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 Post Graduate Diploma in Hospital and Healthcare Management (PGDHHCM) [New Syllabus] May 2015 Examination Instructions Outword No. : HX/ PGDHHCM/May 15/ Date : 8 January 2015 Dear student, Post Graduate Diploma in Hospital and Healthcare Management (PGDHHCM) (New Syllabus). Theory examination will be held and Viva Examination will be held on student’s Study Centre. The time table will be declared soon. As there is a seperate passing for theory and viva exam., student who has failed in viva examination should only need to appear for Viva Examination. 01. This examination form is for “Repeater students only”. Fresh student need not to fill this examination form. Examination fees Rs. 250/- per theory paper and Viva Examination + Rs. 100/- for markshet and postage charges. 02. 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. 03. The student should record (tick marks 3) the subject for which he/she wants to appear. Subjects cannot be changed. The student will not allowed to appeared without hall ticket and identity card. 04. After receiving your examination form and fee, the university will allot you 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. 05. 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. “Mark Verification Form” can be fill up online on university’s website at http://ycmou.digitaluniversity.ac. Fee for marks verification is Rs. 100/- per course. 06. You should be present at least half an hour earlier at your exam. centre. 07. For contact nos. (022) 40174666, (0253) 2230058 Badhan/T15_022 Last Date for submission : 14/02/2015 Yashwantrao Chavan Maharashtra Open University Dnyangangotri, Near Gangapur Dam, Nashik - 422 222 Post Graduate Diploma in Hospital and Healthcare Management (PGDHHCM) (New Syllabus) Examination Form - May 2015 (Please read the evaluation pattern for this programme given in the prospectus before filling this application form. The form is to be filled in by the applicant and verified by the Co-ordinator, Study Centre) 01. P.R.N. : 02. Student’s Name : (Last Name) (First Name) (Middle Name) 03. Address : PIN : Contact No. : Email : 04. Name & Code of the Study Centre : 05. Name & Code of the Viva Centre : Viva (at student’s own study centre) 06. I wish to appear for the Term End Examination in May 2015 of following selected Courses marked as [3]. Sr. No. Course Name Course Code Theory Viva 01. Management Principles & Practices in Hospitals HSC 190 N.A. 02. Healthcare Management & Administration Core Services HSC 191 N.A. 03. Healthcare Management & Administration : Supportive and Anciliary Services HSC 192 N.A. 04. Healthcare Policy & Programme HSC 193 N.A. 05. Viva HSC 178 No. of Theory/ Viva Papers Selected = N.A. ___________________ Total Fees = Rs. 250/- for theory/Viva paper X (No. of Papers) = Rs.___________________ Examination Form Receipt for PGDHHCM (New Syllabus) Received form of ________________________________________ PRN __________________ Challan No. _____________________ Date : / /2015. Signature 07. Exam Fee Payment Details : Challan No. : ______________________________________ date : ___________________ Bank of Maharashtra Branch : _________________________________________________ Examination Unfair Means related to Examination Act, 1982 of the Government of Maharashtra Act No. 31 and related provisions are known to me and if found guilty, an action would be taken as per the same. I have read all the instructions and rules given to me in the examination form and I will abide by the said rules. Date : / /2015 Stamp and Signature of the Study Centre Head/Co-ordinator (Signature of the Applicant) (For Office Use Only) (The student or Study Centre should not write anything here) Details of Examination Fee Receipt Receipt No. Date : / /2015 Amount : Rs. (Amount in words..................................................................) Signature and date of Person/Assistant Badhan/T15_022