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Á`m {dÚmÏ`mªZr àmË`{jH$ H$m`© nyU© H$ê$Z Ë`mV {H$_mZ 40 JwU {_i{dco AgVrc, na§Vw A§{V_ narjm {Xcr Zgoc qH$dm A§{V_ narjoV AZwÎmrU© Pmco AgVrc qH$dm àmË`{jH$ H$m`© nyU© Ho$co Zgoc qH$dm Ë`mV AZwÎmrU© Pmco AgVrc Ho$di AemM {dÚmÏ`mªZr nwZn©arjmWu åhUyZ gXaMm narjm AO© ^amdm. 12. narjm J¡aàH$mam§gX§ ^m©V 1982À`m _hmamï´> H$m`Xm H«$. 31 _Yrc VaVwXrZwgma narjm J¡aàH$mamgmR>r H$m`©dmhr hmoD$ eH$Vo. 13. nwZn©arjogmR>r H$moUr AO© H$amdm ? (A) Oo {dÚmWu A§{V_ narjoV AZwÎmrU© AgVrc. (Am) Á`m {dÚmÏ`mªZr `mnydu A§{V_ narjm {Xcocr Zgoc. (B) Á`m {dÚmÏ`mªZr Ho$di (A§VJ©V _yë`_mnZmMo) àmË`{jH$ H$m`© nyU© Ho$co Amho, na§Vw A§{V_ narjm {Xcr Zgoc. (B©) Á`m {dÚmÏ`mªZr A§{V_ narjm {Xcocr Zmhr d àmË`{jH$ H$m`©hr nyU© Ho$coco Zmhr Aem {dÚmÏ`mªZr àmË`{jH$ H$m`© ñdV§ÌnUo Aä`mgH|$Ðm_m\©$V {d{hV H$mcmdYrV nyU© H$aÊ`mMr O~m~Xmar KoD$Z nwZn©arjoMm AO© ^amdm. Oa àmË`{jH$ H$m`m©Mo JwU Aä`mgH|$Ðm_m\©$V àmá Pmco ZmhrV Va Aem {dÚmÏ`mªMm {ZH$mc amIyZ R>odÊ`mV `oB©c. (C) Á`m {dÚmÏ`mªZr àmË`{jH$ H$m`© Ho$coco ZgVrc Aem {dÚmÏ`mªZr àmË`{jH$ H$m`m©gmR>r {d{hV ewëH$ ^ê$Z nwZn©arjogmR>r AO© H$amdm d {d{hV H$mcmdYrV ñd`§-àoaUoZo àmË`{jH$ H$m`© nyU© H$amdo. Bhandare/T15-13 Last Date : 14/02/2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Govardhan, Near Gangapur Dam, Nashik 422 222 Certificate in Fire and Safety Engineering Management Programme (C-97) Examination Form (For Repeater Student) 1. Permanent Registration Number : 2. Student Name : Address : Dist. : Pin : 3. Study Centre Name & Code : 5. Tick ( √ ) mark for which course (Theory/Practical) Examinations students wants to appear. Attach the xerox copy of previous Mark Sheet) S.No. Course Name Theory S.No. Course Name Practical 1 Fire Service Organisation & Administration (CFM 101) 1 Fire Fighting Equipments (CFM 105) 2 Fire Technology (CFM 102) 2 3 Fire Fighting Equipments (CFM 103) Rescue and First Aid (CFM 106) 4 Fire Ground Operations (CFM 104) Per Exam & per Course Fee Rs. 300 Theory Practical Mark Sheet & Postage Rs. 100 Total Medium : English 5. Total Examination Fees Rs. Date : / / Demand Draft No. : Name of the Bank : Signature & Stamp Center Incharge & Center Co-ordinator Signature of the Student For Office use only (University Head Office) (Student or Center should not fill any information) Receipt No. Date : Amount paid Rs. ........................ Signature : DB/T15-13 / / Last Date : 14/03/2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Govardhan, Near Gangapur Dam, Nashik 422 222 Diploma in Fire and Safety Engineering Management Programme (P-73) Examination Form (For Repeater Student) 1. Permanent Registration Number : 2. Student Name : Address : Dist. : Pin : 3. Study Centre Name & Code : 4. Tick ( √ ) mark for which course (Theory/Practical) Examinations students wants to appear. Attach the xerox copy of previous Mark Sheet) S.No. Course Name 1 Fire & Safety Engineering Science (FSM 101) 2 Fire Service Management & Acts (FSM 102) 3 Industrial Safety Management (FSM 103) 4 Building Fire & Safety Techniques (FSM 104) 5 Fire Hazards and Suppression (FSM 105) 6 Detection Communication & Special Call (FSM 106) Theory S.No. Course Name Practical 1 Fire Fighting Drills (FSM 107) 2 Fire Service Equipments (FSM 108) 3 Rescue Techniques (FSM 109) 4 Industrial Traning (FSM 110) Per Exam & per Course Fee Rs. 300 Theory Practical Mark Sheet & Postage Rs. 100 Total Medium : English 5. Total Examination Fees Rs. Date : / / Demand Draft No. : Name of the Bank : Signature & Stamp Center Incharge & Center Co-ordinator Signature of the Student For Office use only (University Head Office) (Student or Center should not fill any information) Receipt No. Date : Amount paid Rs. ........................ Signature : DB/T15-13 / / Last Date : 14/02/2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Govardhan, Near Gangapur Dam, Nashik 422 222 Post Graduate Diploma in Fire and Safety Engineering Management Programme (P-96) Examination Form (For Repeater Student) 1. Permanent Registration Number : 2. Student Name : Address : Dist. : Pin : 3. Study Centre Name & Code : 5. Tick ( √ ) mark for which course (Theory/Practical) Examinations students wants to appear. Attach the xerox copy of previous Mark Sheet) S.No. Course Name Theory S.No. Course Name Practical 1 Fire Technology and Suppression (FSE 101) 1 Fire Ground Drills and Operations (FSE 108) 2 Fire Equipment and Appliances (FSE 102) 2 3 Fire Prevention, Detection and Investigation (FSE 103) 3 Practical Fireman Ship (FSE 109) Project Work (FSE 110) 4 Handling Different Emergencies (FSE 104) Industrial Safety Management (FSE 105) Safety Management of Hazardous Process (FSE 106) Safety Provisions & Precautions in Industry (FSE 107) 5 6 7 Per Exam & per Course Fee Rs. 300 Theory Practical Mark Sheet & Postage Rs. 100 Total Medium : English 5. Total Examination Fees Rs. Date : / / Demand Draft No. : Name of the Bank : Signature & Stamp Center Incharge & Center Co-ordinator Signature of the Student For Office use only (University Head Office) (Student or Center should not fill any information) Receipt No. Date : Amount paid Rs. ........................ Signature : DB/T15-13 / / Last Date : 14/02/2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Govardhan, Near Gangapur Dam, Nashik 422 222 Bachelor of Fire and Health Safety Environment (HSE) Management (P-97) Examination Form (For Repeater Student) 1. Permanent Registration Number : 2. Student Name : Address : Dist. : Pin : 3. Study Centre Name & Code : 5. Tick ( √ ) mark for which course (Theory/Practical) Examinations students wants to appear. Attach the xerox copy of previous Mark Sheet) First Year : Theory S.No. Course Name 1 Fire Service Organisation (FHS 101) 2 Fire Service Technology & Media (FHS 102) 3 Fire Service Equipments (FHS 103) 4 HSE Management System (FHS 104) Common Industrial Work System (FHS 105) 5 DB/T15-13 First Year : Practical Theory S.No. 1 Course Name Practical Fire Drills and Equipment Handling (FSM 106) Per Exam & per Course Fee Rs. 300 Theory Practical Mark Sheet & Postage Rs. 100 Total PTO Second Year : Theory S.No. Course Name 1 Fire Service Pump and Appliances (FHS 201) 2 Fire Service Operations (FHS 202) 3 Fire Service Communication and Mobilizing (FHS 203) 4 Safety Management, Environment and Health (FHS 204) Fire in Common Commercial Goods (FHS 205) Safety Aspects in Different Industries (FHS 206) 5 6 Second Year : Practical Theory 1 Course Name Practical Fire Ground Operational Techniques (FHS 207) Per Exam & per Course Fee Rs. 300 Theory Practical Mark Sheet & Postage Rs. 100 Total Third Year : Theory S.No. Course Name S.No. Third Year : Practical Theory S.No. Course Name Practical 1 Fire Preventive and Protection Sysem (FHS 301) 1 Fire Service Emegency Aid (FHS 307) 2 Environment and Sustainable Development (FHS 302) 2 Project Work (FHS 308) 3 Safety Provisions and Precaution in Industry-1 (FHS 305) 4 Safety Provisions and Precaution in Industry-2 (FHS 306) Per Exam & per Course Fee Rs. 300 Theory Practical Mark Sheet & Postage Rs. 100 Total Medium : English 5. Total Examination Fees Rs. Date : / / Demand Draft No. : Name of the Bank : Signature & Stamp Center Incharge & Center Co-ordinator Signature of the Student For Office use only (University Head Office) (Student or Center should not fill any information) Receipt No. Date : Amount paid Rs. ........................ Signature : Bhandare/T15-13 / /