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APPLICATION FORM FOR

AFFILIATION TO

SECTOR SKILL COUNCIL

BY VOCATIONAL

TRAINING PROVIDERS

(AFFILIATED TO

GOVERNMENT SCHEMES

AND NSDC)

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

P a g e | 1 NSDC Master Affiliation Protocol Document Release Version 1.0 - July 2013

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GENERAL INSTRUCTIONS

1.The application has to be applied online by the VTP/Institution interested for affiliation to a particular SSC

2.The link to the application will be available via SSC and NSDC website

3.Copies of all the relevant documents should be scanned and uploaded with the online application form

4.In addition to online application, a print-out of this application form along with hard copies of the relevant documents has to be sent to the concerned SSC by the VTP/Institution

5.Please sign and stamp every page of the document

APPLICATION FOR AFFILIATING FOR THE FOLLOWING JOB ROLE(S) (AS PER QUALIFICATION PACKS VALID FOR THE SCHEME):

S. No.

Job Roles

Qualification Pack Reference Number

1.

 

 

2.

 

 

3.

 

 

4.

 

 

5.

 

 

6.

 

 

7.

 

 

(More columns will get added, if required)

Section 1: Institution and Management Profile

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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1.Name of the VTP/Institution:

________________________________________________________________________

________________________________________________________________________

2.Whether NSDC or government affiliated

☐Government

☐NSDC

3.Name(s) of all Director(s) / Owner(s) as on date:

S. No.

Names

1.

 

2.

 

3.

 

4.

 

4. Contact Details of the Institution:

Postal Address:

Pin Code

Phone Number with STD Code

Fax No:

5.Year of Establishment: _____________________________________________________

6.Prior Exposure of the VTP/Institution in Skill Development Space – (Provide Details of affiliation with government scheme/NSDC. Please attach relevant proof)

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

______________________________________________________________________

7. Medium of instructions in Institute:

☐ English

☐ Hindi

☐ Any Other

Please specify: ______________________________________________________________

8. Does the Institute have branches? ☐ Yes ☐ No

(If Yes, attach the list of Branches as Enclosure 1)

9.PAN No: ________________________________________________________________

10.TAN No: _______________________________________________________________

(Attach photocopy of the PAN and TAN card as Enclosure 2)

11.Turnover of the VTP/Institute: ______________________________(Last Financial Year)

14. Is the Institute recognized with any bodies or affiliated with any Regulatory body? ☐ Yes ☐ No

15. If Yes, Please mention the following:

Name of the Body with which recognized or affiliated Regulatory Body

Recognition No./ Affiliation Number

Year of Recognition/Affiliation

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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Validity of Recognition/ Affiliation

(Attach Recognition and/or Affiliation certificate as Enclosure 5)

21.Educational Qualifications and Experience of the Director(s), Management Team members, Operational Head(s) and Affiliation Coordinator(s) for VTP/Institution:

Name of Director(s),

 

 

 

 

Management Team

Educational

Overall Work

Prior Experience

Key Achievements in the

members, Operational

Experience

in the Skills

Qualifications

Skills Development

Head(s) and Affiliation

(in years)

Training Space

 

 

Coordinator(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. Provide the Contact Details of the Director(s), Management Team members, Operational Head(s) and Affiliation Coordinator(s) for VTP/Institution:

 

 

Contact Numbers –

 

Name

Contact Address

Both Land Line and

Email-ids

 

 

Mobile

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. Provide your bank details:

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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A/C Number

Bank Name

IFSC Code

Section 2: Training Operations - Processes

24. Details of documented process for management of Human Resources.

Aspect

Yes/No

Recruitment guidelines and criteria based on required competencies

Training and professional development plan and processes

Maintaining records of qualifications and experience

SSC Specific add-ons

 

25.

Details of the Teaching Staff

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Degree/

Training

Sector

Instruction

Regular/Vi

S. No

Name

 

Designation

Experience

Experience

 

Diploma

Certificate

siting

 

 

 

 

(Yrs)

(Yrs)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

 

26. Have the Trainers undergone any specialized training? ☐Yes ☐No

(If Yes, attach the Details of the training as Enclosure 6)

27. Administrative Support Staff

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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S. No.

Staff

Permanent

Temporary/Part-time

Total

 

 

 

 

 

1.

Office Manager

 

 

 

 

 

 

 

 

2.

Office Staff

 

 

 

 

 

 

 

 

3.

Lab Attendants

 

 

 

 

 

 

 

 

4.

Accountant

 

 

 

 

 

 

 

 

5.

Support Staff

 

 

 

 

 

 

 

 

6.

Others

 

 

 

 

 

 

 

 

7.

Total

 

 

 

28. Details of the Curriculum of the all the courses offered.

Aspect

Yes/No

Remarks

Process of adoption and/or development of

 

 

curriculum on the basis of QP and NOS developed

 

 

by the SSC

 

 

Review process to gauge the effectiveness of the

 

 

curriculum developed

 

 

Clear demarcation of time to theory and practical

 

 

as per the criteria set by regulatory bodies

 

 

Activity based pedagogy inclusive of time

 

 

schedule and lesson plan

 

 

Process of SME engagement in curriculum design

 

 

and development

 

 

Review process for approval of curriculum from

 

 

the SSC

 

 

SSC specific inputs (if any)

 

 

 

 

 

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

P a g e | 7 NSDC Master Affiliation Protocol Document Release Version 1.0 - July 2013

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29. Details of the Courseware of all the courses offered.

Aspect

Yes/No

Remarks

Process of adoption and/or development of

 

 

courseware on the basis of QP and NOS based

 

 

curriculum approved by SSC

 

 

Existence of Facilitators Guide

 

 

Existence of Trainer Guide

 

 

Existence of Participant Manuals

 

 

Existence of Assessment Guides

 

 

Existence of participant feedback forms

 

 

Existence of Training Delivery Plans

 

 

Review process to gauge the effectiveness of the

 

 

courseware developed

 

 

Process of SME engagement in courseware

 

 

design and development

 

 

 

 

 

SSC specific inputs (if any)

 

 

 

 

 

30. Details of the Training Process for the courses offered.

Aspect

Yes/No

Remarks

Time table

Delivery plan

Monitoring and evaluation process of students – continuous assessments, tests, examination etc.

Management of student evaluation records

Lab/ workshop exposure and its linkage to theoretical delivery

Industry visits

SSC specific inputs (if any)

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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31. Details of Methodology adopted for Continuous Evaluation.

Aspect

Yes/No

Remarks

Documentation process of Continuous Evaluation

Documented process on student monitoring on learning

SSC specific

32. Details of Methodology adopted for Industrial Interface.

Aspect

Yes/No

Remarks

Documentation process of engagement of experts from the industry

SSC Specific

33. Details of Methodology adopted for Student Development.

Aspect

Yes/No

Remarks

Documented process of imparting soft skills training

Documented process of providing guidance to students on placements

Documented process on OJT/ Placement facilitation

SSC Specific

34. Details on Student Admissions.

Aspect

Yes/No

Remarks

Printed brochure/ prospectus

Documented policy and procedures for admissions

Concessions policy

Process of keeping the safe custody of student documents

Student agreement with the institution at the time of admission

SSC Specific

35. Provide the availability of aspects related to the Learning Environment: (Attach Photographs)

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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Aspect

Yes/No

Remarks

Are the classroom illumination levels sufficient

Are the classroom ventilated enough

Do the classroom and rest of the centre maintain the required cleanliness

Do the classroom and rest of the centre weather protected

SSC specific

36. Library details

a. Total number of Books related to the trade:

Technical

Non Technical

b.Number of Magazines: _________-

___________________________________________

c.Number of Dailies (newspapers): __________________________________________

37. Ages of Critical Equipment (as per requirement of QP) that are more extensively used for Trade Training in the Workshop

S. No.

Trade

Facilities

No.

Average age in No.

Remarks

 

 

 

 

of Years

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38. Details on Health and Safety of the learners.

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

P a g e | 10 NSDC Master Affiliation Protocol Document Release Version 1.0 - July 2013

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Aspect

Yes/No

Remarks

Documented process of staff training on crisis

 

 

handling

 

 

Availability of equipment required for covering

 

 

indoor and outdoor emergencies

 

 

Documented process on providing training on the

 

 

equipment on indoor and outdoor emergencies

 

 

Availability of equipment required for fire safety

 

 

Documented process on providing training on the

 

 

fire safety equipment

 

 

Health policy including collection of required

 

 

medical record of staff and students

 

 

Compliance to the regulatory norms related to

 

 

health and sanitary conditions

 

 

Documentary proof of compliances certified by

 

 

the competent authority

 

 

SSC Specific

 

 

Section 3: Performance Measurement and Improvement

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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39. Documentary evidences of suitable indicators to monitor and measure the performance. Key aspects that need to be certified by the applicant are:

Aspect

Yes/No

Remarks

Documented process of trade learning progress

Documented processes of workshop upkeep and modernization

Documented process on tracking health and safety incidences

Documented process on gathering feedback of placed students with the employers

Documented process of tracking trends in employability and placement record

SSC specific

40. Documentary evidences of practicing continual improvement. Key aspects that need to be certified by the applicant are:

Aspect

Yes/No

Remarks

Documented process of taking student feedback

 

 

on curriculum

 

 

Documented processes of taking student

 

 

attendance

 

 

Documented process on tracking student

 

 

dropouts

 

 

Documented process on tracking student

 

 

performance on tests

 

 

Documented process of tracking teacher

 

 

attendance

 

 

Documented process of tracking placement

 

 

patterns

 

 

SSC Specific

 

 

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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41. Documentary evidences of mechanism on Complaint Handling. Key aspects that need to be certified by the applicant are:

Aspect

Yes/No

Remarks

Documented process on Information Sharing on

 

 

complaints with all stakeholders

 

 

Documented processes of acknowledgement of

 

 

receipt of complaint

 

 

Documented process on investigation of the

 

 

complaint

 

 

Documented process on tracking training needs

 

 

of the faculty by the management

 

 

Documented process of tracking student

 

 

complaints and redress of the same

 

 

Documented process of investigating the student

 

 

complaints

 

 

Documented process of closure of the student

 

 

complaint

 

 

Documented process of keeping record of

 

 

student complaint

 

 

SSC specific

 

 

Other Relevant Information

 

 

48. Does the Institute receive any grant from Govt. of India / State Government/ Union Territory or any other source?

(Attach details of grants received in last 3 years as Enclosure 7)

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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Performance Review

 

 

 

 

 

 

 

a.

Overall

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S. No.

 

Performance Criteria

 

Unit of

2012-13

2011-12

2010-11

Remarks

 

 

 

 

 

Measurement

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

Utilization of Students

 

%

 

 

 

 

 

 

seating capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

Retention

Rate

(Of

%

 

 

 

 

 

 

students admitted)

 

 

 

 

 

 

3.

 

Students/Teaching Staff

 

Ratio

 

 

 

 

4.

 

Pass out (Of students

 

%

 

 

 

 

 

 

appeared)

 

 

 

 

 

 

 

5.

 

Students on

completion

%

 

 

 

 

 

 

got jobs

 

 

 

 

 

 

 

6.

 

Total yearly expenditure /

%

 

 

 

 

 

 

Initial budget sanctioned

 

 

 

 

 

9.

 

SSC specific

 

 

 

 

 

 

 

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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S. No.

List of Enclosures

Yes/No

 

 

 

1.

List of Branches

 

 

 

 

2.

PAN and IT Return

 

 

 

 

3.

Registration Certificate of Trust/ Society

 

 

 

 

4.

Copy of Recognition and or Affiliation

 

 

Certificate

 

5.

Details of Trainer Trainings

 

 

 

 

6.

Details of Grants received in last 3 years

 

 

 

 

7.

Lease Agreement

 

 

 

 

8.

Staff Particulars

 

 

 

 

9.

Drinking Water

 

 

 

 

10.

Health and Sanitary Conditions

 

 

 

 

11.

Fire Safety

 

 

 

 

12.

Bus Service details

 

 

 

 

I hereby confirm that my training center, used in the training of trainee under the above mentioned scheme meets the specifications for becoming an Affiliated Training Partner as per the standards defined by SSC and NSDC. The criteria is mentioned on the NSDC and respective SSC website. I also declare that the above mentioned information is true.

S i g n H e r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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