PGRRCDE,OU

PROF. G. RAM REDDY CENTRE FOR DISTANCE EDUCATION

Osmania University : Hyderabad – 500 007

Application form for the Modular Certificate Course/Module(s) Examination

MCC - Authorized Learning Centre

Enrolment No.

9 / 4 / -

______

Bank DD No.______Dt. ______for Rs. ______drawn in

favour of the Director, PGRRCDE, OU.

Name and Address of the Bank Issuing the DD

1. Name of the Candidate

(in Block Letters as entered in the Degree or Equivalent Certificate)

2. Address for Correspondence

E-mail:

District: Pin:

(For speedy information include District & Pin code without fail)

State: Country:

3. Mention the Exam Date / Month / Year: From To

(If it is only on one day mention the same in both from and to)

4. Tick () the Module(s) selected for Examination in the next page. A maximum of one Course is permitted per

application.

* Instructions for candidates in the next page.

Instructions for the candidates

  1. All entries should be in the candidate’s own handwriting and the candidate will be held personally responsible for any incorrect entry that he/she makes.
  2. The filled in examination form must reach CDE at least 3 weeks before the stated module exam date.
  3. The Examination Fee for each Module will be Rs. 50/ - in the form of a Demand Draft in favour of DIRECTOR, PGRRCDE, OU . All Demand Drafts should be taken only from a Nationalised Bank.
  4. A List of the Courses/Modules is given in the next page. Select the Course/Module examination for which you are appearing.
  5. The duration of the exam will be for 1 hour per Module for Soft Skills & Professional Skills modules, which are MCC9, MCC11, MCC18, and MCC19. The duration of the exams for the rest of the MCC modules will be 11/2 hours each.
  6. All students who have studied the CD based Modules/Courses have to fill the Examination forms, have it attested by the Principal of the ALC on the ALC stamp in the space indicated for the same. The filled in, stamped and attested student exam forms will be forwarded to the Director CDEOU along with a covering letter mentioning the preferred exam dates and the names of the students sitting the exam by the Principal of the ALC and not by individual students.
  7. Tentative Exam week dates suggested:

21st April to 26th April

25th August to 30th August

15th December to 20th December.

List of the Courses :

(Tick () the Module selected)

To be issued to the candidate

OSMANIA UNIVERSITY

Hall Ticket

To be filled by the candidate

Modular Certificate Courses

9 / 4 / -

Enrolment No: Name of the Candidate :

Father’s Name : Module(s) in which the candidate is appearing. Mention the Module ID’s. Fill in the date

of the examination and circle AM/PM.

Module Name (in block letters) / Module ID
(sample ) / Date & Time
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM

Identification Marks 1. ______

2.______

Note : I hereby declare that I have gone through the examination instructions. If I am not eligible, the University reserves the right to cancel the exam/results. This Hall ticket is only for one Course/Module(s).

Signature of the CandidateDirector, Prof. G. R.R.C.D.E with Office Seal

To be issued to the candidate

OSMANIA UNIVERSITY

Hall Ticket

To be filled by the candidate

Modular Certificate Courses

9 / 4 / -

Enrolment No: Name of the Candidate :

Father’s Name : Module(s) in which the candidate is appearing. Mention the Module ID’s. Fill in the date

of the examination and circle AM/PM.

Module Name (in block letters) / Module ID
(sample ) / Date & Time
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM
MCC - / /2005 - AM/PM

Identification Marks 1. ______

2.______

Note : I hereby declare that I have gone through the examination instructions. If I am not eligible, the University reserves the right to cancel the exam/results. This Hall ticket is only for one Course/Module(s).

Signature of the CandidateDirector, Prof. G. R.R.C.D.E with Office Seal