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50477541-Malpractice-form

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MALLAM YAHAYA HAMZA INSTITUTE OF ADVANCED STUDIES
EXAMINATION MALPRACICE REPORT SLIP (IN DUPLICATE) COPY TO INSTITUTE DIRECTOR AND
EXAMINATION MONITORING COMMITTEE
Name of Student…………………………………………………………………………………………………………………………………
Registration Number…………………………………………………………………………………………………………………………
Programme/Level………………………………………………………………………………………………………………………………
Semester/Session…………………………….. Department…………………………………………………………………………….
School…………………………………………………… Course……………………………………………………………………………..
Invigilator(s)……………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………..
Time………………………………………………….. Date ……………………………………………………………………………………
Witness (es)……………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
ALLEGATIONS
(a)
(b)
(c)
(d)
(e)
(f)
(g)
Found with foreign material
Found using foreign material
Impersonating/Impersonated
Assisting/Receiving Assistance
Chewing/Swallowing incriminating material(s)
Refusal to sign/Complete Examination Malpractice Report Form
Any other offence (s) specify…………………………………………………………………………………………….
HOD’s Comments and signature ……………………………………………. ………………………………………………………
……………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………….
Signature and Date………………………………………………………………………………………………………………………..
Attachments (exhibits)
i.
………………………………………………………………………………………………………………………………………………
……
ii.
………………………………………………………………………………………………………………………………………………
……
iii.
………………………………………………………………………………………………………………………………………………
……
iv.
………………………………………………………………………………………………………………………………………………
…….
v.
………………………………………………………………………………………………………………………………………………
…….
vi.
………………………………………………………………………………………………………………………………………………
……
vii.
………………………………………………………………………………………………………………………………………………
…..
MALLAM YAHAYA HAMZA INSTITUTE OF ADVANCED STUDIES
Department…………………………………………………………………………………………………
Student’s Name…………………………………………………………………………………………
Registration Number……………………… programme………………….. Level……………
INVITATION TO APPEAR BEFORE THE EXAMINATION MALPRACTICE
COMMITTEE
An Examination Malpractice case has been reported against you while were in
the Examination hall on ………………………….. In order to investigate further on
this case you are requested to appear before the Examination Malpractice
Committee in Room……………………….. which is schedule to meet as below:Date………………………….Time……………………………..Venue…………………………………
………………………………………..
You
are
expected
to
meet
Mr.
…………………………………………………………………………… Dean of Studies for further
information you may require. You will be suspended immediately if you fail to
appear as indicated.
Signed:
Head of Department
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