INVIGILATOR FORM Irregularity Report Examination Details

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University of Malta – Invigilator Form
University of Malta – Invigilator Form
UNIVERSITY
OF MALTA
Irregularity Report
INVIGILATOR FORM
 There were no irregularities
 The following irregularity is reported
Report:
Examination Details
Session of Examinations:
Jan/Feb 
May/June  Sept 
Date of Examination:
__________________________________________________
Year:__________
Name of Student
__________________________________________________
Examination Venue:
__________________________________________________
ID No.
__________________________________________________
F/I/C/S:
__________________________________________________
Study-Unit Code/s:
__________________________________________________
Study-Unit Title/s:
__________________________________________________
Time when irregularity was noticed __________________________________________________
In the report please explain clearly the following:
Nature of irregularity e.g. notes on a ruler etc.
Total number of students present for the Examination:
________________________________
Action taken by the invigilator/s
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Declaration
We, the undersigned, declare that we have read the following announcement before the
commencement of the examinations:
“YOU HAVE 5 MINUTES TO READ THE PAPER. DURING THIS TIME YOU MAY NOT WRITE OR
MAKE ANY NOTES.”
When the reading time is up, please read the following:
“THE READING TIME IS OVER. YOU MAY NOW START WRITING. YOU HAVE ________ HOURS TO
COMPLETE THE PAPER. YOU ARE REMINDED OF THE SERIOUS CONSEQUENCES THAT MAY ARISE
IF THE UNIVERSITY ASSESSMENT REGULATIONS ARE NOT STRICTLY ADHERED TO.”
________________________________________________________________________________
We also declare that _______ answer books plus _______ extra answer books were used in our
presence by the students and that the ‘Instructions to Invigilators’, which were given to us before
the Examination, were strictly observed.
________________________________________________________________________________
Time of Duty: from ____________ to ___________.
________________________________________________________________________________
Name of Invigilator/s (in block letters):
Signature:
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
___________________________________
______________________________________
Note: Only the Invigilators who saw the irregularity should sign the report
Name of Invigilator: ____________________
Signature: _______________________
Name of Invigilator: ____________________
Signature: _______________________
Date:
____________________
Page 8
Page 1
University of Malta – Invigilator Form
University of Malta – Invigilator Form
Irregularity Report
List of Absent Students
Total number of students absent for the Examination: ____________________________
 There were no irregularities
Name
ID no.
 The following irregularity is reported
Remarks
Report:
Name of Student
__________________________________________________
ID No.
__________________________________________________
Time when irregularity was noticed __________________________________________________
In the report please explain clearly the following:
Nature of irregularity e.g. notes on a ruler etc.
Action taken by the invigilator/s
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Note: Only the Invigilators who saw the irregularity should sign the report
Name of Invigilator: __________________ __
Signature: _______________________
Name of Invigilator: __________________ __
Signature: _______________________
Date:
____________________
(to be completed half an hour after the start of the examination)
Page 2
Page 7
University of Malta – Invigilator Form
University of Malta – Invigilator Form
Record of Scripts
Temporary Absence Sheet (cont.)
Name
ID no.
Time
Left
Time
Returned
Student’s Signature
Received: ____________ x 8 pages scripts
Returned: ____________ x 8 pages scripts
Received: ____________ x 12 pages scripts
Returned: ____________ x 12 pages scripts
Received: ____________ x 16 pages scripts
Returned: ____________ x 16 pages scripts
Received: ____________ x Exam Booklets
Returned: ____________ x Exam Booklets
Received: ____________ x Answer Sheets
Returned: ____________ x Answer Sheets
Record of Extra Scripts
Name
Page 6
ID No.
No. of
Scripts
Issued
Name
ID No.
No. of
Scripts
Issued
Page 3
University of Malta – Invigilator Form
University of Malta – Invigilator Form
Record of Extra Scripts (cont.)
Name
ID No.
Temporary Absence Sheet
No. of
Scripts
Issued
Name
ID No.
No. of
Scripts
Issued
Name
ID no.
Time Left
Time Returned
Student’s
Signature
Total of Extra Scripts Issued: ____________________
Page 5
Page 4
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