Annexure 1

Mandatory Disclosure
S.V.P.M’S
INSTITUTE OF PHARMACY, MALEGAON (Bk)

I. NAME OF THE INSTITUTION: Shivnagar Vidya Prasarak Mandal’s

INSTITUTE OF PHARMACY,
Malegaon(bk), Tal- Baramati
Dist.- Pune 413115.
Phone – 02112-254447
Fax -- 02112-254582.
Email- svpm@indiatimes.com.

II. NAME & ADDRESS OF THE PRINCIPAL:

Mr. R. N. Patil
Flat No. C - 5
Sayalisugandh Appt.
Behind New Court, Vidyanagar,
Baramati. Dist.- Pune. 413102.
Phone: 02112-288369
Mobile: 9730080522
Email- patilrn31@rediffmail.com

III GOVERNANCE:
*MEMBERS THE BOARD
Sr. No Name of The member Designation
1 Hon. Shri. Sharadchandraji Pawar Chairman
2 Shri. Balasaheb P. Taware Member
3 Shri. Ajitrao Anantrao Pawar Member
4 Mrs. Supriya Sadanand Sule Member
5 Shri. Vilasrao S. Taware Member
6 Shri. Mahesh S. Lokhande Member
7 Shri. Veersing B. Taware Member
8 Shri. Uttamrao V. Phalke
9 Shri. Bhiwaji S. Deokate
10 Shri. Mahadeorao D. Gawade
11 Member (AICTE)
12 Shri. P. S. Jagtap Member (Industrialist)
13 Member (DTE/MSBTE)

• MEMBERS OF ACADEMIC ADVISORY BOARD

1
 Sr.No Name of The Member
1 Shri. Balasaheb P. Taware
2 Shri. P. S. Shinde
3 Mr. R. N. Patil
4 Mr. A. N. Maniyar
5 Mr. V.V. Magar
7 Mr. V. P. Wagh
8 Mr. S. B. Kanase
Designation
Chairman
Member
Principal and Member Secretary
Member Teaching Faculty
Member Teaching Faculty
Member Non-Teaching Faculty
Member Non-Teaching Faculty

* FREQUENCY OF THE BOARD MEETINGS

: Yearly 2 – 3 Meetings
* FREQUENCY OF THE ACADEMIC ADVISORY BOARD MEETINGS
: Yearly 5 – 6 Meetings
* ORGANISATIONAL CHART AND PROCESSES:

STUDENTS TEACHERS NON-TEACHING STAFF

ACADEMIC ADVISORY BOARD

GOVERNING COUNCIL BOARD

DESCISION AND IMPLEMENTATION

*NATURE AND EXTENT OF INVOLVEMENT OF FACULTY AND STUDENTS IN ACADEMIC

AFFAIRS /IMPROVEMENTS
All Students, Teachers and non- teaching staff collectively make a suggestion for the academic
affairs / improvements and put before the academic advisory board and further process directed
to governing council board. Finally the decisions of the governing council board for the
academic affairs and improvements only based upon suggestion coming from students, teacher
and non-teaching staff.

2
 *MECHANISMS / NORMS & PROCEDURE FOR DEMOCRATIC / GOOD GOVERNENCE
For the democratic and good governance the relationship between students, staff and
management should be transparent. During the tenure, the transparency is maintained through
various channels
1. Academic: Academic calendar is plotted for the students and staff for their convenience and co-
ordination during the academic year.
2. Policy implementation: staff – management, staff-students meetings are arranged during the
academic year to promote and maintain condussive and healthy environment in the campus and
professional activities encouraging students and staff professional skills.
*STUDENT FEEDBACK ON INSTITUTIONAL GOVERNANCE/FACULTY PERFORMNCE
Staff-students counseling meetings are arranged during the academic years, which help in
understanding the students problems associated with academic and professional activities.
Feedback boxes are made available to students for their individual opinions. Some student
feedback reports on faculty performance are attached herewith.
*GRIEVANCE REDRESSAL MECHANISM FOR FACULTY, STAFF AND STUDENTS
Each component i.e. faculty, staff and students try to maintain the healthy and condussive
academic and professional environment. The problems associated with these were discussed
and solved in the meetings.

IV PROGRAMMES
*NAME OF THE PROGRAMME APPROVED BY THE AICTE : D.Pharmacy
*NAME OF THE PROGRAMME ACCREDIATED BY THE AICTE: NIL
*NAME OF PROGRAMME AND DETAILS:
• Name : D. Pharmacy
• Number of seats : 60
• Duration : 02 Year Course

3
 • Cut off mark/ rank for admission during last three years
Academic Year Cut off marks Rank for admission
2007-2008 105 (PCB) Pass Class
2008-2009 105 (PCB) Pass Class
2009-2010 107 (PCB) Pass Class

• Fee : Rs. 37418/-(Interim Fees)

• Placement Facilities : Campus interviews are arranged for the placement
• Campus placement in last three years with
Minimum salary Rs. 5,000/-
Maximum salary Rs. 10,000/-
Average salary Rs. 7,000/-

V. FACULTY
* Branch wise list faculty members:
• Permanent faculty : 08
• Visiting faculty : 00
• Adjunct faculty : 00
• Permanent Faculty : Student ratio : 1:15
* Number of Faculty employed and left during the last three years.
Academic Number of Faculty Number of Faculty
Year employed left
2006-2007 01 01
2007-2008 -- --
2009-2010 -- --

VI. PROFILE OF PRINCIPAL WITH QUALIFICATIONS, TOTAL EXPERIENCE, AGE &

DURATION OF EMPLOYMENT AT THE INSTITUTE CONCERED.
Name : Mr. R. N. Patil
Qualification : M. Pharm.
Total Experience : 13 Years
Age : 37 Years
Duration of Employment
At Institute Concered : 13 Years

Profiles of Each faculty with Qualifications, Total Experience, Age are attached herewith

4
 1 Name : Mr. Raju Nivrutti Patil
2 Date of Birth : 14th May 1971
3 Educational Qualification : M. Pharmacy.
4 Work Experience
- Teaching : 14 yrs
- Research : --
- Industry : --
- Others :--
5 Area of Specializations : Pharmaceutical Chemistry
6 Subjects teaching at Under Graduate Level : Pharm. Chem. IV
Post Graduate Level : Nil
7 Research guidance
No. of papers published in
Master’s - National Journals :02
Ph.D. -International Journals : -- 01
-Conferences :06
8 Projects Carried out : --
9 Patents : --
10 Technology Transfer : --
11 Research Publications : --
12 No. of Books published with details : --

Signature

VII FEE
• Details of fee, as approved by State fee Committee, for the Institute : for
academic year 2009-2010 is Rs. 37418/-(Interim Fees)
Time schedule for payment of fee for the entire programme -- At the time of
Admission
• No. of Fee waivers granted with amount and name of student. - Nil
• Number of scholarship offered by the Institute, duration and amount. -- Nil
Only scholarship is issued to the students offered by the Govt. of
Maharashatra. Gov. of India Criteria for fee waivers/scholarship.--
• Estimated cost of Boarding and Lodging in Hostels.
Hostel Fee: Rs. 10000/- + Rs. 500/- (Deposit) = Rs. 10500/-

VI ADMISSION
5
 • Number of seats sanctioned with the year of approval.

Academic Year Sanctioned Intake Year of Approval

2006-2007 60 2006-2007
2007-2008 60 2007-2008
2008-2009 60 2008-2009
2009-2010 60 2009-2010

• Number of students admitted under various categories each year in the last three years.

Year Class SC ST NT1 NT2 NT3 VJNT OBC SBC OPEN TOTAL
2007-2008 FY 03 01 - 12 - - 07 - 37 60
SY 02 - - 16 - - 05 - 35 58
2008-2009 FY 5 -- -- 08 - - 15 -- 31 59
SY 01 -- 01 12 - - 06 -- 36 56
2009-2010 FY 04 - 01 09 - 01 13 - 32 60
SY 03 - 01 05 01 - 14 - 27 51

• Number of applications received during last two years for admission under management Quota and
number admitted.
Year Total Form Received No of student admitted
2007-2008 63 60
2008-2009 60 59
2009-2010 12 12

IX ADMISSION PROCEDURE
Calendar for admission against management / vacant seats.
Last date for request for applications. ---30/06/2009
Last date for submission of application. ---30/06/2009
Dates for announcing final results. ---08/07/2009

Release of admission list. (Main list & Waiting list should be announced on the same day)—22 /07/2009
Date for acceptance by the candidate (time given should in no case be less than 15 days.)-27 /07/2009
Last date for closing of admission. ---14/09/2009
Starting of the Academic session. --03/08/2009
The waiting list should be activated only on the expiry of date of main list.
The policy of refund of the fee, in case of withdrawal, should be clearly notified. As Per Govt. Rule

6
 X. APPLICATION FORM
v Downloadable application form, with online submission possibilities. – Available on Institute
web site
XI. LIST OF APPLICANTS ENCLOSURE -2
List of candidates whose applications have been received along with percentile/percentage
score for each of the qualifying examination in separate categories for open seats
List of candidates who have been offered admissions.

II. RESULTS OF ADMISSION UNDER MANAGEMENT SEATS/VACANT SEATS

v Composition of selection team for admission under Management Quota with the brief
profiles of members (This information be made available in the public domain after the
admission process is over)
Sr. No. Designation Name of Member
1. Principal Mr. R. N. Patil
2. Secretary Mr. P. S. Shinde
3. Admission In-charge Mr. V. V. Magar
4. Management Representative Mr. A. M.Pisal
5. Govt. Representative Deputed by Deputed by DTE,
DTE Mumbai.

v Score of the individual candidates admitted arranged in order of merit.

ENCLOSURE -3
v List of candidates who have been offered admission.
ENCLOSURE -4
v Waiting list of the candidates in order of merit to be operative from the last date of
joining of the first list candidates.

v List of the candidates who joined within the date, vacancy position in each category
before operation of waiting list.

XIII. INFORMATION ON INFRASTRUCTURE AND OTHER RESOURCES AVAILABLE

LIBRARY:
Ø Number of Library books/Titles/Journals available (programme-wise)

Serial Course(s) Number of titles Number of volumes Journals

Number of the books

7
 National International
1 D. Pharm. 632 1631 25 03

Ø List of online National / International Journals subscribed -- Nil

Ø E-Library facilities-- Nil

LABORATORY:
For each Laboratory

Ø List of Major Equipment/Facilities

Sr. Name of the Item Date of Qty Unit Total

No. Purchase price Rs cost Rs
Department of Pharmaceutics
1 Autoclave (Small) 1/9/92 01 6600.0 30300.0
31/3/92 01 5000.0
1/4/93 01 12000.0
16/8/93 01 6700.0
2 Autoclave (Large) 5/11/96 01 40000.0 40000.0
3 Oven 10/10/96 01 30000.0 30000.0
4 Incubator 10/10/96 01 46000.0 46000.0
5 Tincture press 6/2/95 02 2185.0 10754.0
8569.0
6 Compound Microscope 12/12/95 10 11035.0 110350.0
7 Microscope binocular 12/12/95 01 19456.0 19456.0
8 Laminar Air flow 31/3/94 01 48396.0 48396.0
9 Distilled water plant 10/10/96 01 4850.0 4850.0
10 All glass Distilled water plant 10/10/96 01 26000.0 26000.0
8
 11 Ampoule filling machine 21/8/93 01 7200.0 7200.0
12 Distilled water plant 20 ltrs. 16/8/93 01 15000.0 15000.0
13 Incubator small 1/9/92 01 5600.0 10660.0
31/3/94 01 5060.0
14 Ovens small 31/3/92 02 10000.0 20000.0
15 D. M. Water plant 13/4/92 01 8185.0 8185.0
16 Balance Electronics 2/2/05 01 11000.0 11000.0
17 Dissolution Apparatus 8 1/2/2006 01 105669.0 105669.0
station (Electrolab)
18 Disintegration apparatus 1/2/2006 01 45997.0 45997.0
ED2L 2 Station
19 Polarimeter 1/2/2006 01 35000.0 35000.0
20 Microscope Monocular 2/2/05 13 4310.0 56030.0
(Besto)
21 Test Sieves Brass No.10 2/2/05 05 320.0 1600.0
22 Test Sieves Brass No.16 2/2/05 05 320.0 1600.0
23 Test Sieves Brass No.22 2/2/05 05 320.0 1600.0
24 Test Sieves Brass No.44 2/2/05 05 320.0 1600.0
25 Test Sieves Brass No.85 2/2/05 05 320.0 1600.0
26 Test Sieves Brass No.100 2/2/05 05 320.0 1600.0

Sr. Name of the Item Date of Qty Unit Total

No. Purchase price Rs cost Rs
Department of Industrial Pharmacy
1 Batch printing machine 16/12/96 01 3600.0 3600.0
2 Homogenizer 30/7/96 04 4400.0 17600.0
3 SS Cylindrical Tank 13/12/96 02 5500.0 11000.0
4 Bulk density apparatus 1/9/92 01 8220.0 8220.0
5 Double cone Blender 10/7/96 01 10000.0 10000.0
6 Tablet Compression 11/8/93 02 11000.0 22000.0
Machine
7 Tablet Machine Cadmach 11/8/93 01 55000.0 55000.0
8 Tablet polishing Drum 27/8/93 01 13500.0 13500.0
9 Industrial stirrer 16/12/96 01 14500.0 14500.0
10 PP cap Sealing Machine 13/12/96 01 20250.0 20250.0
11 Double Head Liquid filling 13/12/96 01 22500.0 22500.0
Machine
12 Triple roller miller 13/12/96 01 25000.0 25000.0
13 Filter Press HPT 17/6/97 01 27500 27500.0
14 Mass Mixer 16/12/96 01 76000.0 76000.0
15 Tray dryer 13/12/96 01 29500.0 29500.0

9
 16 Cube mixer 27/8/93 01 28100.0 28100.0
17 Tablet Coating Pan 11/8/93 01 33700.0 33700.0
18 Multi mill 16/12/96 01 38000.0 38000.0
19 Ball Mill 27/8/93 01 42200.0 42200.0
20 Tablet coating Spray 11/8/93 01 55000.0 55000.0
assembly
21 Emulsifier 3/12/96 04 6600.0 26400.0
22 Gearing Unit 27/8/93 01 39400.0 39400.0
23 Capsule Filling Machine 10/12/96 01 31000.0 44125.0
30/10/92 01 13125.0
24 Sieve Shaker 5/11/96 01 14250.0 14250.0
25 Membrane Filter holder 17/6/97 01 5200.0 5200..0
26 Tube filling Machine 17/6/97 01 10250.0 17650.0
16/8/93 01 7400.0
27 D.T. Machine 12/2/92 01 7275.0 31100.0
16/8/93 03 7975.0
Sr. Name of the Item Date of Qty Unit Total cost
No. Purchase price Rs Rs
28 D.M Water plant 28/5/97 01 31750.0 31750.0
29 Main Drive Model 27/8/93 01 100000.0 100000.0

Sr. Name of the Item Date of Qty Unit Total

No. Purchase price Rs cost Rs
Department of Pharmaceutical Chemistry
1 Hot Plate 10/10/96 02 4400.0 8800.0
2 Automatic DW Plant 10/10/96 02 4850 9500.0
3 Digital Melting Point 3/11/96 02 7350.0 18350.0
Apparatus 11000.0
4 Water Bath 10/10/96 02 8000.0 16000.0
5 Vaccum Pump 17/06/97 02 14500.0 29000.0
6 Hot Air Oven 10/10/96 03 30000.0 67480.0
31/3/94 7480.0
7 Refrigerator 230 lit 31/03/93 01 15000.0 15000.00
8 Balance Electronics 2/2/05 01 11000.0 11000.0
9 Deep Freezer 100lit 7/1/05 01 36900.0 36900.0
10 Hot Plate 01 1400.00 1400.00
11 Electronic Balance 0.001 gm 02 20500.00 41000.00
12 Vaccum Filtration Unit 01 9800.00 9800.00
13 Microwave Oven 01 6900.00 6900.00
14 Rotary Shaker 01 16800.00 16800.00
Department of Pharmacognosy

10
 1 U.V Cabinet 16/8/93 1 12750.0 12750.0
2 Hot plate 10/10/96 01 4400.0 4400.0
3 Microtome 31/3/93 01 8500.0 8500..0
4 Moisture Absorbent balance 15/1/02 01 6055.0 6055.0
5 D.W Plant 10/10/96 01 4850.0 4850.0
6 Microscope 31/3/92 02 5198.0 10396.0
7 Microscope Oil Immersion 31/8/93 5 4950.0 24750.0
8 Balance Electronics 2/2/05 01 11000.0 11000.0
9 Heating Mentle 2/2/05 01 840.0 840.0
10 U.V. Cabinet 4/1/05 01 3600.0 3600.0
Department of Pharmacology
1 Analgesiometer 22/2/95 01 9500.0 9500.0
2 Actophotometer (Activity 19/12/94 01 220000.0 22000.0
cage)
3 Pole Climbing Apparatus 25/1/96 01 5500.0 5500.0
4 Rotarod 24/11/97 01 18150.0 18150.0
5 Recording Drum 20/6/96 25 5525.0 49725.0
6 Operation Table 30/8/93 02 6500.0 13000.0
7 Thermostatic Organ Bath 25/1/96 .02 5250.0 10500.0
8 Digital Tele Thermometer 1/4/94 01 12850.0 12850.0
9 Refrigerator 310 Lit. 28/2/03 01 14500.0 14500.0
10 Electrocovulsiometer 22/2/95 01 17500.0 17500.0
11 Histamine Chamber 11/3/94 02 9250.0 18850.0
21/2/95 9600.0
12 EC.G. Machine 01 25900.00 25900.00

Sr. Name of the Item Date of Qty Unit price Total cost
No. Purchase Rs Rs
Department of Analytical Instrument Room
1 Hot plate 10/10/96 01 4400 4400.0
2 Digital Nepheloturbidimetre 20/04/97 02 7750.0 15500.0
3 Water Bath 10/10/95 01 8000.0 8000.0
4 Colorimeter 13/2/92 02 4500.0 10500.0
6000.0
5 Conductivity meter 24/4/97 02 14611.0 29222.0
6 Digital Potentiometer 29/5/97 02 15265.0 30530.0
7 Photoflurometre 24/4/97 01 18730.0 18730.0
8 Abbes Refractometer 28/2/92 01 5950.0 5950.0
9 Polarimeter 21/8/93 02 19800.0 30025.0
3/12/96 10225.0
10 Digital Automatic KF 29/5/93 02 13870.0 35607.0
Titrimeter 16/8/93 21737.0
11 Flame Photometer 16/8/93 02 22600.0 44600.0
24/4/97 22000.0
12 Hot Air Oven 10/10/96 01 30000.0 30000.0

11
 13 Polarograph 24/4/97 01 37400.0 37400.
14 Analytical prescription 10/10/96 01 48700.0 48700.0
Balance
15 U. V. Spectrophotometer 24/4/97 01 119000.0 119000.0
16 Electronic Balance 10/10/96 02 22500.0 45000.0
17 D.W. plant 10/10/96 01 4850.0 4850.0
18 PH Meter 16/8/93 02 9000.0 14950.0
13/2/92 5950.0
19 PH Meter Digital 24/04/97 02 11340.0 22680.0
20 Schimadzu U.V. 1700 17/1/ 01 355000.0 355000.0
Double beam 2006
Spectrophotometer
21 Cuvette (Quartz) of U.V 09/11/ 01 7200.0 7200.0
Visible Spectrophotometer 2006 pair
119 systronic
22 H.P.L.C. 01 695000.00 695000.00
23 Electronic Balance 0.001 01 42000.00 42000.00
gm
24 Electronic Balance 0.01 gm 01 20500.00 20500.00

Sr. Name of the Item Date of Qty Unit Total

No. Purchase price Rs cost Rs
Department of Quality Control
1 Colorimeter 10/8/93 02 4500.0 10500.0
10/10/96 6000.0
Sr. Name of the Item Date of Qty Unit Total cost
No. Purchase price Rs Rs
2 Water Bath With electrical 10/10/96 01 8000.0 8000.0
Heater
3 Refractometer 28/2/92 01 6000.0 6000.0
4 Fribilator 1/9/92 01 8260.0 8260.0
5 Dissolution Test Apparatus 12/10/93 02 9250.0 18900.0
9650.0
6 Polarimeter 3/12/96 01 19800.0 19800.0
7 KF Titrimeter 29/5/97 01 21737.0 21737.0
8 Flame Photometer 24/4/97 01 22600.0 22600.0
Balance Room
1 Analytical Prescription 15/10/96 02 23700.0 47400.0
Balance

12
 2 Electrical balance 16/8/93 02 10690.0 18090.0
1/10/92 7400.0
Computer Section
1 PC 20 34000.0 680000.0
2 PC 04 30000.0 120000.0
3 Printer (LQ 1080) Dot Matrix 01 7500.0 7500.0
4 Printer Desk jet 610C 01 6000.0 6000.0
5 Modem (56 K ) Data Fax 01 5000.0 5000.0
6 OHP 19/2/92 01 15129.0 15129.0

Ø List of Experimental Setup – List of Practical/experiments are as per University / DTE

Practical syllabus. Syllabus copy herewith attached as Enclosure-5

COMPUTING FACILITIES:
Requirements as per
S.No Particulars Norms Availability

1. No of Computer terminals 60
2. 40 GB hdd,1.44 MB floppy P-IV 2.6 GHz.,
Hardware Specification
256 MB RAM
3. No of terminals of LAN/WAN 15
Applicat System Windows 98,2000 MSOffice etc.
4. Relevant Legal Software

5. Peripheral(s)/ Printers 10
6. Internet Accessibility (in Yes, 1 MBPS lease line
kbps & hrs)
WORKSHOP:

Ø List of facilities available

1. Games And Sports Facility : Provided

2. Extra Curricular Activities : Available

13
 3. Soft Skill Development Facilities: Available

4. Number Of Class Rooms And Size Of Each:

Number of rooms Carpet area of each room

Particulars Requireme
Available in the Requirement as Available in the
nt as per
institution per norms Institution (Sq.M)
norms
Class Rooms 02 02 150 162

5. Number Of Tutorial Rooms And Size Of Each:

Number of rooms Carpet area of each room

Particulars Requireme
Available in the Requirement as Available in the
nt as per
institution per norms Institution (Sq.M)
norms
Tutorial Hall 01 01 36 40

6. Number Of Laboratories And Size Of Each:

Total Area of lab/workshop

Name of the laboratory/workshop
(Sq. Meters )
Pharmaceutics 81
Pharmacology 81
Pharm. Chemistry 81
Bio. Chemistry 81
Machine Room 162
Museum 100
Animal House 100
Preparation Room 108
Sterile area 54
Instrument Room 54
Balance Room 54

7. Number Of Drawing Halls And Size Of Each: Not Applicable

8. Number of computer center and capacity of each: o1 centre and 60 computers

9. Central examination facility and Number of rooms and capacity of each:02

10. Teaching and learning process: Available

Ø Curricula and syllabi for the programme approved by the University / DTE
Enclosure-6

Ø Academic Calendar of the University / DTE

Enclosure-7

Ø Internal continuous evaluation system and Place- During academic year in the Institute
Enclosure-8
Ø Students’ assessment of Faculty, System in place.:
14
 Enclosure-9
Faculty Profile
Sr.No. Name Designation Subject Teaching
1 Mr. R. N. Patil Principal
2 Mr. S. B. Borrah Sr. Lecturer PH-I
PH-II
3 Mr. A. N. Maniyar Sr. Lecturer BCP
DSBM
4 Mr. V. V. Magar Sr. Lecturer P.COLOGY
HAP (Pr)
5 Mr. T. C. Thomas Lecturer HECP
PC-II
6 Mrs. C. V. Mainkar Lecturer HAP
PH-II (Pr)
7 Mrs. S. T. Lodha Lecturer PC-I
P.COG(Pr) PJ
8 Mrs. V. M. Taware Lecturer P.COG
HCP

Brief profile of each faculty.

Special purpose.
Software, all design tools in case : Software’s related to the course are available with the
Institute as Pharmacological and Toxicological Examination software / CD.
Academic Calendar and frame work: Academic calendar and course framework has been
prepared as per the guidelines of M.S.B.T.E.
Research Focus : Faculty members are permitted to carry out Minor Research Projects
related to the subject .
List of typical research projects.
Industry Linkage: Industrial visits for the students have arranged during the academic
sessions, and various imminent personalities from the industries were invited for the
guidelines and professional avareness.
Publications (if any) : Faculty members and students are time to time encouraged for the
publication and presentation of the scientific work
Placement status : About fifty five D.Pharm Second year students are placed in industrial
sector since last two year.
Admission procedure : Admissions are done with the guidelines mentioned by D.T.E.
Fee Structure: Fess schedule of the course is followed as per the guidance of Shikshan
Shulk Samati

15
 Hostel Facilities : Hostel facility is available for both boy’s (Capacity-60) and girls
(Capacity-60) with separate mess facilities
NOTE: Suppression and / or misrepresentation of information would attract appropriate penal action.

I / We solemnly declare that no information has been withheld and all the information provided in
this Mandatory Disclosures is correct. If any information is found to be incorrect or false, I / We
understand that proposal shall be liable for rejection.

Date: 30th November 2009 Name and Signature of the Authorized Signatory of the institution with seal

Place: Malegaon(bk)

16