SUMMARY Date of Assessment :________________ Name of Assessor :_______________________ Name of Institution Director / Dean / Principal (Private / Government) (Who so ever is Head of Institution) Name Age & Date of Birth Teaching experience PG Degree (Recognized/Non-R) Subject Department inspected Head of Department Name Age & Date of Birth Teaching experience PG Degree (Recognized/Non-R) (a). Number of UG seats Recognised Permitted First LOP date (Year: ) (Year: ) when MBBS course was first permitted (b). Date of last inspection UG PG for Purpose: Purpose: Result: Result: 4. Total Teachers available in the Department: Designation Number Name Total Benefit of Teaching Publications in Experience Promotion Professor Addl./Assoc Professor Asstt. Professor Senior Resident Note: Count only those who are physically present. 5. Has the institution/department been permitted by the Yes/No state govt. to conduct Medicolegal postmortems and If Yes, attach copy of other Medicolegal work. Govt. Permission Letter 7. Total Teachers available in the Department: Designation Number Name Total Teaching Benefit of Experience Publications in
SUMMARY Date of Assessment :________________ Name of Assessor :_______________________ Name of Institution (Private / Government) Director / Dean / Principal (Who so ever is Head of Institution) Name Age & Date of Birth Teaching experience PG Degree (Recognized/Non-R) Subject Department inspected Head of Department Name Age & Date of Birth Teaching experience PG Degree (Recognized/Non-R) (a). Number of UG seats Recognised (Year: ) Permitted (Year: ) First LOP date when MBBS course was first permitted (b). Date of last inspection for UG PG Purpose: Purpose: Result: Result: 4. Total Teachers available in the Department: Designation Number Name Total Teaching Experience Benefit of Publications in Promotion Professor Addl./Assoc Professor Asstt. Professor Senior Resident Note: Count only those who are physically present. 5. Has the institution/department been permitted by the Yes/No state govt. to conduct Medicolegal postmortems and If Yes, attach copy of other Medicolegal work. Govt. Permission Letter 7. Total Teachers available in the Department: Designation Number Name Total Teaching Experience Benefit of Publications in