Recipient of the International Award for Institutional Excellence from Commonwealth of Learning, Canada YASHWANTRAO CHAVAN MAHARASHTRA OPEN UNIVERSITY Dnyangangotri, Near Gangapur Dam, Govardhan, Nashik - 422 222 Phone : (0253) 2231714, 2231715, 2230227 Fax : (091) (0253) 2231716 Outword No. : HX/B.Sc.MLT/May 15/ Date : 08 Janaury 2015 B.Sc. (MLT) Ist, IInd & IIIrd Year : May 2015 Examination Instructions Dear student, The End Examination of Bachelor of Science (Medical Lab. Techniques) (B.Sc.(MLT) First, Second and Third Year (Theory & Practical) will be held on examination centre. The time table in May 2015 declared soon. 01. This examination form is for “Repeater Student only’’. Fresh student of B.Sc. (MLT) need not have to fill examination form. Examination fees for Repeater students Rs. 350/- per theory paper and Rs. 450/- per practical paper & workbook + Rs. 100/- for marksheet and postage charges. 02. All the repeater student should attach an attested xerox copy of mark sheet along with the examination form, otherwise your form will not be accepted. 03. As there is a separate passing for theory and practical exam, student who has failed in practical examination should only need to appear for practical examination. You will get your hall ticket from your study center. 05. Payment of fees : Fees should be paid by challans in any branch of Bank of Maharashtra, Central Bank of India or Bank of India, Union Bank of India, Punjab National Bank only. Challans are available at any study centre. Submission of Exam. form May 2015 as per following time table : No. Exam. Fees Only for Students Only for Study Centres Last Date of Submitting Last Date of Submitting Exam. forms at Study Centre Exam. forms at Regional Centres 01. Without Late Fee 15/01/2015 to 14/02/2015 17/02/2015 02. With Late Fee Rs. 200/- 15/02/2015 to 21/02/2015 24/02/2015 03. With Super Late Fee Rs. 500/- 22/02/2015 to 28/02/2015 03/03/2015 After last date of submission of examination form to Regional Office, Study Centres paid Rs. 200/- per day. 06. The student should record (tick marks 3) the subject for which he/she wants to appear. The student should choose the subjects carefully. Subjects cannot be changed at any movement and the student will not allowed to appeared without hall ticket / identity card. 07. After receiving your examination form and fee the university will allot your examination centre and you will get your hall ticket from your study center or you can download it from university’s website http://ycmou.digitaluniversity.ac. 08. Result will be declared on website, if you have any doubt about the marks obtained, you can request for “verification of marks” by sending application form and necessary fees DD for verification within 15 days of declaration of examination result. Prescribed “Mark Verification Form” can be fill up online on university’s website at http://ycmou.digitaluniversity.ac. The fee for marks verification is Rs. 100/- for each course. 09. You should be present at least half an hour before examination time. 10. All the journals should be submitted to the study centre head upto 10th April 2015. 11. For contact nos. (022) 40174666, (0253) 2230058 Badhan/T15-017 Controller of Examination Last date of submission : 14/02/2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Near Gangapur Dam, Nashik - 422222 B.Sc. (MLT) Examination Form May - 2015 1. Permanent Registration Number : 2. Student’s Full Name . : Address : District : Contact No. : Pin : Email : 3. Name of the Study Center : 4. Examination Courses List : [Tick (3) mark for which course (Theory/Practical) examinations student wants to appear. Attach the xerox copy of previous mark sheet] Sr. No. Code : Course Name Code Theory Practical Workbook 1. General HSC120 N.A. 2. Routine Lab Technique HSC121 N.A. 3. Special Laboratory Techniques HSC 127 N.A. 4. Work book - I P25WB1 5. Hematology & Blood Banking HSC 122 N.A. 6. Microbiology -1 & Serology HSC 123 N.A. 7. Clinical Pathology and Biochemistry - 1 HSC 124 N.A. 8. Work book - II P25WB2 9. Clinical Biochemistry 2 & Microbiology 2 HSC 125 N.A. 10. Histocytology HSC 126 N.A. 11. Paracitology of Bloodcell disorder HSC 128 N.A. 12. Work book - III P25WB3 N.A. N.A. N.A. N.A. N.A. N.A. Total N.A. : Not Applicable Examination Form Receipt for B.Sc. (MLT) Received form of ________________________________________ PRN __________________ Challan No. _____________________ Date : / /2015. Signature 5. Examination Fee Rs.(Total) : 6. Bank of Maharashtra Bank Challan & Date : Branch Address : Examination Unfair means related 1982 Act of Maharashtra Government Clause No. 31 and related provisions are known to me and if found guilty an action will as per clause No. 31. I have read all the instructions and rules given in this examination form and I will abide by the rules. Date : / /2015 Signature of the applicant Signature and Stamp Center in Charge/Centre Co-ordinator For Office (University Head Office) Use only (Student or Centre should not fill any information) Receipt No. : Date : / Amount Paid Rs. : Date and Signature of Assistant Badhan/T15-017 / 2015