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College Ref No:Zone Code:Questionnaire for Outlook- Drshti DENTAL colleges Survey – 2016 (objective)INTRODUCTIONThe ranking based on this survey will be published in weekly newsmagazine Outlook.Please fill information for THIS CAMPUS only Institute must be at least 5 years old and the institute must be recognized by Dental Council of India.The questionnaire is available at questionnaire has twelve printed pages (including the instructions page) divided into seven sections – 1) Institute Profile, 2) Selection Process & Eligibility Criteria, 3) Academics, 4) Selection in PG, 5) Infrastructure & Facilities, 6) Personality Development and Industry Interface 7) Placements and 8) Contact.While filling in numbers, please ensure that each box contains only one numeric character. Please fill in zeroes in the starting columns if not used. E.g. If you have to fill in the number for papers published by the full-time faculty and the answer in your case is 6, fill it as 0 6.Please ensure that all sections are duly filled in. Do not leave any question blank. Incomplete questionnaires will not qualify for the final rankings.If any question is not applicable for the institute, clearly mention “Not applicable” or “NA” in the space provided.The following supporting documents must be sent along with the filled up questionnaire.Page numbers must be specified for questions which have annexures attached. Otherwise the question will NOT be taken into considerationPlacement Brochure for the present year (if available), else, for the last year.Admission Brochure for the current year.Annual Report for 2014-15 (if available), else, for the last year. If Annual Report not prepared, provide balance sheet.List of full time faculty along with qualification and industry experience.List of visiting faculty along with courses taught, qualification and industry experience.Photocopy of the cover page of the research papers published by existing permanent faculty in Indian and foreign journals.Proof of year of establishment.Dental Council of India CertificationStudent and Alumni database which contains phone numbers and email id’sFor statement of any kind of competition won or scholarship obtained necessary documentation needs to be provided as proofEach page of the filled up questionnaire should be signed by the Institute Director/ Dean with official seal of Institute.Please fill all the information in CAPITAL LETTERS only.The information collected from institutes/colleges will be kept confidential. Outlook has a copyright over the survey and rankings. By participating in this survey, the participating institute agrees that it would provide full co-operation and documentary evidence of the data/information provided. No fee/money is to be paid by any institute for participating in Outlook-DRSHTI professional college 2016 ranking to anyone in any manner/mode. Any attempt by anyone to take any money should be informed to DRSHTI or Outlook.Please send both, soft copy (scanned) to the e-mail Id and hard copy of the filled in questionnaire along with supporting documents latest by May 9th, 2016 to Drshti/ Outlook at the following address:Outlook (Delhi)Drshti (Mumbai)Arindam MukherjeeSenior Associate EditorOutlook, AB-10, Safdarjung Enclave,New Delhi-110029Phone: +91 (11) 33505500Fax: +91(11) 26191420 Email: psurvey@Website: Shailendra ChaturvediResearch ManagerDrshti Strategic Research Services Pvt. Ltd.3rd Floor, Malkani Chambers (Opp. Airlink Hotel) Nehru Rd, Vile Parle (East) Mumbai-400057Phone: +91(11) 46140139/ +91 (22) 30920222 (29)Email: psurvey@?Website: SECTION A: INSTITUTE PROFILE1. Name of the Institute2. Name of the University3. Postal address4a. Year in which Estd.4b. When did the first batch pass out?5. Telephone6. Fax7. Website :8. E-mail Id : 9. Functioning Head of institution (Name)________________________ Designation__________________10.State the type of InstitutionType of InstitutionTick Here(√)Type of InstitutionTick Here(√)1 Autonomous (Govt.)?4Private College (University affiliated)2 Autonomous (Private)?5Deemed University3University Department?6Others (Please Specify_________________________)11. Affiliation body:________________________________12. In which year was DCI recognition received? 13. Does your institute have any other branches? Yes1 No 214. Is the institution attached to a general hospital in the same premises? Yes1 No 215. Does your institute have any other branches? Yes1No216. Please specify the location of other branches:Location / CityAddress17. Please state the type of activities that are conducted by your institute. (MULTIPLE OPTIONS POSSIBLE)ACTIVITYTick Here(√)1Teaching2Research3ConsultingA1. What is the current total tuition fee for the entire duration of BDS (excluding hostel and food)? [SUM TOTAL OF ALL FOUR YEARS (EXCLUDING INTERNSHIP) [FREE QUOTA]A1a. For domestic students Rs.A1b. For foreign studentsUS$ A2. What is the current total hostel fee for the entire duration of BDS program? [SUM TOTAL OF ALL FOUR YEARS]A2a. For domestic students Rs.A2b. For foreign studentsUS$ A3. Could you please specify the amount that needs to be paid for by the students for any other extra/ additional features (Laptops, Exam fees, book fees etc.)?A3a. For domestic students Rs.A3b. For foreign studentsUS$ A4. Please provide the break-up of the expenses borne by the candidate in the pre-admission stage.A4a. Cost of the form /brochure Rs.A4b. Entrance Fee/Examination Fee Rs. A4c. Any other charges please mention Rs.SECTION B: SELECTION PROCESS & ELIGIBILTY CRITERIAPLEASE PROVIDE DETAILS FOR BDS PROGRAM ONLY.B1. With which of the following entrance test is your college associated for BDS program? CodeCode1AIPMT10Karnataka CET2BCECE11MGDCH JET3BHUPMT12MHT CET4CBSE-PMT13MPDMAT5DPMT14TNPCEE6GUJCET15UPCPMT7WBJEE16UTTARAKHAND PMT8HARYANA PMT17Other please Specify______________________9JCECE B2. Do you consider Class X/ XII marks in the admission process?Yes, Class X marks(2) Yes, Class XII marks(3) Both(4) NoneB2a. What minimum marks (in per cent) is required at +2/ intermediate to be eligible for admission in this institute?B3a. Please mention the number of applications received for BDS admission in the year 2015-16B3b. Please mention the number of students admitted for BDS in the year 2015-16B3c. Please furnish the information asked below:[PLEASE PROVIDE DETAILS FOR STUDENTS ADMITTED IN GENERAL QUOTA]S.NoB3c_ATotal marks of the entrance examinationB3c_BHighest marks obtained by the students admitted in your college in 2015-16 entrance examinationB3c_CLowest marks obtained by the students admitted in your college in 2015-16 entrance examination1234B3d. Please mention any other criteria (if any) for admission in BDS in the year 2015-16_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________B3e. Does your college have any domicile restriction for admission?1 - Yes 2 – NoB3f. Could you please specify the number of students accepted through merit, reservations and management (Please mention in actual numbers)MeritReservationsManagementOthers (specify)_________No. of studentsB3g. Please furnish the information asked below:[PLEASE PROVIDE DETAILS FOR STUDENTS ADMITTED IN AIPMT QUOTA]S.NoB3g_ATotal students selected in your college for BDS through AIPMT 2015-16B3g_BLowest rank obtained by the students admitted in your college for BDS in 2015-16 AIPMT examinationB3g_CHighest rank obtained by the students admitted in your college for BDS in 2015-16 AIPMT entrance examination1B3h. Total number of students selected in your college for BDS through AIPMT in 2014 -15SECTION C: ACADEMICSPLEASE PROVIDE DETAILS FOR BDS. PROGRAM ONLY.C1. Please provide information about the following statements.S.No.StatementsNumbers1Present total number of visiting faculty (2015-16)2Present total number of permanent faculty (2015-16)3Highest annual salary of permanent faculty Rs.4Lowest annual salary of permanent facultyRs.5What was the total number of teaching hours put in by the permanent faculty in the academic year 2014-15?Hrs.6What was the total number of research hours put in by the permanent faculty in the academic year 2014-15?Hrs.C2. Please provide the number of faculty members with each of the following qualifications: [PLEASE CONSIDER MAXIMUM QUALIFICATION & EXCLUDE THOSE FACULTY MEMBERS WHO DO NOT TEACH BDS STUDENTS]S.NoType of facultyBDSMDS/MDM.CHPh. D.1Regular Faculty2Visiting Faculty C3. What is the number of total faculty members at the institute who have a teaching experience of? [PLEASE PROVIDE DETAILS FOR BDS PROGRAM ONLY]S. NoTeaching ExperienceLess than 5 years5-10 yearsMore than 10 years1Full time faculty2Full time facultyC4. Please mention below the number of faculty members who have super specialized in each of the following areas? [PLEASE PROVIDE DETAILS FOR BDS PROGRAM ONLY]CodeSpecializationNumberCodeSpecializationNumber1Community Dentistry9Oral Medicine2Cosmetic & Esthetic Dentistry10Oral Pathology3Crown & Bridge Dentistry11Orthodontics4Endodontics12Pedodontics5Forensic Dentistry13Periodontics6Implant Dentistry14Preventive Dentistry7Operative Dentistry15Prosthodontics8Oral and Maxillofacial Surgery16Other please Specify__________C5. What was the total number of teaching hours put in by the total faculty in the year 2014-15? PLEASE PROVIDE DETAILS FOR BDS. PROGRAM ONLY.C6. What was the total number of research hours put in by the total faculty in the year 2014-15?PLEASE PROVIDE DETAILS FOR BDS. PROGRAM ONLY.C7. Does your institute have its own publication (journal/ magazine, etc.)?1-Yes2-NoC8. Please provide details of books published by existing permanent faculty in the last three years:S.NoName of Faculty MemberName of the BookName of the PublisherYear of Publication123[PLEASE USE ADDITIONAL SHEETS IF REQUIRED INDICATING QUESTION NUMBER]C9. Please provide details on the research publications of the existing permanent faculty in the last three years in International journals:S.NoName of Faculty MemberTitle Name of the JournalYear of Publication123[PLEASE USE ADDITIONAL SHEETS IF REQUIRED INDICATING QUESTION NUMBER]C10. Please provide details of research publications of existing permanent faculty in the last three years in National journals:S.NoName of Faculty MemberTitle Name of the JournalYear of Publication123[PLEASE USE ADDITIONAL SHEETS IF REQUIRED INDICATING QUESTION NUMBER]C11. How many junior residents (JRs) and senior residents (SRs) does the college have?C11a.Total Number of JRC11b.Percentage of JRs of your own collegeC11c.Percentage of JRs admitted from other collegesC11d.Total Number of SRC11e.Percentage of SRs of your own collegeC11f.Percentage of SRs admitted from other collegesC12. What is the total number of hours (Hrs per student) of practical experience provided for Final Year4th year3rd yearC13. How many patents are held by the institute or the faculty? Please put “00” if the institute does not have any patent.C14. On an average how many cases/patients per day get treatment in OPD of the college?C 14a. Average no. of dental implants placed in a month during year 2014-15. C 14b. Average no. of maxillofacial prostheses delivered in a month during year 2014-15C 14c.Average no. of extra-oral implants placed in a month during year 2014-15C 14d. Exposure to rural service through dental camps in rural areas / remote villages during year 2014-15 (Yes / No)C 14e. Total no of camps conducted in year 2014-15C15. How many dental OPD cases on an average are attended by an average final year student of the dental college? With assistance of senior doctorsWithout assistance of senior doctors?C16. On an average how many hours of OPDs does each student attend in an educational year? C16a. With assistance of senior doctorsC16b. Without assistance of senior doctorsC17. Apart from regular studies what other activities do you conduct to develop student’s skills as an independent dentist?____________________________________________________________________________________________________________________________________________________________________________________________________C18. Apart from regular studies what other activities do you conduct to develop student’s skills for further post graduate studies?___________________________________________________________________________________________________________________________________________________________________________________________________ddmmyyC19. Date of enrolment for 2013 BDS pass out batch?C20. Date of enrolment for 2014 BDS pass out batch?C21. Date of enrolment for 2015 BDS pass out batch?C22. Please mention the number of faculty members who left or retired from the college and newly inducted.S.N.YearNumber of faculty members who leftNumber of faculty members who retiredNumber of new faculty members inducted12014-1522013-1432012-13PLEASE PROVIDE ADDITIONAL INFORMATION ABOUT COURSES APART FROM BDS.C23. Do your institute offer post graduate course?1-Yes2- NoC23a. What specializations are offered under MDS/ MD program in your college? S.No1-Ye/2-NoS.No1-Ye/2-No1Community Dentistry.9Oral Medicine2Cosmetic & Esthetic Dentistry10Oral Pathology3Crown & Bridge Dentistry11Orthodontics4Endodontic12Pedodontics5Forensic Dentistry13Periodontics6Implant Dentistry14Preventive Dentistry7Operative Dentistry15Prosthodontics8Oral and Maxillofacial Surgery16Other please Specify_______C24. Please give details of scholarships offered by the college /institute.S.No.Scholarship sponsoring bodyType/Nature of scholarshipNumber of students getting this scholarship in their first year1By your Institute 2By other bodies/societies/corporateC15a. Have you introduced any innovation in teaching methods in the last one year?____________________________________________________________________________________________________________________________SECTION D: SELECTION FOR POST GRADUATIOND1a. How many students from your institution qualified for post graduate courses (In govt /govt aided colleges) in the year 2014-15?D1b. How many students from your institution qualified for post graduate courses (In private colleges) in the year 2014-15?D1b. What was the total strength of BDS in the year 2014-15? D2. How many students from your institution qualified for post graduate courses (In govt /govt aided colleges) in the year 2013-14?D2b. How many students from your institution qualified for post graduate courses (In private colleges) in the year 2013-14?D3. Please provide details of ten best Indian colleges where students from your college joined for post graduation studies in the year 2014-15?S. No.College/ UniversityNumber of studentsS. No.College/ UniversityNumber of students16273849510D4. Please name five best International colleges where students from your college joined for post graduation studies in the year 2014-15?S. No.College/ UniversityNumber of students12345SECTION E: INFRASTRUCTURE AND FACILITIESE1. Please give the numerical details for each of the statements given below: [PLEASE PROVIDE INFORMATION ON INFRASTRUCTURE USED ONLY BY BDS]S.No.StatementsNumbers1Campus area in acres2Total built up area (in sq. feet)3Number of books in library 4Number of books added in library during last 3 years5Number of journals added in library during last 3 years6Number of electronic databases in library 7Number of subscriptions to international journals (electronic)8Number of national journals in library9Number of international journals in library10Number of class rooms11Number of Auditoriums12Number of Faculty cabins13Desktops /PC-s with configuration of Pentium 4/ Centrino or above in the institute (Give the number if available) 14Desktops /PC-s with configuration of Pentium 4/ Centrino or above in labs (Give the number if available)15Seminar halls/rooms (Give the number if available)16Operation Theatre (Give the number if available)17Facilities Offered : Dental Chairs (Give the number if offered)18Facilities Offered : ICU (Give the number if offered)19Facilities Offered : Ceramic Unit (Give the number if offered)20Total Number of beds in the attached general hospital 21Number of labs22Is the campus Wi-Fi Enabled? Yes/ No23Do students use laptops in the classroom? Yes/No24Digital (Audio / Visual) Library25Number of Manikins available26Cadavers available for dissection in year27Digital OPG28CT scan facility29CBCT facility30Endodontic Microscope (Give No.)31Mobile dental vans (Give No.)32Number of Dental ChairsE2. Please mention details regarding laboratory and workshops in your college:S.NoLaboratoryNumberDescription of apparatus and facilities availableStrength (number of students) it can accommodateArea Covered12345[PLEASE USE ADDITIONAL SHEETS IF REQUIRED INDICATING QUESTION NUMBER]E3. What all infrastructures are available in a classroom?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________E4. Please respond “Yes” to the facilities available in your campus and “No” to those not available in your campus. [USE CODE 1-Yes 2- No]S.NoFacilitiesCodeS.NoFacilitiesCode1Canteen8Hostel facilities for boys2Cricket Ground9Hostel facilities for girls3Basketball court10Resident facility for faculty4Football Ground11Table Tennis boards5Swimming Pool12Gymnasium6Lawn Tennis Court13Other (Specify_____________________________)7Badminton Court14Other (Specify_____________________________)E5. Is there any facility to treat medical waste?1 - Yes 2 - NoE5a. Do you think the institute is environment friendly? If yes how._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________SECTION F: PERSONALITY DEVELOPMENT AND INDUSTRY INTERFACEF1. Please fill in the numerical details for the following: S.NoStatementNumber1Total number of seminars held in 2014-15 2Total number of student workshops/ training programs apart from internships in 2014-15 3Total number of faculty training programs held in 2014-15 4Total number of student foreign exchange programs in 2014-15 5Total number of student participating in foreign exchange programs in 2014-15 6International Level Seminars/conferences hosted in past 1 yr7National Level Seminars/conferences hosted in past 1 yr8Guest lectures by eminent International and national speakers.9Papers/posters/table-clinics presented by undergraduate students / interns in various conferences and seminars by students in year 2014-1510Papers/posters/ table-clinics presented by Post graduate students / interns in various conferences and seminars by students in year 2014-15F2. Please give number and value of research projects undertaken with industry and government in year 2014-15 [PLEASE ATTACH DETAILS LIKE, NAME OF THE PROJECT, FACULTY MEMBERS INVOLVED ETC.] S.NoSPONSERSHIPAmount1Value of government sponsored research projects (in Rs. Lakhs)2Funds provided by industry (in Rs. Lakhs)3Funds provided by the government (in Rs. Lakhs)F3. Please give number and revenue generated from continuing education programmes in year 2014-15.S.No.Educational Programme ConductedNumber1Total number of continuing dental education (CDE) programs conducted2Revenue generated from dental continuing education(CDE) programsF4. Are there any innovations in any field related to dentistry by students/ faculty of the college? If yes please specify. [PLEASE ATTACH A COPY OF CERTIFICATE]____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________SECTION G: PLACEMENTSG1a. Total percentage of students absorbed in government institutions in the batch passed in 2014-15 G1b. Total percentage of students who set up private practice in 2014-15G2a. Total percentage of students absorbed in government institutions in the batch passed in 2013-14G2b. Total percentage of students who set up private practice in 2013-14G2c. Total number of students placed in Indian Army- Army Dental Corps in past 5 years.G3. Please fill the following details for DOMESTIC as well as FOREIGN placements for batch passed out in 2014-15:S.NoStatementOther Domestic Institutes / HospitalForeign Institute / HospitalOwn Institute / Hospital1Selected for PG2Total No. of Students absorbed for jobG4. Do you have any alumni association?Yes(2) NoG5. Please furnish the information asked in the below table:Year(A).Does your institute organize annual alumni meet?1-Yes/ 2-No(B).Total number of members in the alumni association(C).Financial Assistance provided by total alumni (In Rs.)(D).Assistance in final absorption to various hospitals ( No. of absorption through alumni)(E).Other types of Assistance201520142013G6. Please name ten most illustrious alumni of your college who had passed out of your institute within the last ten years. S. No.Name of the AlumniBatchCurrent Position/AchievementsContact Details1????2????3????4????5????6????7????8????9????10????SECTION H: CONTACT DETAILSPlease provide the contact details of the contact person (official filling up this survey form)H1. Name ____________________________________________________________________________________H2. Designation _________________________________________________________________________________H3. Phone (with STD code) ________________________________________________________________________ H4. Mobile (Optional) _____________________________________________________________________________H5. Fax _______________________________________________________________________________________H6. Email ______________________________________________________________________________________[PLEASE ATTACH VISITING CARD]DECLARATION: MUST BE SIGNED BY THE DIRECTOR/ DEAN OF THE INSTITUTEI hereby confirm that the information provided in this questionnaire are true and correct to the best of my knowledge at the time of submitting this questionnaire.Signature: ________________________________________________ Seal/ Stamp:Name: ___________________________________Designation: ______________________________Date:__________________________________Place: ____________________________________THANK YOU FOR TAKING OUT TIME TO RESPOND TO OUR QUESTIONS.The results of this survey will be published in Outlook magazineIn case of any queries, please contact any one of the followingOutlook (Delhi)Drshti (Mumbai)Arindam MukherjeeSenior Associate EditorOutlook, AB-10, Safdarjung Enclave,New Delhi-110029Phone: +91 (11) 33505500Fax: +91(11) 26191420 Email: psurvey@Website: Shailendra ChaturvediSenior Research ManagerDrshti Strategic Research Services Pvt. Ltd.3rd Floor, Malkani Chambers (Opp. Airlink Hotel) Nehru Rd, Vile Parle (East) Mumbai-400057Phone: +91(11) 46140139/ +91 (22) 30920222 (29)Email: psurvey@?Website: CHECKLIST TO VERIFY THE DOCUMENTS ATTACHED WITH THE QUESTIONNAIRE (PLEASE TICK)Placement Brochure for the present year (if available), else, for the last year.Admission Brochure for the current year.Annual Report for 2014-15 (if available), else, for the last year. If Annual Report not prepared, provide balance sheet.List of full time faculty along with qualification and industry experience.List of visiting faculty along with courses taught, qualification and industry experience.Photocopy of the cover page of the research papers published by existing permanent faculty in Indian and foreign journals.Proof of year of establishment.Dental Council of India CertificationStudent and Alumni database which contains phone numbers and email id’sFor statement of any kind of competition won or scholarship obtained necessary documentation needs to be provided as proof ................
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