Application for opening / starting NSS unit in the College

1. Name of the College: :________________________________________________

2. Postal address of the College :________________________________________________
_________________________________________________
3. Name of the Principal :________________________________________________
4. Contact Details of the College : Mobile No. _______________________________________
: College Phone No.(with STD Code)____________________
: Email id- _________________________________________
5. Whether the College is Affiliated to University of Mumbai : ___________________________
(Enclose the photocopy of Affiliation letter)
6. Whether the College is recognised by the Government of Maharashtra: ________________
(Enclose the photocopy of reorganisation/ approval letter)
7. College status: Grant :- Govt Aided / Un-aided / ________________________________
Minority, pl. state –YES / NO, if yes, Linguistic / Religious ____________

8. College Students strength for last three years..

Year Male Female Total

20____ - 20____
20____ - 20____
20____ - 20____

9. Name and contact details of the teacher incharge, who will look after as Programme Officer

Sr. Name of the teacher Subject taught Teaching Approved Attended Whether
No. experience Orientation worked
In years in NSS as NSS PO
yes/No earlier
1
2

Land line Phone No. Mobile No. Email id Any other

I Undertake ………..
A. To appoint at least one female & one male teacher as Programme Officer for NSS Unit.
B. To accept the allocated strength to our College NSS unit & to conduct the Special Camp with
50% of the enrolled strength of NSS Volunteers.
C. To provide required infrastructure and administrative support to the NSS Unit for its
smooth function.
D. To depute Untrained Programme Officers for the Orientation /Refresher/Training at ETI,
Ahmednagar during this year & to attend meeting as and when called by the University NSS
Cell / ETI/ State NSS Cell/ Regional NSS Office.
E. To depute NSS volunteers / Programme Officer for various programmes /workshops /
meetings /Leadership / emergency / relief/ etc. related work as and when called by the
University NSS Cell.

Date : College Seal Signature of the Principal