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THE INSTITUTE OF MOTOR INDUSTRY (INDIA)
(An International Professional Organisation Registered under Societies Act, 1975)
No. 7 (New No. 15), Dharmaraja Koil Street, Kilpauk Garden,
Chennai-600010
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FORMAT FOR SEEKING AFFILIATION FOR COACHING & EXAMINATION CENTER
Note: Only teaching or training institutions conducting regular Automobile/Motor Industry Courses are eligibility to apply. Registration fees. Rs. Plus Subscription Rs. by bank draft drawn in favour of “The Institute of Motor Industry(India)” should accompany the application on receipt of the application, if the Examination Committee finds the applicant to be Prima facie eligible for affiliation, an inspection team consisting of three Corporate Members will be sent for inspection of the applicant Institute/Training centre and their to and for traveling expenses and other incidental expenses will be borne by the applicant. Grant of affiliation will be based on the report of the Inspection team.
Affiliated Institutes / Training Centres normally will be allotted an examination centre for conducting A.M.I.M.I. (India) Examinations.
For Official use
Application No: Signature:
Date of Issue: Seal:
Information about the Institution
Name of the Institution
Postal Address
(With Pincode, District and State)
Registered Address
(With Pincode, District and State)
Phone/Fax/E-mail/Telex
(With Appropriate Codes)
Year of Establishment
Status of the Institution
(Relevant Documents to be Attached)
1.6.1 Govt. Institution
(Central/State/U.T.)
1.6.2 Private Institution
(Trust/Regd. Societies/Limited/Others to be Specified)
Affiliated to / Recognised by
(University/ Institution/any other Body please specify)
1.7.1 Name of the Affiliating recognized Body
(Details should be enclosed)
1.7.2 Postal Address
(With Pincode, District and State)
1.7.3 Approval Status
(Specify the courses recognized by or affiliated to)
Information about the Chief Executive/Principal / Director /Head of the Institution
N
Photograph of the Head of the Institution/Chief Executive/Principal/
Director
ame
Designation/Position Held
Postal Address
(With Pincode, District and State)
Phone/Fax/Telex/E-mail
(Office and Residence)
Date of Birth & Age
Educational Qualification
Professional Experience Years
(Subject related experience)
Information about Teaching Faculty / supporting Staff :
Sl.
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Name
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Educational
Qualification
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Total Professional Experience
(years)
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Designation
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Responsibilites
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Status
Full / Part time
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(Information required regarding both Teaching Faculty as well as supporting staff,
if necessary attach separate sheet)
Details of Laboratory Facilities available:
4.1.1. Lab Infrastructure Details:
Sl.No.__Name_of_the_Laboratory__Available_Area_(Sq._ft.)'>Sl.No.
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Name of the Laboratory
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Available Area
(Sq. ft.)
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Maximum No. of
Students accommodated
at a time
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Other Major Equipment/Machine available
(List to be enclosed containing Make, year of Purchase, Cost etc.)
Total Cost invested on all Labs Rs.
(Major Equipment)
Sl.No.
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Name of the Laboratory/Workshop
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Available Area
(Sq. ft.)
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Maximum No. of
Students accommodated
at a time
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(A separate sheet must be enclosed for equipment details)
5. Library Facilities
Total cost invested on library
(Books, Periodicals, Journals etc.)
No. of Text/Subject Books
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No. of Reference Books
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No. of Journals
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No. of CDs
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No. of Video Films
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Others (Specify)
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(Details list may be enclosed, the information provided must be relevant to the courses requested for approval)
6. Infrastructural Facilities:
Total Cost invested on all infrastructural facilities: Rs.
6.1 Facilities Available:
Particulars
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No. of Rooms
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Seating Capacity
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Total area (Sq.ft.)
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Staff Rooms
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Class Rooms
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Laboratories
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Library
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Reception
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Toilets
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Any Other
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(Wherever necessary relevant details/ documents must be enclosed)
6.2 Location of the Institution
6.2.1. How to reach from Chennai
(If the institution is in remote place attach Root Map)
6.2.2.Nearest Town/City
(Nearest Bus stand/Railway station/ Airport)
6.2.3. Name of the nearest AMIMI (Ind.) Center
6.3. Kind of infrastructure facilities available
6.3.1. Rented / Leased / Own building
6.3.2. All the infrastructure and other facilities
available are being used exclusively or/and
shared by the Institution
7. Track record of the Institute
7.1. Details of Courses conducted during
previous years (if any)
7.2. Summarise major Development &
activities from the year of establishment
7.3 What are the principle strengths
and Weaknesses of the Institution
7.4. Placement Potential
(Where successful candidates can be placed for employment)
7.5. Any other activity carried out
SEAL OF THE INSTITUTE SIGNATURE
HEAD OF THE INSTITUTE
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