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Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course (To be submitted to PCI by an authority seeking approval) (SIF-E) To be filled up by inspectors a) Name of the Inspectors: 1. _ _ (Block letters) 2. b) Date of Inspection: PART I A - DETAILS OF APPLICATION A 1.1 Application is for - Permission to start M.Pharm course. First time approval u/s 12. Extension of approval. Increase in intake upto 15 seats. Please tick ( ) the relevant box. PART II B- GENERAL INFORMATION To be filled by institution B-1.1 Name of the Institution: ACADEMY OF PHARMACEUTICAL SCIENCES Complete Postal Address : Pariyaram Medical College Campus, Pariyaram Medical College P.O Kannur, Kerala 670503 STD Code: 0497-2808111 Extn: 2192, 2497, Fax: 0497-2808125 Email: [email protected] Signature of the Head of the Institution with date Signature of the Inspectors with dates

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Page 1: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Annexure-I (M)

PHARMACY COUNCIL OF INDIA

Standard Inspection Form-E (SIF-E) for M.Pharm course

(To be submitted to PCI by an authority seeking approval)

(SIF-E)

To be filled up by inspectors

a) Name of the Inspectors: 1. _ _

(Block letters)

2.

b) Date of Inspection:

PART – I

A - DETAILS OF APPLICATION

A – 1.1 Application is for -

Permission to start M.Pharm course.

First time approval u/s 12.

Extension of approval.

Increase in intake upto 15 seats.

Please tick ( ) the relevant box.

PART –II B- GENERAL INFORMATION

To be filled by institution B-1.1

Name of the Institution: ACADEMY OF PHARMACEUTICAL SCIENCES

Complete Postal Address : Pariyaram Medical College Campus, Pariyaram Medical College P.O Kannur, Kerala – 670503

STD Code: 0497-2808111 Extn: 2192, 2497, Fax: 0497-2808125 Email: [email protected]

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 2: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

B – 1.2 - Course conducting body:

Status

- Central Govt.

- State Govt.

- Union Territory

- Autonomous body

- Society

- Trust

Please tick ( ) the relevant box.

B – 1.3 Name of the Society/Trust/ Management

Complete postal address:

Academy of Medical Sciences

Pariyaram Medical College Campus, Pariyaram Medical College P.O Kannur, Kerala – 670503

STD Code : 0497-2808111

T.No. : Fax No. 0497-2808125 :

E.Mail: Website : B – 1.4 Name of the Examining Authority

Complete postal address:

Kerala University of Health Sciences

Medical College P.O, Trissur, 680596

STD Code : 0487-2207664

T.No. : Fax No. :

E.Mail:Website [email protected]

B – 1.5 Other courses run by the institution

- D.Pharm

- B.Pharm

- Pharm.D.

Approval status

NA

Approved up to 2016-17

Approved up to 2015-16

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 3: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

B – 1.6 M.Pharm specializations run / proposed to be run by an institution -

Name of specialization Year of start No. of admissions

Pharmaceutics 2010 10

Industrial Pharmacy

Pharmaceutical Technology

Pharmaceutical Chemistry

Pharmaceutical Analysis

Pharmaceutical Quality Assurance

Regulatory Affairs

Pharmaceutical Biotechnology

Pharmacy Practice

Pharmacology 2012 18

Pharmacognosy 2012 18

Phytopharmacy and Phytomedicine

Others * if any, (please specify)

* M.Pharm specializations started prior to

commencement of the Master of Pharmacy

(M.Pharm) course Regulations, 2014 can continue

only till the students admitted complete the said

specialization.

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 4: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Signature of the Head of the Institution with date Signature of the Inspectors with dates

PART- III

PHYSICAL INFRASTRUCTURE

1. Accommodation

a. Availability of land for the pharmacy college : 5.5 acres

b.

Building :

Own/ Leased/Rented

(enclose documentary evidence as Annexure-A)

c.

Built up Area of the college building :

3090 Sq.m.

2. Class rooms

Name of the course No.

Required No.

Available Area required for

each class room

(Sq.m.)

Available

( Sq.m.)

Remarks of the Inspectors

B.Pharm 4 04 75 (essential) 90 (desirable)

75

M.Pharm

Specialization -

Pharmaceutics 2 02 36 36

Industrial Pharmacy 2 36

Pharmaceutical Technology

2 36

Pharmaceutical Chemistry

2 36

Pharmaceutical Analysis

2 36

Pharmaceutical Quality Assurance

2 36

Regulatory Affairs 2 36

Pharmaceutical Biotechnology

2 36

Pharmacy Practice 2 36

Pharmacology 2 02 36 36

Pharmacognosy 2 02 36 -36

Phytopharmacy and Phytomedicine

2 36

Page 5: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Signature of the Head of the Institution with date Signature of the Inspectors with dates

3. Laboratory

Name of the course No.

Required No.

Available Area required for

each laboratory ( Sq.m.)

Available

( Sq.m.)

Remarks of the Inspectors

B.Pharm -

Pharmaceutics Lab. 1 1 75 (essential) 90 (desirable)

75

Pharmaceutical Chemistry Lab.

1 1 75 (essential) 90 (desirable)

75

Pharmaceutical Analysis Lab.

1 1 75 (essential) 90 (desirable)

90

Pharmacology Lab. 1 1 75 (essential) 90 (desirable)

75

Pharmacognosy Pharmaceutical Biotechnology (Including Aseptic Room) Lab.

1 1 75 (essential) 90 (desirable)

75

M.Pharm Specialization -

Pharmaceutics 2 02 75 each 75

Industrial Pharmacy 2 75 each

Pharmaceutical Technology

2 75 each

Pharmaceutical Chemistry

2 75 each

Pharmaceutical Analysis

2 75 each

Pharmaceutical Quality Assurance

2 75 each

Regulatory Affairs 2 75 each

Pharmaceutical Biotechnology

2 75 each

Pharmacy Practice 2 75 each

Pharmacology 2 02 75 each 75

Pharmacognosy 2 02 75 each 75

Phytopharmacy and Phytomedicine

2 75 each

Preparation room with minimum 10 sq.m. with each lab. is required.

Page 6: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

4. Other Facilities

Facility for

B.Pharm and

M.Pharm

No.

Required No.

Available Area required

( Sq.m.) Available

( Sq.m.)

Remarks of the Inspectors

Machine Room 1 01 80 - 100 100

Central

Instrumentation

Room

1 01 80

80

Store Room-I 1 01 100 40

Store Room-II 1 01 20 30

Animal House 01 80 80

Library 01 150 150

Museum 01 50 50

Auditorium / Multi Purpose Hall (Desirable)

250-300 seating capacity

01

300

300

Seminar Hall 01 150

Herbal Garden (Desirable)

01 - Available

Computer (Latest Configuration) With Internet Browsing Facility

1 system for every 10 students

Printers

30 1 printer for every 10 computers

Multi Media Projector

01 01

Computer (Latest Configuration)

With Internet Browsing Facility

30 1 system for every 6 students

Printers 03 1 printer for every 10 computers

Multi Media Projector

01 01

Generator (5KVA) 01 01

Multi Media Projector

01 01

Girl’s Common Room (Essential)

01 20 20

Boy’s Common Room

01 10 10

Toilet Blocks for Boys

01

- -

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 7: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Facility for

B.Pharm and

M.Pharm

No.

Required No.

Available Area required

( Sq.m.) Available

( Sq.m.)

Remarks of the

Inspectors

Toilet Blocks for Girls

08 20each

Drinking Water

facility – Water

Cooler

YES

yes

Boy’s Hostel (Desirable)

YES

yes

Girl’s Hostel

(Desirable)

YES yes

Power Backup Provision

YES yes

5. Administrative Area for B.Pharm and M.Pharm

Facility for

B.Pharm and

M.Pharm

No.

Required No.

Available Area required

( Sq.m.) Available

( Sq.m.)

Remarks of the Inspectors

Principal’s Chamber 1 01 75 (essential) 90 (desirable)

75

Office – I - Establishment

1 01 75 75

Office – II - Academics

1 01 80-100

80

Confidential Room 1 01 80 80

Store Room – I 1 01 100 100

Store Room – II 1 01 20 20

H.O.D Room 1

01 20 Sq.m.

Per Faculty

20

Faculty Rooms 09 20 Sq.m. Per Faculty

20

6. Library facilities for B.Pharm and M.Pharm

Item Ref. Tiles (No) Available Remarks of the Inspectors

Books (1500 adequate coverage of a large

number of standard text books and titles

in all disciplines of pharmacy)

150

165

Books 150 165

Periodicals Hard copies /online 10 National

05 International periodicals

10

05

CDs Adequate Nos ADEQUATE

Reprographic Facilities: Photo Copier Scanner

01 each 01

Page 8: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Signature of the Head of the Institution with date Signature of the Inspectors with dates

7. Non-teaching staff

Designation No. Required No. Available Qualification Required

Qualification Available

Laboratory Technician 1 for each Dept 05 D. Pharm D Pharm

Laboratory Assistants or Laboratory Attenders

1 for each Lab (minimum)

06 SSLC

SSLC

Office Superintendent 1 Degree Degree

Accountant 1 01 Degree Degree Store keeper 1 01 D.Pharm or a Bachelor

degree.

D Pharm

Computer Data Operator 1

01 BCA or Graduate with Computer Course

BCA

Office Staff I 1 01 Degree Degree

Office Staff II 2 01 Degree Degree

Peon 2 02 SSLC SSLC

Cleaning personnel Adequate Adequate --- Adequate

Gardener Adequate Adequate --- Adequate

8. Teaching Staff

For institution running B.Pharm and M.Pharm

For B.Pharm

Designation Qualification Required

Qualification Available

Experience Required

Experience Available

Director/Principal/ Head of Institution

First Class B.Pharm

with Master’s

degree in Pharmacy

(M.Pharm) in

appropriate branch

of specialization

in Pharmacy or Pharm.D (Qualifications must be PCI recognized).

With

Ph.D degree in any of Pharmacy subjects.

M Pharm

PH. D

Essential 15 years experience in teaching or research out of which 5 years must be as Professor/HOD in a PCI approved/

recognized pharmacy college.

Desirable

Administrative

experience in a

responsible position

23 years

Page 9: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Department Designation No. required

for 60 seats No.

available No. required

for 100 seats No.

available

Pharmaceutics Professor/Associate Professor 1 1 1

Asst. Professor 1 1 2

Lecturer 2 2 3

Pharmaceutical Chemistry

Professor/Associate Professor 1 1 1

Asst. Professor 1 1 2

Lecturer 3 3 3

Pharmacology Professor/Associate Professor 1 1 1

Asst. Professor 1 1 1

Lecturer 2 2 3

Pharmacognosy Professor/Associate Professor 1 1 1

Asst. Professor 1 - 1

Lecturer 1 2 1

Pharmacy Practice & related subjects

Professor/Associate Professor - 1 1

Asst. Professor 1 - 1

Lecturer 1 2 1

Additional staff required for M.Pharm per specialization

Department Designation No. required No. available

Department of Pharmaceutics Asso. Prof. 2 00

Asst. Professor/Lecturer 2 04

Department of Pharmaceutical Chemistry Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Pharmacology Asso. Prof. 2 00

Asst. Professor/Lecturer 2 02

Department of Pharmacognosy Asso. Prof. 2 00

Asst. Professor/Lecturer 2 02

Department of Pharmacy Practice Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Industrial Pharmacy Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Pharmaceutical Technology Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Pharmaceutical Analysis Asso. Prof. 2

Asst. Professor/Lecturer 2

Pharmaceutical Quality Assurance Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Regulatory Affairs Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Pharmaceutical Biotechnology

Asso. Prof. 2

Asst. Professor/Lecturer 2

Department of Phytopharmacy & Phytomedicine

Asso. Prof. 2

Asst. Professor/Lecturer 2

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 10: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Faculty details

Designation Qualification Required Experience Required

Professor First Class B.Pharm with Master’s degree in Pharmacy (M.Pharm) in appropriate branch

of specialization in Pharmacy or Pharm.D (Qualifications must be PCI recognized).

With

Ph.D degree in any of Pharmacy subjects.

Essential 10 years experience in teaching in PCI approved/ recognized Pharmacy College or research experience out of which 5 years must be as Associate Professor in PCI approved/recognized Pharmacy College.

S.No. Name of Professor Qualification

Available

Inspectors’ Remarks

Experience

Available

Inspectors’ Remarks

1.

Dr. K Premaletha

M PHARM

PH.D

23

2.

Dr. Robin Jose

M PHARM

PH.D

23

3.

Dr. P L Rajagopal

M PHARM

PH.D

14

4.

Dr. Siju E N

M PHARM

PH.D

13.5

5.

Dr. Kiran S S

M PHARM

PH.D

14.5

6.

7.

8.

9.

10.

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 11: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Designation Qualification Required Experience Required

Associate Professor First Class B.Pharm with Master’s degree in Pharmacy (M.Pharm) in appropriate branch of specialization in Pharmacy (Qualification must be PCI recognized).

A PCI recognized Pharm.D degree holder

shall also be eligible for the posts of

Associate Professor in the subjects of

pathophysiology, pharmacology sand

pharmacy practice.

Associate Professor shall acquire PCI

recognized Ph.D in any of Pharmacy

subjects within 7 years to become eligible

for the post of Professor.

3 years experience in teaching or research at the level of Assistant

Professor or equivalent in PCI approved / recognized Pharmacy College.

S.No. Name of Associate

Professor Qualification Available

Inspectors’ Remarks

Experience Available

Inspectors’ Remarks

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Signature of the Head of the Institution with date Signature of the Inspectors with dates

Page 12: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

Designation Qualification Required Experience Required

Lecturer/Assistant Professor

First Class B.Pharm with Master’s degree in Pharmacy (M.Pharm) in appropriate branch of specialization in Pharmacy (Qualification must be PCI recognized).

A PCI recognized Pharm.D degree holder

shall also be eligible for the posts of

Lecturer/Assistant Professor in the subjects

of pathophysiology, pharmacology and

pharmacy practice.

A lecturer will be re-designated as Assistant Professor after 2 years of teaching experience in PCI approved/recognized Pharmacy College.

S.No. Name of Lecturer/

Assistant Professor Qualification Available

Inspectors’ Remarks

Experience Available

Inspectors’ Remarks

1.

J N Dharsana

M Pharm 13 years

2.

Dr. Sreejith K R

M Pharm, Ph-D 13 years

3.

Dr. Sarath Chandran C

M Pharm, Ph-D 12 years

4. Vivek D M Pharm 13 years

5.

Dr. Hariraj N

M Pharm, Ph-D 7.5 years

6. Sajithkumar P N M Pharm 8 years

7.

Soumya K V

M Pharm 7 years

8. Vipin K V M Pharm 9.5 years

9. Karthik K K M Pharm 4.5 years

10. Ann Rode Augusthy M Pharm 9 years

11 Lavanya K P M Pharm 5 years

12 Aiswaryalakshmi A G M Pharm 8 years

Page 13: Annexure-I (M) PHARMACY COUNCIL OF INDIAmcpariyaram.com/DownLoad/MPharm-SIF-E.pdf · Annexure-I (M) PHARMACY COUNCIL OF INDIA Standard Inspection Form-E (SIF-E) for M.Pharm course

13 Jeril John M Pharm 5 years

14 Shahin Muhammed T K M Pharm 4.5 years

15 Baby P M Pharm 1.5 years

16 Minil M M Pharm 4 years

17 Rahul K M Pharm 2.5 years

18 Shijith K V M Pharm 2 years

19 Bijesh Vattakkeel M Pharm 1.7 years

20 Priyanka A M Pharm 0.6 years

21 Dr. Arthi I M Pharm, Ph-D 2 years

22 Vishnu A S M Pharm 0.6years

23 Neethu K V M Pharm 0.6years

M.Pharm (SIF)A/hd-6

Signature of the Head of the Institution with date Signature of the Inspectors with dates