S&T MAPPING QUESTIONNAIRE

QUESTIONNAIRE

MAPPING OF SCIENCE AND TECHNOLOGY NEEDS FOR UTTARAKHAND STATE
Department of Science and Technology

Government of India, New Delhi

Sponsored Project entitled

MAPPING OF SCIENCE AND TECHNOLOGY NEEDS FOR UTTARAKHAND STATE

QUESTIONNAIRE

Project Implemented by:

Uttarakhand Council for Science & Technology (UCOST)

Department of Science & Technology, Govt. of Uttarakhand

Vigyan Dham, Jhajra, Dehradun

Please read instruction carefully before filling entries.

Information provided by you will be kept confidential and used only for the purposes of survey.
- Do not leave any question unanswered, each question is important.
- Please tick most suitable and appropriate answer for the Questions asked.
- DST, GoI & UCOST Respect your Privacy.
- Please Contact the Principal Investigator (PI), for seeking any clarification
- Please return the filled-in questionnaire to:-
Dr Rajendra Dobhal (FNASc) Dr D.P.Uniyal Director General (Project Mentor) Joint Director (Principal Investigator)

Uttarakhand State Council for Science & Technology Vigyan Dham, Jhajra, Dehradun-248007 Website: www.ucost.in Email-Id: sntmapping.ucost@gmail.com

1. BASIC INFORMATION
1.1. Name of the University/Institute/College:
1.2. Postal Address

Line 1

Line 2

CityState / Province

Postal / Zip Code
1.2.1. Email Address:
1.2.2. Website Address:
1.2.3. Contact No.
Please enter a valid phone number.
1.2.4. Total Area in (Acre)
1.3. Location of the University
1.4.1. Year of Establishment
1.4.2. Year when declared University
1.5. Type of University/Institute/College:
1.6.1. Nodal officer details (By whom this form was filled):

First NameLast Name
1.6.2. Designation
1.6.3. Email-Id
1.6.4. Contact No.
Please enter a valid phone number.
1.7.1. Is it a Specialized University ?
1.7.2. If Yes, then select any one.

1.8.2. No. of staff available in campus quarter ?

	Total Number
Teaching Staff
Non-Teaching Staff

1.9.2. Student's hostel details in campus.

	Name of Hostel	Intake Capacity	No. of Students Residing
Boys Hostel
Girls Hostel
Other Hostel

2. DETAILS OF FACULTY/DEPARTMENT WISE COURSES OFFERED BY THE UNIVERSITY/INSTITUTIONS/COLLEGE

(FY. 2018-2020)

2. List of Faculty/School & Departments/Centers:

	Name of Department/Centers	No. of Faculty	No. of Students
Sl. No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

3. STAFF INFORMATION (FY. 2018-2020)

3.1. TEACHING STAFF: CATEGORY-WISE

	GEN	OBC	SC	ST
ASSISTANT PROFESSOR
ASSOCIATE PROFESSOR
PROFESSOR
OTHER

3.2. RELIGION-WISE:

	CHRISTIAN	HINDU	JAIN	MUSLIM	SIKH
ASSISTANT PROFESSOR
ASSOCIATE PROFESSOR
PROFESSOR
OTHER

3.3. GENDER-WISE

	MALE	FEMALE
ASSISTANT PROFESSOR
ASSOCIATE PROFESSOR
PROFESSOR
OTHER

3.4. NON-TEACHING STAFF: CATEGORY-WISE:

	GEN	OBC	SC	ST
GROUP A
GROUP B
GROUP C
GROUP D
OTHER

3.5. RELIGION-WISE:

	CHRISTIAN	HINDU	JAIN	MUSLIM	SIKH
GROUP A
GROUP B
GROUP C
GROUP D
OTHER

3.6. GENDER-WISE:

	MALE	FEMALE
GROUP A
GROUP B
GROUP C
GROUP D
OTHER

4. NUMBER OF STUDENTS ENROLLED IN THE UNIVERSITY/INSTITUTE/COLLEGE

(FY. 2018-2020)

4.1. STUDENTS ENROLLED: DISCIPLINE-WISE

	PHD	POST GRADUATE	UNDER GRADUATE	PG DIPLOMA/DIPLOMA/CERTIFICATE
Agriculture
Art/Commerce/Humanities
Engineering/Technology
Management
Medical
Science
Veterinary & Animal Sciences

4.2. CATEGORY-WISE

	GEN	OBC	SC	ST	FOREIGN
Agriculture
Art/Commerce/Humanities
Engineering/Technology
Management
Medical
Science
Veterinary & Animal Sciences

4.3. RELIGION-WISE

	CHRISTIAN	HINDU	JAIN	MUSLIM	SIKH
Agriculture
Art/Commerce/Humanities
Engineering/Technology
Management
Medical
Science
Veterinary & Animal Sciences

4.4. GENDER-WISE

	MALE	FEMALE
Agriculture
Art/Commerce/Humanities
Engineering/Technology
Management
Medical
Science
Veterinary & Animal Sciences

4.5. What are the Age groups of teaching staff in your organization?

	No. of Male Faculty	No. of Female Faculty
Below 25
26-35
36-50
Above 50