Regulation for Existing Colleges
[ Extraordinary, Part II, Section 3, Sub-section(i)]
Central Council of Indian Medicine
Notification New Delhi , the 6 th October, 2006

G.S.R. (E) In exercise of the powers conferred by section 36 of the Indian Medicine Central Council Act, 1970 (48 of 1970), the Central Council of Indian Medicine, with the previous sanction of the Central Government, makes the following regulations, namely:-

1. Short Title and commencement -

(1) These regulations may be called the Indian Medicine Central Council ( Permission to Existing Medical Colleges) Regulations, 2006.
(2) They shall come into force on the date of their publication in the Official Gazette.

2. Definitions -

(1) In these regulations, unless the context otherwise requires,-
(a) "Act" means the Indian Medicine Central Council Act, 1970;
(b) "existing medical college" means a medical college established on or before the 7 th day of November, 2003;
(c) "section" means a section of the Act; and
(d) "Form" means a Form annexed to these regulations.

(2) Words and expressions used herein and not defined but defined in the Act shall have the meanings respectively assigned to them in the Act.

3. Permission to be obtained by an existing medical college-
Any person, having established a medical college or any medical college, having opened a new or higher course(s) of study or training or any medical college which had increased its admission capacity in any course of study or training, without obtaining the prior permission of the Central Government, shall submit to the Central Government an application in Form-1 for Ayurveda, Form-2 for Siddha and Form-3 for Unani System of Medicine not later than the 6 th day of November, 2006.

4. Authority to whom the applications are to be submitted.-

(1) Applications under regulation 3 shall be submitted to the Secretary to the Government of India, Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH).
(2) Applications which are incomplete shall not be accepted.

5. Eligibility for making an application.-

(1) A person or an existing medical college shall be eligible for making an application under regulation 3 if-
(a) the medical college and its attached hospital are suitably located preferably in a single plot, but which may consist of two plots reasonably close to each other on land which is owned by the applicant or has been taken on lease for a period of at least thirty years;
(b) permission of the concerned State Government has been obtained at the time of establishment of the medical college and the permission continues; (c) affiliation from a University established under any Central or State Act has been obtained at the time of establishment of the medical college and the affiliation continues;
(d) the applicant owns and manages a fully functional hospital in the system of Indian Medicine concerned with a minimum of one hundred beds for under-graduate courses and one hundred and fifty beds for post-graduate courses which conforms to the norms relating to minimum bed strength and bed occupancy for In-patients and to the number of Out-patients;
(e) the medical college has appointed at least eighty percent of the teaching and non-teaching staff as may be specified by the Central Council and these staff are in position on a regular basis;
(f) the college undertakes to reduce the deficiency of teaching and non-teaching staff within a period of two years in two equal steps; and
(g) subject to the exceptions made in this regulation, the college conforms to the other minimum standards of education as may be specified by the Central Council.

6. Fee to be submitted along with application -

The application to be submitted under regulation 3 shall be accompanied by a fee of Rupees one lakh in the form of a demand draft/pay order payable to the "Central Council of Indian Medicine" New Delhi .

7. Recommendation of the Central Council -

On receipt of the application from the Central Government, the Central Council shall examine it suitably and conduct an inspection of the medical college to verify whether the provisions of the Act and the relevant regulations and rules made thereunder have been fulfilled and then submit its recommendations to the Central Government in Form-4 with the approval of the Executive Committee.

8. Issue of Letter of Permission -

(1) The Central Government may, after considering the recommendations of the Central Council and on being satisfied that the application is in order, issue a letter of permission to the medical college, subject to such conditions as may be necessary relating to the recruitment of additional teaching or non-teaching staff, the creation of infrastructure and facilities and any other matter that may be relevant including the time schedule for the fulfilment of these conditions.

(2) Directions to remove the deficiencies in the letter of permission relating to any matter on which norms or standards have been prescribed by the Central Council shall be complied with by the applicant within the time period specified in the letter of permission and the Central Council shall carry out an inspection to ensure that such directions are properly complied with.

(3) A letter of permission directing the rectification of deficiencies shall be valid only upto the expiry of the period specified for the rectification of deficiencies and the permission shall be deemed to have lapsed if after inspection and verification it is seen that the rectification of deficiencies has not taken place.

(4) Inspections for the purpose of sub-regulation (2) shall be conducted sue motto by the Central Council during the last quarters of the twelve month period of the academic years concerned and the reports shall be submitted to the Central Government.

9. Failure to rectify deficiencies.-

The provisions of section 13B will apply to medical colleges which fail to rectify the deficiencies specified within the time schedule laid down in the letter of permission.

10. Application for recognition of medical qualifications under section 14 -

All medical colleges which have been granted permission under section 13C shall seek recognition of the medical qualifications granted by them at the appropriate time in terms of the provisions of section 14 of the Act.

11. Time schedule.-

The time schedule for the processing of cases will be notified by the Central Government.
File No. 28-13/2006 Ay.(1)
P.R. SHARMA
Registrar-cum-Secretary
Central Council of Indian Medicine


FORM - 1
(see regulation 3)

Application for permission to an existing
Ayurveda Medical College under section
13C of the Indian Medicine Central Council Act, 1970


Part I
General Information

1.Name of the applicant
(in BLOCK letters)

2. Complete Address with PIN code,Telephone nos., Fax and e-mail (in BLOCK letters) :

3.Status of applicant
(Whether State Government/ Union Territory/University/ Trust/Society)

4. Details of the Society/Trust (To be filled in if the applicant is a Society or Trust)

a. Name of the Society/Trust
(Attach a copy of the Registration certificate)

b.Registration No./Date:

c.Members of the Society/Trust:

d. Major activities of the Society/Trust
(Attach a certified copy of the memorandum of association and bye laws):

e.Does the Society/Trust run other medical colleges or other educational institutions? If so, please give details
(Strike out what is inapplicable)
Yes/No

f. Whether one of the objectives of the Society/Trust is to impart education in Ayurveda, Siddha or Unani.
(Strike out what is inapplicable)
Yes/No

g. Whether copies of Balance Sheet and Statements of Account for the last three years duly certified by a Chartered Accountant have been furnished. (Strike out what is inapplicable)
Yes/No

5. Name of the college with full address, PIN code, Telephone Nos., Fax Nos. and e-mail address .

6.Course/s being conducted in the college
(Please give details of each of the PG courses where applicable)
UG -
PG -

7.No. of seats
(Please give details for each of the PG courses where applicable)
UG - PG -

8.Name and address of the affiliating University:

9.Whether Consent of Affiliation from the affiliating University is continuing
(Copies to be attached)
Yes/No If yes,

No. of seats ____________
Period of consent from ______ to ______ (Please give the position separately for UG and PG courses)

10. Whether the permission of the State Government is continuing
(Copies to be attached)
Yes/No If yes,

No. of seats ____________
Period of consent from ______ to ______
(Please give the position separately for UG and PG courses)

11. Name of the Principal/Dean of the college with qualifications and experience.

12.a.When did the college first start admitting students?
UG -PG -
(Please indicate the years for the UG and PG courses separately)

b.Whether admissions have been made continuously every year
(Strike out what is inapplicable)
Yes/No

13. Whether CCIM' permission was obtained for starting the college/higher course
(Please enclose a copy)
Yes/No
If yes, No. and date of the CCIM order

14.Mode of admission

15.Is there any reservation or preferential allocation of seats

16.Details of land and buildings
a.Survey No.
Village/Town
(If there is more than one plot please give details accordingly)

b.Plot size (in hectares/sq. mts)
(If there is more than one plot please give details accordingly)

c.Floor area (in sq. mts)
College
Hospital
Total area

17.Connectivity
(Strike out what is inapplicable)

a.Road access to the college
Yes /No

b.Availability of public transport
Yes/No

18.Utilities
(Strike out what is inapplicable)

A.Electric supply
Yes/ No

Connected load--------- kVA
DG set
Yes/ No

b.Water supply
(Strike out what is inapplicable)
Yes/No

Municipal supply
Yes/No

Own sources
Yes/No

c.Sewerage facilities
(Strike out what is inapplicable)
Yes/No

d.Communications facilities
(Strike out what is inapplicable) Telephone
Yes/No

Internet
Yes/No

PART II - Manpower and Infrastructure of the college

19. Equipment available

a) Teaching Department wise list of equipment _____________________ (Please attach a list)

b) List of Hospital Equipment _____________________(Please attach a list)

20. Manpower
(Provide Department wise details of Teaching and Non-teaching staff. Staff for Post Graduate Departments should be shown separately. The no. of posts and salary scale should be indicated)

a) full time teaching staff _____________________________
b) technical staff _____________________________
c) administrative staff _____________________________
d) ancillary staff ______________________________
e) mode of payment of salary ______________________________
f) recruitment procedure ______________________________

21. Other infrastructure (Indicate if available)

a) staff quarters . Yes/No
b) students hostels . Yes/No
c) administrative office . Yes/No
d) library . Yes/No
e) auditorium . Yes/No
f) teaching pharmacy . Yes/No
g) mortuary . Yes/No
h) medicinal plants garden
Area (sq mts)
No. of species
No. of plants Yes/No

i) Other facilities Give details
20.Space availability in the College (Please indicate area)
Item Space available (in sq. mts.)

I. Administrative Block

II. Teaching Block

Lecture Halls

Seminar Hall/Conference

Central Library

Common Rooms

Canteen

Teaching Pharmacy

III. Teaching Departments-

1. Samhita, Sanskrit & Siddhanta Department
+ Departmental library cum tutorial room

2. Rachana Sharir Department
+ Dissection Hall
+ Embalming room
+ Rachana Sharir museum with optional micro-anatomy lab

3. Kriya Sharir
+ Physiology Laboratory

4. Dravyaguna Department
+ Herbarium-cum-Dravyaguna museum Pharmacognosy facility

5. Ras Shastra evum Bhaisajya Kalpana Department
+ Rasa Shastra lab
+ Rasa Shastra museum

6. Nidan evam Rogavigyan Department
+ Vikriti Vigyan (Pathology) Laboratory

7. Swasthavritta and Yoga Department
+ Yoga Hall

8. Agada Tantra evum
Vyavahar Ayurveda Department
+ Museum

9. Kayachikitsa Department

10. Panchkarma Department

11. Shalya Department

+ Museum cum tutorial room and Experimental Surgery Lab.(YOGA)

12. Shalakya Department
+ Museum cum tutorial room

13. Prasooti evum Stri Roga Department
+ Museum cum tutorial room

14. Kumar Bhritya (Balaroga) Department
+ Museum cum tutorial room

15. PG Departments
(Please give details for each Department separately).

PART III-

Manpower and Infrastructure of the college

23.Basic Infrastructure and other facilities available in the Hospital
(Indicate area where required and strike out what is inapplicable)

a.Hospital Administration Block Area (sq. metres)
Superintendent's room
Dy. Superintendent's room
Medical Officers' room
(for 2 RMO/RSO)

Matron's room

Asst. Matron's room (for 2)
Reception and Registration
b.Out-Patient Department (OPD)
(Please strike out what is inapplicable and indicate the area where required )
Area in sq. metre

Kayachikitsa
(including Panchakarma and Rasayana)
Yes/No

Shalya
Yes/No

Shalakya
. Netra Roga Vibhaga
Yes/No

(b) Karna-Nasa-Mukha evam Danta Roga Vibhaga
Yes/No

Prasooti evum Striroga
Yes/No

Kaumara Bhritya (Balaroga)
Yes/No

Swasthavritta evum Yoga
Yes/No

Aatyayika (Casualty)
Yes/No

Dispensary
Yes/No

Waiting space
Yes/No

OPD attendance for the last 12 months
c.In-Patient Department (IPD)
(Please indicate area and the no. of beds)
No. of Beds: Area (sq mts)
Kayachikitsa (Panchakarma, Manas Roga etc):
Shalya Tantra:
Shalakya Tantra:
Prasuti Tantra evum Striroga:
Kaumara Bhritya(Balaroga):
Others
Total No. of beds in the Hospital
Bed occupancy during the last 12 months
d.Clinical Laboratory (for clinical diagnosis and investigations)
(Use additional sheets where required)

List of equipment indicating name, specification, quantity:
List of tests being performed indicating the methods used:
No. of tests performed during the last three months:
List of Staff (Medical/paramedical):
Details of Radiography and Sonography facilities:
No. of X-rays and sonograms performed during the last three months.:
e.Other facilities
( Strike out what is inapplicable)
Yes/No

Area Operation Theaters/Block:

OT (Major)
OT (Minor)
Shalakya OT
Labour Room
Neonatal care room
Central sterilisation/autoclave unit
Scrub room
Recovery room
Doctor's duty room
Interns/house officer/resident room
Nursing staff room
Attached toilet-bath in OT, labour room, duty room and staff room.
No. of patients operated upon during the last 12 months (major/minor)
No. of deliveries/ other procedures done in the Labour Room during the last 12 months
Panchakarma Unit( Strike out what is inapplicable) Yes /No Area
Snehana Kaksha (Male)
Snehana Kaksha (Female)
Swedana Kaksha(Male)
Swedana Kaksha(Female)
Shirodhara Kaksha(Male)
Shirodhara Kaksha (Female)
Vamana Kaksha(Male)
Vamana Kaksha(Female)
Virechana Kaksha(Male)
Virechana Kaksha(Female)
Basti Kaksha(Male)
Basti Kaksha(Female)
Rakta Mokshana, Jalaukavacharana, Agnikarma Pracchanna etc. Kaksha
Panchakarma therapist/ Physician's room
Panchakarma store room
Attached toilet-bath
Physiotherapy Unit( Strike out what is inapplicable)Yes /No
Area
Physiotherapy Room
Physiotherapist's room
Hospital Kitchen and Canteen

F.Facilities in the hospital
(Please indicate area where required)

Dispensary-list of medicines stocked with quantity.
(Use additional sheet in required):
List of staff in position in Dispensary
(Use additional sheet in required):
Canteen in OPD
(Strike out what is inapplicable):Yes/No Area
Kitchen in IPD
(Strike out what is inapplicable):Yes/No Area
Is free food provided to poor patients
(Strike out what is inapplicable):Yes/No
No. of Toilets in OPD/IPD for men/women:Ramp/Lift for upper stories in the hospital
(Strike out what is inapplicable):Yes/No
Waiting lounge for patients' attendants
(Strike out what is inapplicable):Yes/No Area (sq. metres)

g.Availability of Hospital staff
Please indicate number)
Staff in position
Medical Superintendent
Deputy Medical Superintendent
Consultants
Casualty Medical Officers
House Officers or Clinical Registrars/Senior Residents (Ayurvedic)
Resident Medical/Surgical Officers
(RMO/RSO)
Matron/Nursing Superintendent
Assistant Matron
Staff Nurses for IPD
Nurses for OPD
Mid Wife/Ward Boy/Ayah
Pharmacists

Dressers
OPD attendants
Store Keeper
Office Staff (for registration, record maintenance, data entry etc.)
Dark-Room Attendant
Operation Theater Attendant
Labour Room Attendant
Telephone Operator cum Receptionist
Modern Medical Staff
Medical Specialist
Surgical Specialist
Obstetrician & Gynaecologist
Dentist
Refractionist
Audiometrist
Radiologist
X-Ray Technician/Radiographer
Anaesthesiologist
Panchakarma Staff
Panchakarma Specialists
House Officer or Clinical Registrar/Senior Resident (Ayurvedic)
Panchakarma Nurse
Panchakarma Technician
Panchakarma Assistant
Physiotherapist
Yoga teacher/expert
Sweepers
Operation Theatre and Ksharsutra Therapy Staff
Shalya and Ksharsutra Therapy Specialists
House Officer or Clinical Registrar/Senior Resident (Ayurvedic)
Operation Theatre Attendant
Dresser
Nurses
Sweeper
Labour Room
Prasooti evum Stri Roga Specialists
Lady House Officer or Clinical Registrar/Senior Resident (Ayurvedic)
Nurses
Midwife
Attendant
Sweeper
Clinical Laboratory
Pathologist/Microbiologist
Bio-chemist
Laboratory Technicians
Laboratory Assistants
Clerk/Typist/Computer
Data Entry Operator
Peon/Attendant
Sweeper
Teaching Pharmacy and Quality Testing Laboratory
Pharmacy Manager/Superintendent
(Teacher of Ras-Shastra, Bhaishajya Kalpana)
Clerk cum Store Keeper
Peon/Attendant
Machine Man
Workers
Analytical Chemist
Pharmacognosist
h.Residential accommodation for essential hospital staff
Nursing Hostel / Women's Hostel
Residential accommodation for Emergency Medical staff and paramedical staff (optional):
i. Teaching Pharmacy and Quality Control Laboratory
Yes/No

24. Finances
Audited Balance Sheet and Annual statement of Accounts for the last three years or since the college has been in existence (whichever is later) to be submitted.
I hereby certify that all the information given above is true to the best of my knowledge and belief and that if any information submitted is subsequently found to be inaccurate or untrue the Department of AYUSH will be entitled to take such action against me as it may deem fit which may include the rejection of this application.

Signature of Applicant

Full name with Designation
Date:
Place:

List of enclosures:
1. Certified copy of Articles/Memorandum of Association, Trust deed, Bye Laws.
2. Certified copy of certificate of registration/incorporation.
3. Annual Accounts and Audited Balance sheets for the last three years.
4. Certified copy of the title/lease deeds of the land as proof of ownership.
(Title/Lease deeds in any language other than English or Hindi should be translated into English or Hindi.
5. Certified copy of the 'No Objection Certificate' issued by the concerned State Government/Union Territory Administration
6. Certified copy of the Consent of Affiliation issued by a University. 7.
Authorization letter addressed to the bankers of the applicant authorizing the Central Government/Central Council of Indian Medicine to make independent enquiries regarding the financial track record of the applicant.

8. Other enclosures as are required in the application form.

Special instructions to applicants
1.
All documents to be submitted by the applicants should be either in English or in Hindi. Documents in any other language should be translated into English or Hindi. Documents which are issued by the State Government, the University or the local authorities in any other language should also be translated into Hindi or English. Applications accompanied with untranslated documents will not be accepted. 2. All the copies of documents to be submitted shall be attested by a gazetted officer

Sl. No. Name Father's name Date of birth Designation Qualifications UG and PG (with specialization) and Awarding body Department Date of appointment Teaching experience
                  Performa
                   
Name Father's name Qualification Designation Date of appointment Name of Department Experience if any


FORM - 2
(see regulation 3)
Application for permission to an existing
Siddha Medical College under section
13C of the Indian Medicine Central Council Act, 1970
Part I General Information
1. Name of the applicant (in BLOCK letters) :
2. Complete Address with PIN code, Telephone nos., Fax and e-mail (in BLOCK letters) :
3. Status of applicant (Whether State Government/ Union Territory/University/ Trust/Society) :
4. Details of the Society/Trust (To be filled in if the applicant is a Society or Trust)
a. Name of the Society/Trust (Attach a copy of the Registration certificate) :
b. Registration No./Date :
c. Members of the Society/Trust :
d. Major activities of the Society/Trust (Attach a certified copy of the memorandum of association and bye laws) :
e. Does the Society/Trust run other medical colleges or other educational institutions? If so, please give details (Strike out what is inapplicable) Yes/No
f. Whether one of the objectives of the Society/Trust is to impart education in Siddha Yes/No

g. Whether copies of Balance Sheet and Statements of Account for the last three years duly certified by a Chartered Accountant have been furnished. (Strike out what is inapplicable) Yes/No
5. Name of the college with full address, PIN code, Telephone Nos., Fax Nos. and e-mail address . :
6. Course/s being conducted in the college (Please give details of each of the PG courses where applicable) UG - PG -
7. No. of seats (Please give details for each of the PG courses where applicable) :UG - PG -
8. Name and address of the affiliating University :
9. Whether Consent of Affiliation from the affiliating University is continuing (Copies to be attached) Yes/No If yes, No. of seats ____________ Period of consent from ______ to _____ (Please give the position separately for UG and PG courses)
10. Whether the permission of the State Government is continuing (Copies to be attached) Yes/No If yes, No. of seats ____________ Period of consent from ______ to _____ (Please give the position separately for UG and PG courses)
11. Name of the Principal/Dean of the college with qualifications and experience. :
12. a. When did the college first start admitting students? UG - PG - (Please indicate the years for the UG and PG courses separately)
b. Whether admissions have been made continuously every year (Strike out what is inapplicable) Yes/No
13. Whether CCIM' permission was obtained for starting the college/higher course (Please enclose a copy) Yes/No If yes, No. and date of the CCIM order
14. Mode of admission
15. Is there any reservation or preferential allocation of seats
16. Details of land and buildings
a. Survey No. Village/Town (If there is more than one plot please give details accordingly)
b. Plot size (in hectares/sq. mts) (If there is more than one plot please give details accordingly)
c. Floor area (in sq. mts) College Hospital Total area
17. Connectivity (Strike out what is inapplicable)
a. Road access to the college Yes /No
b. Availability of public transport Yes/No
18. Utilities (Strike out what is inapplicable)
a. Electric supply Yes/ No
Connected load --------- kVA
DG set Yes/ No
b. Water supply (Strike out what is inapplicable) Yes/No
Municipal supply Yes/No
Own sources Yes/No
c. Sewerage facilities (Strike out what is inapplicable) Yes/No
d. Communications facilities (Strike out what is inapplicable)
Telephone Yes/No
Internet Yes/No
     
     
PART II - Manpower and Infrastructure of the college
19.  Equipment available
a) Teaching Department wise list of equipment _____________________
(Please attach a list)
b) List of Hospital Equipment _____________________
(Please attach a list)
   
20. Manpower
(Provide Department wise details of Teaching and Non-teaching staff in the proforma attached with this form. Staff for Post Graduate Departments should be shown separately. The no. of posts and salary scale should be indicated)
a) full time teaching staff _____________________________
b) technical staff _____________________________
c) administrative staff _____________________________
d) ancillary staff ______________________________
e) mode of payment of salary ______________________________
f) recruitment procedure ______________________________
   
21. Other infrastructure (Indicate if available)
a) staff quarters Yes/No
b) students hostels: Girls Yes/No
c) students hostels: Boys Yes/No
d) administrative office Yes/No
e) library Yes/No
f) auditorium Yes/No
g) teaching pharmacy Yes/No
h) mortuary Yes/No
i) medicinal plants garden Yes/No
Area (sq mts)
No. of species
No. of plants
  Other facilities Yes/No
   
22. Space availability in the College
(Please indicate area)
Item Space available (in sq. mts.)
I. Administrative Block
II. Teaching Block
Lecture Halls
Seminar Hall/Conference
Tutorial room
Central Library
Common Rooms
Canteen
Teaching Pharmacy
III. Teaching Departments-
•  Adipadai Arachi & Tamil Department + Departmental library cum tutorial room
2. Udal Koorugal Department + Dissection Hall + Embalming room + museum with optional micro-anatomy lab.
3. Udal Thathuvam + Physiology Laboratory
•  Uyir vethiyal Department + Laboratory.
5. Maruthuva thavara iyal Department + Herbarium museum Pharmacognosy facility
6. Gunapadam Department + Gunapadam laboratory + Gunapadam museum
7. Noi Nadal Department + Pathology Lab.

Part- III - Infrastructure available in the Hospital
 
23. Basic Infrastructure and other facilities available in the Hospital (Indicate area where required and strike out what is inapplicable)
a. Hospital Administration Block Area (sq. metres)
Superintendent's room
Dy. Superintendent's room
Medical Officers' room (for 2 RMO/RSO)
Matron's room
Asst. Matron's room (for 2)
Reception and Registration
b. Out-Patient Department (OPD) (Please strike out what is inapplicable and indicate the area where required in ) Area in sq. metres
Maruthuvam Yes/No
Aruvai Maruthuvam Yes/No
Sirappumaruthuvam Yes/No
Sool & Magalir maruthuvam Yes/No
Kulanthai maruthuvam Yes/No
Avasara maruthuvam (Casualty) Yes/No
Dispensary Yes/No
Waiting space Yes/No
OPD attendance for the last 12 months
c. In-Patient Department (IPD) (Please indicate area and the no. of beds) :No. of Beds: Area (in sq mts.)
Maruthuvam
Aruvai Maruthuvam :
Sirappumaruthuvam :
Sool & Magalir maruthuvam :
Kulanthai maruthuvam :
Others
Total No. of beds in the Hospital
Bed occupancy during the last 12 months
d. Clinical Laboratory (for clinical diagnosis and investigations) (Use additional sheets where required)
List of equipment indicating name, specification, quantity :
List of tests being performed indicating the methods used :
No. of tests performed during the last three months :
List of Staff (Medical/paramedical) :
Details of Radiography and Sonography facilities :
No. of X-rays and sonograms performed during the last three months. :
e. Other facilities ( Strike out what is inapplicable) Yes/No Area (Sq.mts.)
Operation Theaters/Block:
OT (Major)
OT (Minor)
Aruvai Maruthuvam OT
Labour Room
Neonatal care room
Central sterilisation/autoclave unit
Scrub room
Recovery room
Doctor's duty room
Interns/house officer/resident room
Nursing staff room
Attached toilet-bath in OT, labour room, duty room and staff room.
No. of patients operated upon during the last 12 months (major/minor)
No. of deliveries/ other procedures done in the Labour Room during the last 12 months
Tokkanam ( Strike out what is inapplicable) Yes /No Area
Tokkanam therapist/ Physician's room
Tokkanam store room
Attached toilet-bath
Physiotherapy Unit ( Strike out what is inapplicable) Yes /No Area
Physiotherapy Room
Physiotherapist's room
Hospital Kitchen and Canteen
f. Facilities in the hospital (Please indicate area where required)
Dispensary-list of medicines stocked with quantity. (Use additional sheet in required)
List of staff in position in Dispensary (Use additional sheet in required)
Canteen in OPD (Strike out what is inapplicable) Yes/No Area
Kitchen in IPD (Strike out what is inapplicable) Yes/No Area
Is free food provided to poor patients (Strike out what is inapplicable) Yes/No
No. of Toilets in OPD/IPD for men/women
Ramp/Lift for upper stories in the hospital (Strike out what is inapplicable) Yes/No
Waiting lounge for patients' attendants (Strike out what is inapplicable) Yes/No Area
g. Availability of Hospital staff (Please indicate number) Staff in position
Medical Superintendent
Deputy Medical Superintendent
Consultants
Casualty Medical Officers
House Officers or Clinical Registrars/Senior Residents (Siddha)
Resident Medical/Surgical Officers (RMO/RSO)
Matron/Nursing Superintendent
Assistant Matron
Staff Nurses for IPD
Nurses for OPD
Mid Wife/Ward Boy/Ayah
Pharmacists
Dressers
OPD attendants
Store Keeper
Office Staff (for registration, record maintenance, data entry etc.)
Dark-Room Attendant
Operation Theater Attendant
Labour Room Attendant
Telephone Operator cum Receptionist
Modern Medical Staff
Medical Specialist
Surgical Specialist
Obstetrician & Gynaecologist
Dentist
Refractionist
Audiometrist
Radiologist
X-Ray Technician/Radiographer
Anaesthesiologist
Tokkanam Staff
Tokkanam Specialists
House Officer or Clinical Registrar/Senior Resident (Siddha)
Tokkanam Nurse
Tokkanam Technician
Tokkanam Assistant
Physiotherapist
Sweepers
OperationTheatre
Aruvaimaruthuvam Specialists
House Officer or Clinical Registrar/Senior Resident (Siddha)
Operation Theatre Attendant
Dresser
Nurses
Sweeper
Labour Room
Sool & Magalirmarutuvam Specialists
Lady House Officer or Clinical Registrar/Senior Resident (Siddha)
Nurses
Midwife
Attendant
Sweeper
Clinical Laboratory
Pathologist/Microbiologist
Bio-chemist
Laboratory Technicians
Laboratory Assistants
Clerk/Typist/Computer
Data Entry Operator
Peon/Attendant
Sweeper
Teaching Pharmacy and Quality Testing Lab.
Pharmacy Manager/Superintendent
(Teacher of Gunapadam, Pharmacy )
Clerk cum Store Keeper
Peon/Attendant
Machine Man
Workers
Analytical Chemist
Pharmacognosist
h. Residential accommodation for essential hospital staff
Nursing Hostel / Women's Hostel
Residential accommodation for Emergency Medical staff and paramedical staff (optional):
i. Teaching Pharmacy and Quality Control Laboratory Yes/No
 
24. Finances
Audited Balance Sheet and Annual statement of Accounts for the last three years or since the college has been in existence (whichever is later) to be submitted.

I hereby certify that all the information given above is true to the best of my knowledge and belief and that if any information submitted is subsequently found to be inaccurate or untrue the Department of AYUSH will be entitled to take such action against me as it may deem fit which may include the rejection of this application.

Date
Place

Signature of Applicant
Full name with Designation
 
List of enclosures:
 
1.  Certified copy of Articles/Memorandum of Association, Trust deed, Bye Laws.
2.  Certified copy of certificate of registration/incorporation.
3.  Annual Accounts and Audited Balance sheets for the last three years.
4.  Certified copy of the title/lease deeds of the land as proof of ownership.
(Title/Lease deeds in any language other than English or Hindi should be translated into English or Hindi.
5.  Certified copy of the 'No Objection Certificate' issued by the concerned State Government/Union Territory Administration. 6.  Certified copy of the Consent of Affiliation issued by a University.
7.  Authorization letter addressed to the bankers of the applicant authorizing the Central Government/Central Council of Indian Medicine to make independent enquiries regarding the financial track record of the applicant.
8.  Other enclosures as are required in the application form.
 
Special instructions to applicants
 
1.  All documents to be submitted by the applicants should be either in English or in Hindi. Documents in any other language should be translated into English or Hindi. Documents which are issued by the State Government, the University or the local authorities in any other language should also be translated into Hindi or English. Applications accompanied with untranslated documents will not be accepted.
2.  All the copies of documents to be submitted shall be attested by a gazetted officer.
 

Proforma

  Proforma for furnishing details of Teaching staff
 
Sl. No. Name Father's name Date of birth Designation Qualifications UG and PG (with specialization) and Awarding body Department Date of appointment Teaching experience
                   
 
Proforma
 
 
Name Father's name Qualification Designation Date of appointment Name of Department Experience if any
 
     


FORM - 3
(see regulation 3)
Application for permission to an existing
Unani Medical College under section
13C of the Indian Medicine Central Council Act, 1970
Part I General Information
1. Name of the applicant (in BLOCK letters) :
2. Complete Address with PIN code, Telephone nos., Fax and e-mail (in BLOCK letters) :
3. Status of applicant (Whether State Government/ Union Territory/University/ Trust/Society) :
4. Details of the Society/Trust (To be filled in if the applicant is a Society or Trust)
a. Name of the Society/Trust (Attach a copy of the Registration certificate) :
b. Registration No./Date :
c. Members of the Society/Trust :
d. Major activities of the Society/Trust (Attach a certified copy of the memorandum of association and bye laws) :
e. Does the Society/Trust run other medical colleges or other educational institutions? If so, please give details (Strike out what is inapplicable) Yes/No
f. Whether one of the objectives of the Society/Trust is to impart education in Siddha Yes/No

g. Whether copies of Balance Sheet and Statements of Account for the last three years duly certified by a Chartered Accountant have been furnished. (Strike out what is inapplicable) Yes/No
5. Name of the college with full address, PIN code, Telephone Nos., Fax Nos. and e-mail address . :
6. Course/s being conducted in the college (Please give details of each of the PG courses where applicable) UG - PG -
7. No. of seats (Please give details for each of the PG courses where applicable) :UG - PG -
8. Name and address of the affiliating University :
9. Whether Consent of Affiliation from the affiliating University is continuing (Copies to be attached) Yes/No If yes, No. of seats ____________ Period of consent from ______ to _____ (Please give the position separately for UG and PG courses)
10. Whether the permission of the State Government is continuing (Copies to be attached) Yes/No If yes, No. of seats ____________ Period of consent from ______ to _____ (Please give the position separately for UG and PG courses)
11. Name of the Principal/Dean of the college with qualifications and experience. :
12. a. When did the college first start admitting students? UG - PG - (Please indicate the years for the UG and PG courses separately)
b. Whether admissions have been made continuously every year (Strike out what is inapplicable) Yes/No
13. Whether CCIM' permission was obtained for starting the college/higher course (Please enclose a copy) Yes/No If yes, No. and date of the CCIM order
14. Mode of admission
15. Is there any reservation or preferential allocation of seats
16. Details of land and buildings
a. Survey No. Village/Town (If there is more than one plot please give details accordingly)
b. Plot size (in hectares/sq. mts) (If there is more than one plot please give details accordingly)
c. Floor area (in sq. mts) College Hospital Total area
17. Connectivity (Strike out what is inapplicable)
a. Road access to the college Yes /No
b. Availability of public transport Yes/No
18. Utilities (Strike out what is inapplicable)
a. Electric supply Yes/ No
Connected load --------- kVA
DG set Yes/ No
b. Water supply (Strike out what is inapplicable) Yes/No
Municipal supply Yes/No
Own sources Yes/No
c. Sewerage facilities (Strike out what is inapplicable) Yes/No
d. Communications facilities (Strike out what is inapplicable)
Telephone Yes/No
Internet Yes/No
     
     
PART II - Manpower and Infrastructure of the college
19.  Equipment available
a) Teaching Department wise list of equipment _____________________
(Please attach a list)
b) List of Hospital Equipment _____________________
(Please attach a list)
   
20. Manpower
(Provide Department wise details of Teaching and Non-teaching staff in the proforma attached with this form. Staff for Post Graduate Departments should be shown separately. The no. of posts and salary scale should be indicated)
a) full time teaching staff _____________________________
b) technical staff _____________________________
c) administrative staff _____________________________
d) ancillary staff ______________________________
e) mode of payment of salary ______________________________
f) recruitment procedure ______________________________
   
21. Other infrastructure
(Indicate if available)
a) staff quarters Yes/No
b) students hostels: Girls Yes/No
c) students hostels: Boys Yes/No
d) administrative office Yes/No
e) library Yes/No
f) auditorium Yes/No
g) teaching pharmacy Yes/No
h) mortuary Yes/No
i) medicinal plants garden Yes/No
Area (sq mts)
No. of species
No. of plants
j Other facilities Yes/No
   
22. Space availability in the College
(Please indicate area)
Item Space available (in sq. mts.)
I. Administrative Block
II. Teaching Block
  Lecture Halls
  Seminar Hall/Conference
  Tutorial room
  Central Library
  Common Rooms
  Canteen
  Teaching Pharmacy
III. Teaching Departments-
1. Department of Kulliyat + Departmental library cum tutorial room
2. Department of Tashreeh-ul-Badan + Dissection Hall + Embalming room + Tashreeh museum with optional micro-anatomy lab.
3. Department of Munaful Aza + Physiology Laboratory
4. Department of Ilmul Advia-wa- Saidla + Herbarium-cum-Ilmil Advia museum Pharmacognosy facility Dawasazi lab.
5. Department of Ilmul Amaraz + Ilmul Amaraz laboratory + Ilmul Amaraz museum
•  Department Tib-e-Qanooni wa Ilmus Samoom + Tib-e-Qanooni wa Ilmus Samoom Lab-cum-museum
7. Department of Tahafuzi wa-Samaji Tib Tahafuzi wa-Samaji Tib Lab and museum
  1. Department of Moalijat
  1. Department of Niswan-wa-Atfal
  1. Department of Ilmul Qabalat
Museum and Tutorial room
  1. Department of Jaharat
+ Museum cum tutorial
  1. Department of Ain-Uzn-Anag, Halaq
+ Museum cum tutorial room
  1. Department of Amraz-e-Jild and Amraz-e-Zohrawiya
+ Museum cum tutorial room
  1. Department of Ilaj-Bid-Tadbir
+ Museum cum tutorial room

Part- III - Infrastructure available in the Hospital
 
23. Basic Infrastructure and other facilities available in the Hospital (Indicate area where required and strike out what is inapplicable)
a. Hospital Administration Block Area (sq. metres)
Superintendent's room
Dy. Superintendent's room
Medical Officers' room (for 2 RMO/RSO)
Matron's room
Asst. Matron's room (for 2)
Reception and Registration
b. Out-Patient Department (OPD) (Please strike out what is inapplicable and indicate the area where required) Area in sq. metres
Moalijat including Amraz-e-Jild & Amraze Zohrawiya Yes/No
Jarahat Yes/No
Ain,Uzn, Anaf, Halaq-wa-Asnan Yes/No
Qabalat-wa-Amraz-e-Niswan Yes/No
Amraz-e-Atfal Yes/No
Ilaj Bid Tadbir Yes/No
Tahafuzi was Samaji Tib Yes/No
(Casualty) Yes/No
Dispensary Yes/No
Waiting space Yes/No
OPD attendance for the last 12 months
c. In-Patient Department (IPD) (Please indicate area and the no. of beds) No. of Beds Area (in sq mts)
Moalijat including Amraz-e-Jild & Amraze Zohrawiya :
Jarahat :
Ain, Uzn, Anaf, Halaq-wa-Asnan :
Qabalat-wa-Amraz-e-Niswan :
Ilaj Bid Tadbir
Amraz-e-Atfal :
Others
Total No. of beds in the Hospital
Bed occupancy during the last 12 months
d. Clinical Laboratory (for clinical diagnosis and investigations) (Use additional sheets where required)
List of equipment indicating name, specification, quantity :
List of tests being performed indicating the methods used :
No. of tests performed during the last three months :
List of Staff (Medical/paramedical) :
Details of Radiography and Sonography facilities :
No. of X-rays and sonograms performed during the last three months. :
e. Other facilities ( Strike out what is inapplicable) Yes/No Area
Operation Theaters/Block:
OT (Major)
OT (Minor)
Ain, Uzn Anaf etc OT
Labour Room
Neonatal care room
Central sterilisation/autoclave unit
Scrub room
Recovery room
Doctor's duty room
Interns/house officer/resident room
Nursing staff room
Attached toilet-bath in OT, labour room, duty room and staff room.
No. of patients operated upon during the last 12 months (major/minor)
No. of deliveries/ other procedures done in the Labour Room during the last 12 months
Ilaj Bid Tadbir ( Strike out what is inapplicable) Yes /No Area
Fasad(Male)
Fasad (Female)
Irsal -e-Alaq (Male)
Irsal-e- Alaq(Female)
Hajamat (Male)
Hajamat (Female)
Amalae Kae (Male)
Amalae Kae (Female)
Qae-wa-Ishal (Male)
Qae-wa-Ishal(Female)
Hamam (Male)
Hamam (Female)
Attached toilet-bath
Physiotherapy Unit (Dalak wa Reyazat) ( Strike out what is inapplicable) Yes /No Area
Physiotherapy Room
Physiotherapist's room
Hospital Kitchen and Canteen
f. Facilities in the hospital (Please indicate area where required)
Dispensary-list of medicines stocked with quantity. (Use additional sheet in required) :
List of staff in position in Dispensary (Use additional sheet in required) :
Canteen in OPD (Strike out what is inapplicable) :Yes/No Area
Kitchen in IPD (Strike out what is inapplicable) :Yes/No Area
Is free food provided to poor patients (Strike out what is inapplicable) :Yes/No
No. of Toilets in OPD/IPD for men/women :
Ramp/Lift for upper stories in the hospital (Strike out what is inapplicable) :Yes/No
Waiting lounge for patients' attendants (Strike out what is inapplicable) :Yes/No Area (sq. metres)
g. Availability of Hospital staff (Please indicate number) Staff in position
Medical Superintendent
Deputy Medical Superintendent
Consultants
Casualty Medical Officers
House Officers or Clinical Registrars/Senior Residents (Ayurvedic)
Resident Medical/Surgical Officers (RMO/RSO)
Matron/Nursing Superintendent
Assistant Matron
Staff Nurses for IPD
Nurses for OPD
Mid Wife/Ward Boy/Ayah
Pharmacists
Dressers
OPD attendants
Store Keeper
Office Staff (for registration, record maintenance, data entry etc.)
Dark-Room Attendant
Operation Theater Attendant
Labour Room Attendant
Telephone Operator cum Receptionist
Modern Medical Staff
Medical Specialist
Surgical Specialist
Obstetrician & Gynaecologist
Dentist
Refractionist
Audiometrist
Radiologist
X-Ray Technician/Radiographer
Anaesthesiologist
Ilaj Bid Tadbir staff
Ilaj Bid Tadbir Specialists
House Officer or Clinical Registrar/Senior Resident (Unani)
Ilaj Bid Tadbir Nurse
Ilaj Bid Tadbir Technician
Ilaj Bid Tadbir Assistant
Physiotherapist
Safaiwala
Operation Theatre
Jarahat Specialists
House Officer or Clinical Registrar/Senior Resident (Unani)
Operation Theatre Attendant
Dresser
Nurses
Safaiwala
Labour Room
Amaraz-er-Niswan-wa Qabalat Specialists
Lady House Officer or Clinical Registrar/Senior Resident (Unani)
Nurses
Midwife
Attendant
Safaiwala
Clinical Laboratory
Pathologist/Microbiologist
Bio-chemist
Laboratory Technicians
Laboratory Assistants
Clerk/Typist/Computer
Data Entry Operator
Peon/Attendant
Safaiwala
Teaching Pharmacy and Quality Testing Lab.
Pharmacy Manager/Superintendent
(Teacher of Ilmul Advia and Saidla)
Clerk cum Store Keeper
Peon/Attendant
Machine Man
Workers
Analytical Chemist
Pharmacognosist
h. Residential accommodation for essential hospital staff
Nursing Hostel / Women's Hostel
Residential accommodation for Emergency Medical staff and paramedical staff (optional):
i. Teaching Pharmacy and Quality Control Laboratory Yes/No

 
24. Finances
Audited Balance Sheet and Annual statement of Accounts for the last three years or since the college has been in existence (whichever is later) to be submitted.

I hereby certify that all the information given above is true to the best of my knowledge and belief and that if any information submitted is subsequently found to be inaccurate or untrue the Department of AYUSH will be entitled to take such action against me as it may deem fit which may include the rejection of this application.

Date
Place

Signature of Applicant
Full name with Designation
 
List of enclosures:
 
1.  Certified copy of Articles/Memorandum of Association, Trust deed, Bye Laws. 2.  Certified copy of certificate of registration/incorporation. 3.  Annual Accounts and Audited Balance sheets for the last three years. 4.  Certified copy of the title/lease deeds of the land as proof of ownership. (Title/Lease deeds in any language other than English or Hindi should be translated into English or Hindi. 5.  Certified copy of the 'No Objection Certificate' issued by the concerned State Government/Union Territory Administration. 6.  Certified copy of the Consent of Affiliation issued by a University. 7.  Authorization letter addressed to the bankers of the applicant authorizing the Central Government/Central Council of Indian Medicine to make independent enquiries regarding the financial track record of the applicant. 8.  Other enclosures as are required in the application form.
 
Special instructions to applicants
 
1.  All documents to be submitted by the applicants should be either in English or in Hindi. Documents in any other language should be translated into English or Hindi. Documents which are issued by the State Government, the University or the local authorities in any other language should also be translated into Hindi or English. Applications accompanied with untranslated documents will not be accepted.
2.  All the copies of documents to be submitted shall be attested by a gazetted officer.
 

Proforma

  Proforma for furnishing details of Teaching staff
 
Sl. No. Name Father's name Date of birth Designation Qualifications UG and PG (with specialization) and Awarding body Department Date of appointment Teaching experience
                   
 
Proforma
 
 
Name Father's name Qualification Designation Date of appointment Name of Department Experience if any