INDIRA GANDHI NATIONAL OPEN UNIVERSITY STUDENT EVALUATION DIVISION MAIDAN GARHI, NEW DELHI-110 068 TERM-END EXAM – JUNE / DECEMBER, 201___ EXAM FORM Serial No. Control No. INSTRUCTIONS 1. Please submit your exam form at the concerned Regional Centre under which your examination centre falls. 2. Write in CAPITAL LETTERS only within the box without touching the lines as shown in the sample below. 0123456789ABCDEFGHIJKLMNOPQRSTUVWXYZ Programme Code Regional Centre Code Study Centre Code Exam Centre Code Enrolment No. (Where you wish to appear in Exam) Name of the Candidate: (Leave one box empty between First Name, Middle Name and Surname) Address for Correspondence (Do not give Post Box No. Address. Leave a blank box between each unit of address like House No., Street Name, PO, etc. City District State Pin Code MOBILE NO. COURSE OPTION: Course codes for which appearing for the first time OR failed in the earlier TEEs including Practical Courses for BCA, MCA/ PGDLAN / BLIS Programmes. FEE `60/- PER COURSE (Demand draft in favour of IGNOU and payable at Regional Centre under which your exam centre falls. S.No. S.No. Course Code 1. 9. 2. 10. 3. 11. 4. 12. 5. 13. 6. 14. 7. 15. 8. 16. Course Code FEE DETAILS (Please write your Name & Enrolment No. at the back of the Draft) 1. Draft No. Total Amount Total No. of Course Theory Courses ` × 60 Amount Practical Courses ` × 60 2. Draft No. Amount Late Fee Date TOTAL / Issuing Branch ———————————————————————— Payable at (Regional Centre under which your exam centre falls) SIGNATURE OF THE STUDENT (within the Box only) F 1 ISSUING BANK / Dates for Submission of Exam Forms FOR JUNE TEE LATE FEE FOR DEC TEE LATE FEE SUBMISSION OF EXAM FORM 1 March to 31 March 1 April to 20 April 21 April to 30 April 1 May to 15 May NIL ` 300/` 500/` 1000/-* 1 Sept. to 30 Sept. 1 Oct. to 20 Oct. 21 Oct. to 31 Oct. 1 Nov. to 15 Nov. NIL ` 300/` 500/` 1000/-* ONLY AT THE CONCERNED REGIONAL CENTRE UNDER WHICH YOUR EXAMINATION CENTRE FALLS *Exam for these students will be conducted at Regional Centre city only. Before submitting the examination form please ensure that: • The required number of assignments as applicable for the course(s) filled in the examination form have been submitted. • The authentication certificate is duly signed by the Coordinator/Incharge of your Study Centre/PSC/PI…etc. • Registration for the course(s) is valid and not time-barred. • Examination fee ` 60/- per course has been remitted and the relevant proof enclosed. • In case examination fee is submitted through demand draft please ensure that the demand draft is made in favourof IGNOU and payable at the city of the Regional Centre where you are submitting your examination form. • The enrolment number, programme code, course code are correctly filled in the examination form. In case of non-compliance of any of the above conditions candidature for appearing in the Term-end Examination will not be considered and no Hall Ticket will be issued. PLEASE NOTE : Examination fee per course is Examination form to be submitted at Demand draft to be made in favour of 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. - `60/- (Examination fee once paid will not be refunded/adjusted in any case) Regional Centre under which your examination centre falls IGNOU and payable at the city where submitting the exam form INSTRUCTIONS FOR FILLING UP THE EXAMINATION FORM Please fill in the course(s) only for which the assignments have been submitted by you within the scheduled time. No Hall Ticket will be issued in case the assignments for the course(s) have not been submitted. Please write correct course code(s) as indicated in your Programme Guide, failing which the course(s) will not be included in Hall Ticket for taking examination (For example ECO-01/MS-02). In case wrong/invalid course code is mentioned in examination form, the course will not be included in the Hall Ticket and the examination fee paid will not be refunded. Examination form should be submitted only once for each Term-end Examination. In case two exam forms are submitted the condidature will be cancelled. Please send the examination form by Registered/Speed Post and retain the proof of its mailing till you receive the Hall Ticket. Term-end Examination result is also available on the University website (www.ignou.ac.in). Please see the result status before filling examination form. It is advised to enclose/forward only the Examination Fee along with this form. Any other fee (registration/re-registration) forwarded with this form will result in rejection of the examination form. Examination form received without examination fee or late fee (if applicable) will similarly be rejected. Students of BA/B.Com./BCA/BTS Programme can take examination for courses up to 48 credits and those of Management Programme can take examination for a maximum of 8 courses at a time. Normally the Study Centre is the Examination Centre. In case you wish to take examination at a particular centre the code of your chosen centre be filled up as Examination Centre Code. However, if Examination Centre chosen by you is not activated you will be allotted another Examination Centre under the same Region. In case you fail to receive Examination Intimation Slip/Hall Ticket one week before the commencement of examination you may visit our website (www.ignou.ac.in) and download the Hall Ticket and report at the Examination Centre with your Identity Card. Change of Examination Centre, once allotted, is not permissible under any circumstances. No student will be allowed two exam centres for a TEE. DECLARATION I hereby declare that I have read and understood the instructions given above. I also affirm that I have submitted all the required number of assignments as applicable for the course(s) filled in the examination form and my registration for the course(s) is valid and not time barred. If any of my statements is found to be untrue, I will have no claim for taking examination. I undertake that I shall abide by the rules and regulations of the University. Date_________ (Signature of the student) Phone No. (R) ____________________ Mobile No.________________________________ Email Id___________________________________ Phone No. (O) (with STD code) ____________________ AUTHENTICATION BY CO-ORDINATOR/INCHARGE OF STUDY CENTRE/PROGRAMME STUDY CENTRE/PARTNER INSTITUTION/ COMMUNITY COLLEGE It is to certify that the student has submitted all the assignment(s) for the course(s) filled in the examination form. Centre Code_________ Date _______________ (Signature & Stamp of Co-ordinator/Incharge) Study Centre/PSC/PI/Community College