the Trust/ Society and courses
conducted by such Institutions for which fess is to be
determined by AFRC

10 Name of all the educational Institutions established/


funded/ operated by the Trust/ Society and courses
conducted by such Institutions for which fess is not
determined by AFRC

Registration No.
(Enclose copy of certificate of incorporation of the Trust/Society)
Enclose list with address along with mobile numbers

S.No.

Name of Institute

Courses
1
2

S.No.

Name of Institute

S.No.

Name of Institute

S.No.

Name of Institute

Courses
1
2
Courses
1
2
Courses
1
2

S.No.

Name of Institute

Courses
1
2

S.No.

Name of Institute

Courses
1
2

11

PAN of Trust/Soeicty

PAN No.

(Enclose copy of PAN No. of Trust/Society

12 TAN of Trust/Soeicty

TAN No.

(Enclose copy of TAN No. of Trust/Society

13 Annual financial report of Trust/Society for F.Y. 2010-11 Attach certified audited copy along with auditor's report of final
and 2011-12 along with the copy of complete Income
accounts and copy of complete Income Tax Return of F.Y. 2010-11
Tax Return of F.Y. 2010-11 and 2011-12
and 2011-12.
Verification

I,_____________ (full name in block letters), son/daughter of _____________ solemnly declare that to the best of my knowledge,
the information given in this Proforma and statements accompanying is correct and complete. I further declare that I am submitting
this Proforma in my capacity as ___________and I am competent to submit and verify the same.

Signature
(Chairman/Secretary)

Place:
Date:

Form - B (In two copies)


Proforma for information on( Course ) Of..
(Institute )
1

Name of the Trust / Society

Name of the College / Institute


Address ( with Pincode)
Telephone No. (with STD code)
Fax No. (with STD code)
E-Mail ID
Website

Name of the Course


Specify whether UG/ PG or Diploma Course
Duration of the course

Name of the Director/ Principal of the College/Institute


with mobile number

Name of the University to which this course is affiliated

Notices issued by the AFRC for the academic years


mentioned herein-against for complain redressal

Number of notices issued by AFRC

ii

Number of notices replied by the Institution

iii

Number of notices resolved

iv

Number of notices pending

Number of following nature of notices issued by the


AFRC for the academic years mentioned herein-against

Non-refund of fees to students

ii

Excess fees charged from students

iii

Denial to return documents to students

iv

Making optional services (e.g. transportation, T&P,


Hostel, Mess, etc.) as compulsory

Others (Please specify)

2012-13

2011-12

2010-11

2012-13

2011-12

2010-11

Total [(must match with 6(i)]


8

Whether students grievance cell exists in the Institution

No. of complaints received by the Cell during 2011-12

ii

No. of complaints resolved by the Cell during 2011-12

Whether students council exists in the Institution

10 Whether like government Institution represntative of


parent appointed in the governing board of Institution.

Yes/No (If Yes, furnish the following details) Further also submit
name of the chairman with telephone no. and address.

Yes/No (If Yes, furnish the name, address and qualification all the
students council members. If No, provide the reason for nonexeistence of same)
Yes/No (If Yes, furnish the name and address of said of parent
represntative in governing board members. If No, provide the
reason for non-appointment of same)

11

Sanctioned Intake capacity for first year of the course


for the years mentioned herein-against (As approved by
regulatory authority) Other then students admitted
under Government Fees Waiver Scheme

2012-13

2011-12

2010-11

2009-10

2008-09

(Enclose copy of latest sanction letter also)


12 Actual number of students admitted in first year of the
course during the years mentioned herein against
(Other then students admitted under Government Fees
Waiver Scheme)

2012-13

2011-12

2010-11

2009-10

2008-09

2012-13

2011-12

2010-11

2009-10

2008-09

14 Sanctioned Intake capacity of students to be admitted


2012-13
under Government Fees Waiver Scheme for first year of
the course for the years mentioned herein-against (As
approved by regulatory authority)

2011-12

2010-11

2009-10

15 Actual number of students admitted under Government


Fees Waiver Scheme in first year of the course during
the years mentioned herein against

2012-13

2011-12

2010-11

2009-10

2012-13

2011-12

2010-11

2009-10

2008-09

2012-13

2011-12

2010-11

2009-10

2008-09

- Boys
- Girls
- Total
13 Furnish the details of actual number of students
admitted in first year of the course during the years
mentioned herein against (as submitted in Item No. 12
above)
i

ii

Student admitted under Institutional Preference seats


- Boys
- Girls
Student admitted under NRI seats
- Boys
- Girls

iii
a

Others:
SC/ST Students Admitted
- Boys
- Girls
OBC Studetns Admitted
- Boys
- Girls

Other Gerenral Studetns Admitted


- Boys
- Girls
Total (must match with actual number of students
admitted mentioned at point no. 12 above)

16 Furnish number of students admitted for the years


mentioned herein-against
i
ii

Through Entrance examination (like PET, PMT, etc.)


On the basis of qualifying examination:
- By the Counselling Authority through centralised
counselling
- By Institution itself at College level counselling
Total (must match with actual number of students
admitted mentioned at point no. 12+15 above)

17 Sanctioned Intake capacity of lateral entry of students


for second year of the course for the years mentioned
herein-against (As approved by regulatory authority)

17 Sanctioned Intake capacity of lateral entry of students


for second year of the course for the years mentioned
herein-against (As approved by regulatory authority)
18 Actual number of lateral entry students admitted in
second year of the course during the years mentioned
herein against

2012-13

2011-12

2010-11

2009-10

2008-09

IVth Year

Vth Year

IVth Year

Vth Year

IVth Year

Vth Year

19 Regular Students studying as per under mentioned table


Academic Total No. of regular
Year
Students studying the
course during the
repective year

Studying in
Ist Year

IInd Year

IIIrd Year

2008-09
2009-10
2010-11
2011-12
2012-13
20 Drop-out Students (who have taken TC from the Institution) as per under mentioned table
Academic Total No. of drop-out
Year
Students studying the
course during the
repective year

Drop-out during
Ist Year

IInd Year

IIIrd Year

2010-11
- SC
- ST
- OBC
- Others
Total
2011-12
- SC
- ST
- OBC
- Others
Total
2012-13
- SC
- ST
- OBC
- Others
Total
21 Ex Students appearing in examination
Academic
Total No. of Ex
Year
Students studying the
course during the
Ist Year
respective F.Y.
2010-11
- SC
- ST
- OBC
- Others
Total
2011-12

Appearing in
IInd Year

IIIrd Year

- SC
- ST
- OBC
- Others
Total
2012-13
- SC
- ST
- OBC
- Others
Total
22 Date and year of initial recognition of course by
Regulatory Authority
23 Date of renewal of recognition of course by Regulatory
Authority for 2012-13

(Must enclose a copy of last inspection report of


Regulatory Authority).

24 Whether there is any pending issue related to Income


Tax before any Authority (like AO or any Appelate
Authority) of Trust/Society. If yes, give details thereof.

(Also enclose a copy of latest order of said issue)

25 Whether Institution is having:


- Accreditation from NBA or such other Accreditation
26 Whether any year during 2008-09 to 2012-13 has been
awarded as zero year by Regulatory Authority

Yes/No (If Yes, Enclose relevant letter from Regulatory


Authority)

27 Whether Institution has applied for discontinuance of


course

Yes/No (If Yes, Enclose relevant letter from Regulatory


Authority)

28 Salary and Staff Details


29 Teaching Staff

Yes/No(If Yes, enclose a copy of the certificate)

Enclose details as per Annexure-I, Annexure-II and


Annexure-III.
Furnish details of teaching staff in the following format

Requirement as per Regulatory Body norms

Filled Post
Regular

Adhoc

Contract

a) Professors

Total
Filled
Posts

Vacant
Posts

b) Associate Professors/Reader
c) Astt.Professors/Lecturers
30 Non Teaching Staff
Requirement as per Regulatory Body norms

Furnish details of non- teaching staff in the following


format.
Filled Post
Total
Vacant
Regular

a) Technical
b) Non-Technical
c) Class -IV
31 Student - Teacher Ratio
a) With approved staff only
b) With (regular+ contract) staff
32 Student - Non- teaching Staff Ratio
33 Student - Total Staff Ratio
34 Non- Teaching - Teaching staff Ratio

Contract

Filled
Posts

Posts

35 Whether any capital expenditure has been made out of


fresh interest free funds or collection of donation or
interest bearing funds brought in by the Institution /
Society during 2012-13
Head of Capital Expenditure

Yes/No(If Yes, furnish the following details)

Amount of Capital
Expenditure

Source of Interest Free Funds or


collection of donation or interest
bearing funds

Total Amount of
Funds Brought In

36 Furnish details of University results in the following format


For Academic Year 2011-12
Year

No. of students
appeared in
examination
Regular

No. of students
declared PASS by the
University

% of
Result

No. of students
obtaining more then
75% marks

No. of students in
University Merit List

Ex

Ist
IInd
IIIrd
IVth
37 Whether Institution/Society is involved in conducting
any activity/ courses apart from the courses for which
fees has been fixed by AFRC for F.Y. 2011-12
Activity/Course

Fee per
No. of
student students /
/participan participant
t
s

Yes/No (If yes, furnish following details of said


activities/courses)

Total fees received

Total expenditure on
such activity/course

Surplus/(Deficit)

Computer Course
B.Com
BBA
BCA
BA
Paramedical Course
School
Cultural/Social
Activity
Others (please
specify each
course/activity
individually)
38 Whether Institution/Society is involved in conducting
any activity/ courses apart from the courses for which
fees has been fixed by AFRC for the period
01.04.2012 to 31.12.2012
Activity/Course

Computer Course
B.Com

Fee per
No. of
student students /
/participan participant
t
s

Yes/No (If yes, furnish following details of said


activities/courses)

Total fees received

Total expenditure on
such activity/course

Surplus/(Deficit)

BBA
BCA
BA
Paramedical Course
School
Cultural/Social
Activity
Others (please
specify each
course/activity
individually)
39 Audited Financial Statements of the course

Attach Audit Report along with Audited Final Accounts and all
necessary schedules for each course separately for the last two
years i.e. 2010-11 and 2011-12 along with provisional audited Final
Accounts for the period 01.04.2012 to 31.12.2012

40 Furnish comparative data of Audited Financial


Statements of the course

Furnish comparative data of Audited Final Accounts in the below


mentioned chart for the last two years i.e. 2010-11 and 2011-12
along with for the period 01.04.2012 to 31.12.2012

... INSTITUTION
.. COURSE
INCOME & EXPENDITURE ACCOUNT
EXPENDITURE
(Heads as per Audited
Income and Expenditure
Account)

Surplus

2010-11

2011-12

INCOME
(Heads
as per Audited Income and
01.04.12 to
Expenditure Account)
31.12.12

Deficit
TOTAL

TOTAL

... INSTITUTION
.. COURSE
BALANCE SHEET

2010-11

2011-12

LIABILITIES
(Heads as per Audited
Balance Sheet)

2010-11

2011-12

01.04.12 to
31.12.12

ASSETS
(Heads as per Audited Balance
Sheet)

TOTAL

2010-11

2011-12

TOTAL

41 Financial Information for the year 2011-12 and for the period 01.04.12 to 31.12.12 (submissions to following items
must be given separately for 2011-12 and for the period 01.04.12 to 31.12.12)
i.

Give details of common expenses apportioned between different


courses in the following format
S.No.

Head of expenditure

Total Expenditure

Amount Apportioned between


Course Course Course ... Course ...

1
2
3
Note: Also enclose working and basis of apportionment of
common expenses
ii.

Interest paid/ provided on loans

Give details as per enclosed Annexure-IVA and


Annexure-IVB and also enclose copy of loan sanction
letter

iii.

Advertisement Expenses

Furnish details as per following table:

S.No.

Particulars

Faculty Recruitment

Amount

Counseling/admission of students for regular students

Counseling/admission of students for lateral students

Conference/ Seminar

Training and Placement

Others (Please specify each head individually)


TOTAL (must match with audited Income and Expenditure figure)

iv.

Rent

Furnish details as per following table:


S.No.
1

Particulars
Paid for Building Premises

Amount

Paid for staff residence and not debited in salary head

Office Rent

Paid for Vehicle

Paid for Equipment

Others (Please specify)


TOTAL (must match with audited Income and Expenditure figure)

v.(a) Whether Hostel Facility is available

Yes/No

If yes, mention capacity

Boys
Girls
Total Capacity

(b) Whether Hostel accounts maintained separately? (i.e. not clubbed


with Audited Income & Expenditure furnished in response to item
no. 40 above)
No. of students using
Hostel facility

Fees charged per student pa

Yes/No/NA (If Yes,enclose Audited Income &


Expenditure Account of the same and also furnish
following details. If No, give details in annexure-V)

Total Hostel Fees recceived

Total Expenses on Hostel

vi. (a) Whether Mess Facility is provided to Hostellers

Yes/No

(b)

Yes/No/NA (If yes, enclose audited Income and


Expenditure Account of the same also furnish following
details. If No, give details in Annexure-V)

Whether Mess accounts maintained separately? (i.e not clubbed


with Audited Income & Expenditure furnished in response to item
no.40 above)
No.of students using
Mess facility

Fees charged per student pa

Total Mess Fees recceived

Total Expenses on Mess

vii
(a)

Whether Transportation Facility is provided to students

(b)

Distance of Institution from zero mile stone of the City in which


Institution is situated.

(c)

Whether Students Transportation accounts maintained separately? Yes/No/NA (If yes, enclose audited Income and
(i.e not clubbed with Audited Income & Expenditure furnished in
Expenditure Account of the same also furnish following
response to item no.40 above)
details. If No, give details in Annexure-V)
No.of students using
transport facility

viii
(a)

Fees charged per student pa

Yes/No

Total Transport Fees recceived

S.No.

Nature/Head of Transportation Expenses of Students

Diesel

Bus hire charges

Salary of Transport Staff

Repairs & Maintenance

Others (please specify)


Whether Training & Placement Facility is provided to students

Total Expenses on Transport

Amount

Yes/No

(b)

Whether Training & Placement accounts maintained separately?


(i.e not clubbed with Audited Income & Expenditure furnished in
response to item no.40 above)
Students using
Training & Placement
facility
Studying
in Year
Ist

Fees charged per student pa

Yes/No/NA (If yes, enclose audited Income and


Expenditure Account of the same also furnish following
details. If No, give details in Annexure-V)

Total Training & Placement Fees


received

Total Training & Placement


Expenses

No. of
students

IInd
IIIrd
Ivth
ix

Whether Hospital/OPD/Clinic etc. accounts maintained separately? Yes/No/NA (If yes, enclose audited Income and
(i.e not clubbed with Audited Income & Expenditure furnished in
Expenditure Account of the same also furnish following
response to item no.40 above)
details. If No, give details in Annexure-V)
No. of years completed by the
Institution

Hospital/ OPD/ Clinic etc. Bed/


No. actually maintained

Whether Uniform accounts maintained separately? (i.e. not clubbed Yes/No/NA (If yes, enclose audited Income and
with Audited Income & Expenditure furnished in response to item
Expenditure Account of the same also furnish following
no. 40 above)
details. If No, give details in Annexure-IV)
No.of students

xi

Hospital/ OPD/ Clinic etc. Bed/ No. required as per


Regulatory Body Norms

Fees charged per student

Total Uniform Fees received

Whether University accounts maintained separately? (i.e. not


clubbed with Audited Income & Expenditure furnished in response
to item no. 40 above)
S.No.

Heads of University Fees

Exam Fees

Development Fees

Student welfare Fees

Others (please specify)

Total Uniform Expenses

Yes/No/NA (If yes, enclose audited Income and


Expenditure Account of the same also furnish following
details. If No, give details in Annexure-V)
Total Fees Received

Total Fees Paid to


University

Total
xii
(a)

Wheter any scholarship / freeship / concessional fess etc. has been Yes/No (if yes, give details of source of scholarship /
granted to students
freeship / concessional fess, etc.)

xii
(b)

If yes, the amount thereof and the head where it has been parked
in the Income and Expenditure Account.

xiii

Whether any amount has been spent on student welfare

Yes/No (If Yes, furnish the following details)

S.No.

Nature of Expenditure

1
2

Head where parked in Income and


Expenditure Account
Insurance

Insurance of Students
Provision of medical facilities

Amount

Others (please specify)


Total

xiv

Yes/No (If Yes, furnish the following details)


Wheter any scholarship / freeship / subsidy in fess etc. has been
reimbursed by Central / State Government or any of its depratment
in respect of SC/ST students
S.No.

No.of students

Fees reimbursed per


student

Total Fees
reimbursed

Head where parked


in Income and
Expenditure Account

Name of authority
reimbursing fees

1
2
3

xv

Whether Growth and Development Fund accounts maintained


separately? (i.e. not clubbed with Audited Income & Expenditure
furnished in response to item no. 40 above)

Yes/No/NA (If yes, enclose audited Income and


Expenditure Account of the same also furnish following
details. If No, give resons for not maintaining
separate accounts and also furnish foolowing
details.)

Receipts:
Year

No.of Students

Growth & Development fee per


Student

Total Growth & Development


Fees Received

Ist Year
IInd Year
IIIrd Year
IVth Year
Total (A)
Expenditure on Growth and Development:
Head of Expenses

Amount Expended

Consturction Fixed Assets


Acquition of Fixed Assets
Others
Total (B)
Give reasons for short / excess expenditure [A - B]
xvi

Amount of total donation received by the Institute from the date of


establishment of Institute till 31.12.2012 from:
- Parents of students
- Other then parents of students
Total

xvii

Submit the details of caution money returned in the


undermentioned format
S.No.

Financial Year

2009-10

2010-11

2011-12

Total Caution Money


Returned

No.of students

Average caution
money returned per
student

Head where parked


in Final Account

xviii

Details of Income/Receipts

S.
No.

Head of Income

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V

W
X
Y

Furnish details of all Income (segregating the same nature wise in


as much detail as possible) received in the following format
Amount

Whether credited in
Head of Income
Specify the nature
Income and
where reflected in the
and purpose for
Expenditure Account
Income and
which the same has
of Institution.
Expenditure Account
been received
(Yes/No)

Tuition Fees
Development Fee
Sports Fee
Library/Book Bank Fee
Internet & Email facility fee
Cultural Activity fee
Registration fee
Fine & Penalty
Prospectus Sale
Books & Study Material Sale
Alumni Fees
Admission Fees
University Fees
Hostel Fees
Mess Fees
Transportation Fees
Training & Placement Fees
Caution Money
Hospital /Clinic / Day Care
Receipts
Rent Receipts
Donation
Interest
- On FDRs with Regulatory Body
- On Caution Money
- Other Deposit
- Saving Bank
- Other (Please specify)
Dividend
Examination and Enrollment
Fees
Any Other Fee(Please Specify)

42 Fixed Assets and Depreciation

Enclose Fixed Assets schedule for 2011-12 and


01.04.2012 to 31.12.2012 prepared in accordance with
the rate of depreciation prescribed as per Annexure-VI
as per Gross Block basis along with land details as per
Proforma.

43 Details of Tution Fees collected during last four years in undermentioned Proformas
I. Under Graduate other then lateral entry students and students admitted under government fees waiver scheme
and Lateral Entry Students (Fill 4 or 5 year data as applicable on Institution)
Year
Studyi
No. of
ng in Students (A)
Year

NRI Seats
Fees per
Student

Institution Preference Seats


Total Fees
Collected/
Collectible
(B)

No. of
Students
(C )

Fees per
Student

Total Fees
Collected/
Collectible
(D)

F.Y. 2009-10
Ist

Open Seats
No. of
Students (E)

Fees per
Student

Total Seats
Total Fees
Collected/
Collectible
(F)

No. of
Students
(A+C+E)

2nd
3rd
4th
5th
Total
F.Y. 2010-11
Ist
2nd
3rd
4th
5th
Total
F.Y. 2011-12
Ist
2nd
3rd
4th
5th
Total
F.Y. 2012-13
Ist
2nd
3rd
4th
5th
Total

II. Under Graduate for government fees waiver scheme and lateral entry students (Fill 4 or 5 year data as applicable on Institution)
Year
Studyi
ng in
Year

government fees waiver scheme


Students
No. of
Students

Fees per
Student

Lateral Entry Students

Total Fees
Collected/
Collectible

No. of
Students

F.Y. 2009-10
Ist
2nd
3rd
4th
5th
Total
F.Y. 2010-11
Ist
2nd
3rd
4th
5th
Total
F.Y. 2011-12
Ist
2nd
3rd
4th
5th
Total
F.Y. 2012-13
Ist
2nd

Fees per
Student

Total Fees
Collected/
Collectible

Total Seats
No. of
Students

3rd
4th
5th
Total
IV. Post Graduate (Fill 2 or 3 year data as applicable on Institution)
Year

NRI Seats

Studyi
No. of
ng in Students (A)
Year

Fees per
Student

Open Seats
Total Fees
Collected/
Collectible
(B)

No. of
Students (C)

Fees per
Student

Total Seats
Total Fees
Collected/
Collectible
(D)

No. of
Students
(A+C)

F.Y. 2009-10
Ist
2nd
3rd
Total
F.Y. 2010-11
Ist
2nd
3rd
Total
F.Y. 2011-12
Ist
2nd
3rd
Total
F.Y. 2012-13
Ist
2nd
3rd
Total

44 Whether Institution is taking help of external agencies / agents to


faciliate admissions.
45 Whether 2012-13 is the first Academic Year of Institution

46 Fees proposed by the Institution for the course for Academic Years
mentioned herein against

Yes/No (If Yes, provide the details related to it)


Yes/No (If Yes, enclose copy of DPR submitted to
Regulatory Authority)
2013-14

2014-15

2015-16

- For open seats


- For NRI Seats
- For Institution Preference Seats
47 Justification for fees proposed as above

Enclose working sheet including justification for the fee


proposed as above.

Verification
(The person signing the Verfication clause must satisfy himself/herself about correctness of the information before affixing
his/ her signature)
I, .................................................. (full name in block letters), son/daughter ................................................ solemnly declare that
to the best of my knowledge, the information given in this proforma and statements accompanying is correct and complete. I
further declare that I am submitting this proforma in my capacity ......................................... and I am competent to submit and
verify the same.

(Sign with stamp)


Chairman/Secretary

Date :
Place :
Auditors Certificate

We have audited the above said Proforma and Annexures thereof. In our opinion and to the best of our information and according
to explanations given to us the particulars given in the said Proforma and Annexures thereof are true and correct.
For XYZ & Co.
Chartered Accountants

Date :
Place :

Partner/Prop.

Note: Above certification should be given by the statutory auditor of Trust/Institution.

ANNEXURE - IV
INTEREST STATEMEMT
PART - A
Total Interest as per Audited Final Account of F.Y. 2011-12 and for the period 01.04.2012 to 31.12.2012 (Submissions of following
information must be given separately for 2011-12 and for the period 01.04.12 to 31.12.2012)
S.
No.

Particulars (Submit detail of each


loan seperately)

Interest on Term Loan No.1

Interest on Term Loan No.2

Interest on Term Loan No.3

Interest on Unsecured Loan No.1

Interest on Unsecured Loan No.2

Interest on Loan for Working


Capital No.1

Interest on Loan for Working


Capital No.2

Rate of
Interest

Date of Where Reflected [i.e. in


the accounts of
Sanction
Institution/ Society+
(enclose
Institution)]
sanction
letter)

Loan Amount

Interest Amount

Other Interest (Specify)

Total (Must match with the figure in Income and Expenditure Account. If not matching explain
reasons) (A)

INTEREST STATEMEMT
PART - B
Total Interest as per Audited Final Account of F.Y. 2011-12 and for the period 01.04.2012 to 31.12.2012 (Submissions of following
information must be given separately for 2011-12 and for the period 01.04.12 to 31.12.2012)
S.
No.

Particulars

Interest attributable to amount borrowed for


initial infrastructure development. (Give
name of lender(s) along with interest paid to
each one)

Interest attributable to amount borrowed for


Modernisation /Expansion forced due to
change in norms of Regulatory Body. (Give
name of lender(s) along with interest paid to
each one)

Interest attributable to amount borrowed for


Modernisation /Expansion by the Institute
voluntarily. (Give name of lender(s) along
with interest paid to each one)

Interest attributable to amount borrowed for


Working Capital. (Give name of lender(s)
along with interest paid to each one)

Others (Please specify the nature) (Give


name of lender(s) along with interest paid to
each one)

Purpose of Loan

(B) Total
Note:-Total(A) should match with Total (B). If not give reasons.

Loan Amount

Interest & Bank Charges etc.


Financial Others
Institution
(i)
(ii)

Note:-Total(A) should match with Total (B). If not give reasons.

Notes1 Interest and charges on amount borrowed for subsequent development / setting up of infra-structure necessitated due to
change in curriculum / course requirement / modernization / quality upgradation. This does not include interest and charges
on capital expenditure related to establishment required as per Regulatory Body Norms in years subsequent to
establishment which will be includible in item No. 1 i.e. Interest and charges attributable to establishment of institution as per
regulatory body norms.
2

Provide above referred details separately in respect of Loan and Interest accounted for in the books of Institution and in
respect of Loan and Interest accounted for in the books of Society / Trust.

Further if Society / Trust has taken a consolidated loan and used it for different Institution/ Courses then provide the basis
and working of apportionment of said loan among different Institution/Courses

ANNEXURE- V
Please submit the details of receipts and expenditure related to mess, transportation, hostel, training & placement, Hospital and
such other heads if credited / debited to the Income & Expenditure Account for the financial year 2011-12 and the accounting
heads where these receipts / expenses have been parked / debited in the final accounts for FY 2011-12.
As per Audited Final Accounts of F.Y. 2011-12 along with provisional accounts for F. Y. 2012-13 up to 31st Dec. 2012
(Submissions of following information must be given separately for 2011-12 and for the period 01-04-12 to 31-12-2012)
S.
No.

Particulars

Expenditure
Amount

Mess

Hostel

Transportation

Training & Placement

Hospital/OPD/Clinic etc. receipts

Uniform

University Fees

Exam Fees

Development Fees

Head Where Parked

Income
No. of
Students
availing
facility

Fees per
Student

Amount

Head Where Parked

Student welfare Fees

Others (please specify)

Any other head of similar nature

Total

X Y Z & Co.
Chartered Accountants

IInd Floor, ,
Plot No.- 2, H.S. Complex, Gwalior (MP) - 462 001
E-mail and Phone No.

AUDIT REPORT FORMAT

We have audited the attached Balance Sheet of BE Course of ABC Institution, Bhopal (Run by DEF Society/Trust)
as at 31st March 2012 together with the Income & Expenditure Account of the BE Course of ABC Institution for the
year ending 31st March 2012 annexed thereto and we report as under:
(a) We have obtained all the information and explanations, which to the best of our knowledge and belief were
necessary for the purposes of the audit.
(b) In our opinion, proper books of account have been kept by the Institution so far as appears from our
examination of the books.
(c) The Balance Sheet and Income & Expenditure Account dealt with by this report are in agreement with the
books of account.
(d) According to information and explanation given to us and books of accounts produced before us, there is no
material concealment and misrepresentation about financial affairs.

(e) No expenses of any other course of institution included in the Income and Expenditure Account. Where-ever
the resources are shared with other courses also common expenses has been apportioned on proper basis and not
in the arbitary manner.
(f) In our opinion, and to the best of our information and according to the explanations given to us, the said
Balance Sheet and Income & Expenditure Account give a true and correct view in conformity with the accounting
principles generally accepted in India:
(i) In so far as it relates to the Balance Sheet, of the state of affairs of the BE Course of ABC Institution as at 31 st
March, 2012 and

(ii) In so far as it relates to the Income & Expenditure Account, of the Profit of the BE Course of ABC Institution for
the year ended on that date.
For A B C & Co.
Chartered Accountants

Place: Bhopal
Date: 26.12.2012

Partner/Prop.
M. No. 123456

ing and

y in Excel-2003

by the concerned

in original and
Report in
shed in the

rastructure and

fter last date of


ong with

For AFRC Office


Use (Remarks)

2015-16

2015-16

use only

Amount

the Trust/Society)

ers

Society

Society

report of final
rn of F.Y. 2010-11

of my knowledge,
hat I am submitting

cretary)

2010-11

2010-11

her also submit


dress.

alification all the


son for non-

said of parent
, provide the

ounts and all


for the last two
onal audited Final
2

nts in the below


1 and 2011-12
12

01.04.12 to
31.12.12

01.04.12 to
31.12.12

ollowing items

ween
Course ..

e-IVA and
of loan sanction

Amount

Amount

come &
also furnish
n annexure-V)

nses on Hostel

come and
o furnish following
ure-V)

enses on Mess

come and
o furnish following
ure-V)

ses on Transport

Amount

come and
o furnish following
ure-V)

ng & Placement
penses

come and
o furnish following
ure-V)

D/ Clinic etc. Bed/


lly maintained

come and
o furnish following
ure-IV)

orm Expenses

come and
o furnish following
ure-V)

otal Fees Paid to


University

of scholarship /

etails)
Amount

etails)

Name of authority
reimbursing fees

come and
o furnish following
aintaining
h foolowing

h & Development
Received

mount Expended

ead where parked


in Final Account

me nature wise in
ing format

Specify the nature


and purpose for
hich the same has
been received

11-12 and
n accordance with
per Annexure-VI
and details as per

waiver scheme

Total Seats
Total Fees
Collected/
Collectible
(B+D+F)

titution)

Total Seats
Total Fees
Collected/
Collectible

Total Seats
Total Fees
Collected/
Collectible
(B+D)

ated to it)

submitted to

2015-16

ication for the fee

tion before affixing

emnly declare that


ct and complete. I
tent to submit and

(Sign with stamp)


hairman/Secretary

tion and according


.

For XYZ & Co.


ered Accountants

(ABC)
Partner/Prop.
M. No.

ssions of following
)

Interest Amount

ssions of following
)

ank Charges etc.


Total
(iii)
[(i) + (ii)]

ssitated due to
rest and charges
nt to
f institution as per

titution and in

ovide the basis

ent, Hospital and


the accounting
11-12.

31st Dec. 2012

31-12-2012)

ead Where Parked

r, ,

P) - 462 001
d Phone No.

Society/Trust)
nstitution for the

d belief were

om our

ent with the

us, there is no

t. Where-ever
er basis and not

s, the said
he accounting

tution as at 31 st

BC Institution for

For A B C & Co.


ered Accountants

XYZ
Partner/Prop.
M. No. 123456

ANNEXURE I
A. SALARY STATEMENT OF . (Course) of .COLLEGE / INSTITUTION

I Primary Sheet (As per audited final accounts of ..(Course) for F.Y. 2011-12)
S. Heading (as per audited final accounts of F.Y. 2011-12 of College / Institution
No.
1
2

Amount

Salary and Wages


Other Heads
(if amount of salary covered in any other head)
a) Consultancy
b) EPF
c) Security Expenses
d) Wages and Labour Expenses
e) Rent or other perquisite/facilities provided/paid or reimbursed to Employees
f) Others

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Total (A)

0.00

II Secondary Sheet
S. Particulars
No.

Total Salary
during
2011-12

B1 For Teaching Staff

0.00

B2 For Administrative Staff

0.00

B3 For Hospital Staff (if applicable)

0.00

B4 Others, if any

0.00

Total (B)

0.00

Note: Total (B) must match with Total(A).

Annexure to Item No. B1 of Secondary Sheet


(For Teaching Staff)
S. Names
No.

Designation

PAN

Whether included
in employees list
submitted to
Regulatory
Authority
(Yes/No)

Date of
appointment

Date of
leaving if
left during
the year

Pay scale Gross Salary Gross Salary


for March
for the period
2012
01.04.11 to
31.03.12

1
2
3
Total
Note: Must match with Item No. B1 of Secondry Sheet

0.00
0.00
0.00
0.00

Annexure to Item No. B2 of Secondary Sheet


(For Administrative Staff)
S. Names
No.

Designation

PAN

Whether included
in employees list
submitted to
Regulatory
Authority
(Yes/No)

Date of
appointment

Date of
leaving if
left during
the year

Pay scale Gross Salary Gross Salary


for March
for the period
2012
01.04.11 to
31.03.12

1
2
3
Total
Note: Must match with Item No. B2 of Secondry Sheet

0.00
0.00
0.00
0.00

Annexure to Item No. B3 of Secondary Sheet


(For Hospital Staff (if applicable))
S. Names
No.

Designation

PAN

Whether included
in employees list
submitted to
Regulatory
Authority
(Yes/No)

Date of
appointment

Date of
leaving if
left during
the year

Pay scale Gross Salary Gross Salary


for March
for the period
2012
01.04.11 to
31.03.12

1
2
3
Total
Note: Must match with Item No. B3 of Secondry Sheet

0.00
0.00
0.00
0.00

Annexure to Item No. B4 of Secondary Sheet


(For others)
S. Names
No.

Designation

PAN

Whether included
in employees list
submitted to
Regulatory
Authority
(Yes/No)

Date of
appointment

Date of
leaving if
left during
the year

Pay scale Gross Salary Gross Salary


for March
for the period
2012
01.04.11 to
31.03.12

1
2
3

0.00
0.00
0.00
Total
Note: Must match with Item No. B4 of Secondry Sheet

0.00

REPORT:
We have audited the above statement for the period 01.04.11 to 31.03.12 and we certify the correctness of the above statement. Further, we also certify
that salary of an employee is considered only in one college/instituion or hospital or any other concern run by the Trust/Society out of X no. of institutions
etc. run by Trust/Society and not in more than one college/institution or Hospital or any other concern run by the Trust/Society except the list enclosed.
For X Y Z & Co.
Chartered Accountants

PLACE:
DATE:

ABC
Partner/Prop.
M. No. 123456

Notes:
1 Above certifcation should be given by the statutory auditor of trust/institution.
2 Further if an employee's salary is included in more then one college/course etc. then give the name of each college/course, amonunt of salary debited
in each respective college during the period 01.04.2011 to 31.03.2012 and basis of apportionment of such salary.

ANNEXURE II
A. SALARY STATEMENT OF . (Course) of .COLLEGE / INSTITUTION OF
Apr. to Dec. 2012

(For Teaching Staff)


S. Name of faculty / Employee
No.

1
2
3

Net Salary
Paid for the
month of

Mode of
Payment

Account No. of
employee in
which salary
credited

Mode of
Payment

Account No. of
employee in
which salary
credited

0.00
0.00
0.00
0.00

(For Non-teaching Staff)


S. Name of faculty / Employee
No.

1
2
3

Net Salary
Paid for the
month of

0.00
0.00
0.00
0.00

Name of Branch Manager


Name of Bank and Branch
Branch Code NO.

Notes:
1

Above certifcation should be given by the Branch Manager of the bank through which
trust/institution has paid the salary.

ANNEXURE III
A. SALARY STATEMENT OF . (Course) of .COLLEGE / INSTITUTION

I Primary Sheet (As per audited final accounts of ..(Course) for the period 01.04.2012 to 31.12.2012
S. No.

1
2

Heading (as per provisional final accounts of 9 months of F.Y. 2012-13 of College / Institution

Amount

Salary and Wages


Other Heads
(if amount of salary covered in any other head)
a) Consultancy
b) EPF
c) Security Expenses
d) Wages and Labour Expenses
e) Rent or other perquisite/facilities provided/paid or reimbursed to Employees
f) Others

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Total (A)

0.00

II Secondary Sheet
S. No.

Particulars

Total Salary during


01.04.2012 to
31.12.2012

B1

For Teaching Staff

0.00

B2

For Administrative Staff

0.00

B3

For Hospital Staff (if applicable)

0.00

B4

Others, if any

0.00

Total (B)

0.00

Note: Total (B) must match with Total(A).

Annexure to Item No. B1 of Secondary Sheet


(For Teaching Staff)
S. No.

Names

Designation

PAN

Date of
Date of leaving if
appointment left during the year

Pay scale

1
2

Gross Salary
for December
2012

Total
Note: Must match with Item No. B1 of Secondry Sheet

Gross Salary for the


period 01.04.12 to
31.12.2012
0.00
0.00
0.00

Annexure to Item No. B2 of Secondary Sheet


(For Administrative Staff)
S. No.

Names

Designation

PAN

Date of
Date of leaving if
appointment left during the year

Pay scale

1
2

Gross Salary
for December
2012

Total
Note: Must match with Item No. B2 of Secondry Sheet

Gross Salary for the


period 01.04.12 to
31.12.2012
0.00
0.00
0.00

Annexure to Item No. B3 of Secondary Sheet


(For Hospital Staff (if applicable))
S. No.

Names

Designation

PAN

Date of
Date of leaving if
appointment left during the year

Pay scale

1
2

Gross Salary
for December
2012

Total
Note: Must match with Item No. B3 of Secondry Sheet

Gross Salary for the


period 01.04.12 to
31.12.2012
0.00
0.00
0.00

Annexure to Item No. B4 of Secondary Sheet


(For others)
S. No.
1
2
3

Names

Designation

PAN

Date of
Date of leaving if
appointment left during the year

Pay scale

Gross Salary
for December
2012

Total
Note: Must match with Item No. B4 of Secondry Sheet

Gross Salary for the


period 01.04.12 to
31.12.2012
0.00
0.00
0.00
0.00

REPORT:
We have audited the above statement for the period 01.04.12 to 31.12.12 and we certify the correctness of the above statement. Further, we also certify that
salary of an employee is considered only in one college/instituion or hospital or any other concern run by the Trust/Society out of X no. of institutions etc. run by
Trust/Society and not in more then one college/institution or Hospital or any other concern run by the Trust/Society except the list enclosed.

For X Y Z & Co.


Chartered Accountants

ABC

PLACE:
DATE:

Partner/Prop.
M. No. 123456

Notes:
1

Give the name of employees in the sequence of Regular employees first then adhoc employees and lastly employees on contract.

Above certifcation should be given by the statutory auditor of trust/institution.

Further if an employee's salary is included in more then one college/hospital etc. then give the name of each college/hospital, amonunt of salary debited
in each respective college during the period 01.04.2012 to 31.12.2012 and basis of apportionment of such salary.

ANNEXURE - VI: FIXED ASSETS & DEPRECIATION SCHEDULE


For the year 2011-2012
Name of Assets

Land & Site Development


Building
Lab / workshop /
Laboratory Equipment
Other Equipment
DG Set
Plant & Machinery
Computers & Peripherals
Vehicles
- Motor Car
- Buses
Furniture & Fittings
Library Books *
Others
Total :Rs.
Previous
Year :Rs.

GROSS BLOCK
Rate of
Depreciati
AS AT ADDITION
SALE
on as per
31.03.11
SLM
0.00%
1.63%

DEPRICIATION
AS AT
31.03.12

UPTO
31.03.11

ADJUSTMENT

NET BLOCK

FOR THE
YEAR

UPTO
31.03.12

AS AT
31.03.11

AS AT
31.03.12

7.07%
7.07%
7.07%
4.75%
16.21%
9.50%
11.31%
9.50%
10.00%
4.75%
0

0.00

0.00

0.00

0.00

0.00

0.00

0.00

ANNEXURE - VI: FIXED ASSETS & DEPRECIATION SCHEDULE


For the period 01-04-12 to 31-12 2012
Name of Assets

Land & Site Development


Building
Lab / workshop / Laborato
Other Equipment
DG Set
Plant & Machinery
Computers & Peripherals
Vehicles
- Motor Car
- Buses
Furniture & Fittings
Library Books *
Others
Total :Rs.
Previous
Year :Rs.

GROSS BLOCK
Rate of
AS AT ADDITION
SALE
Depreciati
on as per 31.03.12
SLM
0.00%

AS AT
31.12.12

UPTO
31.03.12

DEPRICIATION
ADJUST- FOR THE
MENT
YEAR

UPTO
31.12.12

NET BLOCK
AS AT
AS AT
31.03.12
31.12.12

1.63%
7.07%
7.07%
7.07%
4.75%
16.21%
9.50%
11.31%
9.50%
10.00%
4.75%
0

0.00

0.00

0.00

0.00

0.00

0.00

0.00

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