Appendix-XXII
ignou INDIRA GANDHI NATIONAL OPEN UNIVERSITY EXAM FORM
THE STUDENT EVALUATION DIVISION
Serial
PEOPLE'S MAIDAN GARHI, NEW DELHI-110 068 No.
UNIVERSITY
TERM-END EXAM – JUNE / DECEMBER, 201___
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. E-MAIL
Physically Handicapped YES NO Scribe/Amanuensis required by the student YES NO
(Please tick the relevant box) (Please tick the relevant box)
FOR SCRIBE/AMANUENSIS, THE STUDENT MAY APPROACH THE CONCERNED REGIONAL CENTRE (UNDER
WHOM THE EXAMINATION CENTRE FALLS) ALONG WITH DISABILITY CERTIFICATE
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 `120/- PER COURSE (Demand draft in favour of IGNOU and payable at City of Regional Centre under which your exam centre falls.
S.No. Course Code S.No. Course Code
1. 9.
2. 10.
3. 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
FEE DETAILS (Please write your Name & Enrolment No. at the back of the Draft)
1. Draft No.
Total No. of Courses Total Amount
Theory Courses ` ×120 Amount
Practical Courses ` ×120 2. Draft No.
Late Fee Amount
TOTAL Date / /
SIGNATURE OF THE STUDENT Issuing Branch ———————————————————————
Payable at (Regional Centre under
(within the Box only) F which your exam centre falls)
89
ISSUING BANK
Dates for Submission of Exam Forms
FOR JUNE TEE LATE FEE FOR DECEMBER TEE LATE FEE SUBMISSION OF EXAM FORM
1 March to 31 March NIL 1 Sept. to 30 Sept. NIL
ONLY AT THE CONCERNED
1 April to 30 April ` 500/- 1 Oct. to 31 Oct. ` 500/- REGIONAL CENTRE UNDER
WHICH YOUR EXAMINATION
1 May to 15 May ` 1000/-* 1 Nov. to 15 Nov. ` 1000/-*
CENTRE FALLS
*Exam for these students will be conducted at Regional Centre city only
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 favour of 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 - `120/- (Examination fee once paid will not be refunded/adjusted in any case)
Examination form to be submitted at - Regional Centre under which your examination centre falls
Demand draft to be made in favour of - IGNOU and payable at the city where submitting the exam form
INSTRUCTIONS FOR FILLING UP THE EXAMINATION FORM
1. 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.
2. 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).
3. 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.
4. Examination form should be submitted only once for each Term-end Examination. In case two exam forms are submitted the condidature
will be cancelled.
5. Please send the examination form by Registered/Speed Post and retain the proof of its mailing till you receive the Hall Ticket.
6. Term-end Examination result is also available on the University website (www.ignou.ac.in). Please see the result status before filling
examination form.
7. 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.
8. Examination form received without examination fee or late fee (if applicable) will similarly be rejected.
9. 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.
10. 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.
11. 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.
12. Change of Examination Centre, once allotted, is not permissible under any circumstances.
13. 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_________ (Signature & Stamp of Co-ordinator/Incharge)
Date _______________ Study Centre/PSC/PI/Community College
90
