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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
/
/