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Tracking Number: SIF/2017/100117 PHARMACY COUNCIL OF INDIA Standard Inspection Format (S.I.F) for institutions conducting D Pharm And B Pharm (To be filled and submitted to PCI by an organization seeking approval of the course / continuation of the approval) (SIF-C) To be filled up by P.C.I To be filled up by inspectors Inspection No. : Date of Inspection: FILE No. NAME OF THE INSPECTORS: 1. (IN BLOCK LETTERS) 2. PART-1 A-GENERAL INFORMATION A - I.1 Name of the institution Seemantha Institute of Pharmaceutical Sciences Complete postal address: JHARPOKHARIA - 757 086 Mayurbhanj, Orissa Telephone number with STD Code 06791 222238 Fax No 06791222238 Email sipspharmacy@gmail.com Year of establishment Diploma 1982 & Degree 1993 Status of the course conducting body Society (Enclose copy of Registration documents of Society/Trust) A - I.2 Name of the Society/Trust/Management Seemanta Mahavidyalaya Samiti Address Jharpokharia, Mayurbhanj, Odisha. 757 086 Telephone Number with STD Code 06791 222304 Fax No 06791222238 Email seemantasamiti@gmail.com Website www.seemantasamiti.org (Attach documentary evidence) A - I.3 Name of the Person to be contacted by phone Dr Upendranath Nanda Designation Principal cum Secretary Address Seemanta Institute of Pharmaceutical Sciences, Jharpokharia,Mayurbhanj,Orissa, 757086 STD Code 06791 Telephone Number Office 06791222238 Residence 222238 Mobile 9437332717 Fax No 06791222238 Email sipspharmacy@gmail.com A - I.4 Name of the Head of the Institution Dr Upendranath Nanda Address Seemanta Institute of Pharmaceutical Sciences, Jharpokharia,Mayurbhanj,Odisha, 757086 A - I.5 FOR INSTITUTION SEEKING CONTINUATION OF APPROVAL a. DETAILS OF AFFLIATION FEE PAID Name of the Course Affiliation Fee Paid Upto Receipt No. Dated Remarks of the Inspectors D Pharm 2017-2018 001778 29/05/2017 B Pharm 2017-2018 001777 29/05/2017 b. APPROVAL STATUS Intake Remarks Name of the Approved Approved PCI State Govt University of the Course Upto and Inspectors Admitted 2016- 17-1/2015- Memo BPUT/10024/98 2017 Approved PCI-284- No.28398dt.6.08.92 dt.13.5.2015 Letter No 806 dated & Date 06/04/2015 B Pharm Approved 60 60 60 Intake Actually 60 Memo 60 Admitted No.28398dt.6.08.92 2016- 17-1/2015-MEII-IXM/92-54954 n.a 2017 Approved PCI-284- dt.06.12.94 Letter No 806 dated & Date 06/04/2015 D Pharm Approved 60 MEII-IXM/92-54954 n.a Intake dt.06.12.94 Actually 60 MEII-IXM/92-54954 n.a Admitted dt.06.12.94 c. STATUS OF APPLICATION Course Extension of Increase in Current Intake Proposed Intake Approval Intake of Seates D Pharm Yes No 60 00 B Pharm Yes No 60 00 Note: Enclose relevant documents A - I.6 Whether other educational institutions/courses are also being run by the trust/instiutuion in the same building/campus? If yes, give status No A - I.6 a Status of the Pharmacy Course: Independent Building Yes Wing of Another College No Separate Campus Yes Multi Institutional Campus No Examining Diploma Course Degree Course Authority: Name with The Member-Secretary, Orissa State Board of The Registrar Biju Patnaik Complete Postal Pharmacy,(Directorate of Drugs Control University of Technology, address, Building), P.O. Mancheswar, Railway Rourkela, Camp at CET, Kalinga telephone No. and STD Code. Colony,Bhubaneshwar – 751 017. Nagar, Near Ghatika Berhampur – 760 003 Signature of the Head of Signature of the Inspectors the Institution B - DETAILS OF THE INSTITUTION B - I.1 Name of the Principal Dr Upendranath Nanda Teaching Actual Remarks of Qualification Experience experience the Required Inspectors Yes 15 years, out of 30 Qualification / M. Pharm which 5 Experience years as Prof. / HOD Yes 10 years, out of PhD which at least 05 years as Asst. Prof * Documentary evidence should be provided B - I.2 For institution seeking continuation of affliation Date of Remarks of the Intake Course last Previous Inspection Complied/Not reduced/Stopped Inspection Report Complied in the last 03 years* D Pharm 24/03/2017 1 Appointment of staff Yes No 2 purchase of Humidity control oven laminar air flow 25/03/2017 1 Appointment of staff Yes No B Pharm 2 Humidity control oven humidity control oven * Enclose Documents B - I.3 Status of Governing Council Society Details of the Governing Body Enclosed Minutes of the last Governing council Meeting Enclosed B - I.4 Pay Scales Staff Scale of pay PF Gratuity Pension Remarks of the benefit Inspectors Teaching Staff AICTE/UGC/State Yes Yes No Yes Govt. Non-Teaching State Yes Yes No Yes Staff Government B - I.5 D Pharm Course: Admission statement for the past three years ACADEMIC YEAR 2015-2016 2016-2017 2017-2018 Sanctioned 60 60 60 No. of Admissions 60 0 0 Unfilled Seats 0 0 0 No of Excess Admission 0 0 0 B - I.6 Academic information: Percentage of D Pharm results for the past three years: ACADEMIC YEAR 2015-2016 2016-2017 2017-2018 D Pharm 87 57 B - I.7 B Pharm Course: Admission statement for the past three year ACADEMIC YEAR 2015-2016 2016-2017 2017-2018 Sanctioned 60 60 60 No. of Admissions 60 60 60 Unfilled Seats 0 0 0 No of Excess Admission 0 0 0
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