Scribd
Upload
36 views5 pages

Change Request Form - Domestic

The document provides instructions for filling out Form 15 to request a change of electives, address, or duplicate student ID card from Sikkim Manipal University. Key details include: - Students must pay Rs. 1000 for a change of electives or Rs. 300 for a duplicate ID card. - Form 15 should be printed on A4 paper and correctly filled out without errors. - Changes to electives are only allowed if the student has re-registered in the current session or not yet taken exams in the previous electives. - The completed Form 15 and applicable fees must be submitted to the university by July 1, 2011.

Uploaded by

viharkpatel
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
36 views5 pages

Change Request Form - Domestic

The document provides instructions for filling out Form 15 to request a change of electives, address, or duplicate student ID card from Sikkim Manipal University. Key details include: - Students must pay Rs. 1000 for a change of electives or Rs. 300 for a duplicate ID card. - Form 15 should be printed on A4 paper and correctly filled out without errors. - Changes to electives are only allowed if the student has re-registered in the current session or not yet taken exams in the previous electives. - The completed Form 15 and applicable fees must be submitted to the university by July 1, 2011.

Uploaded by

viharkpatel
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

GUIDELINES FOR FILLING FORM 15

FEE RELATED INSTRUCTIONS


1. CHANGE OF ELECTIVE FEE: All students applying for change of elective or specialization subject/s are requiredtopayRs.1000/. 2. DUPLICATE IDENTITY CARD FEE: All students applying for duplicate identity card are required to pay Rs.300/.

GENERAL INSTRUCTIONS
3. Form15istobeusedbystudentstoapplyfor; a. ChangeofElectiveorSpecializationsubjects b. ChangeofAddressorcontactdetails c. DuplicateIdentityCard 4. DownloadandprintForm15(ChangeRequestForm)onA4paper. 5. Incorrectfilling,overwriting,cuttingandincompleteapplicationswillberejected. 6. The change of elective or specialization subject/s is permitted only if the reregistration is done in the currentsession. 7. Studentswhohavedonetheirreregistrationsintheearliersessionscanalsoapplyforchangeiftheyhave notwrittenanypreviousexaminationsforthosepapers.Suchstudentsbecomeeligibletowritethenew elective/specializationexaminationsonlyaftersubmittingForm12(formforresitting). 8. TheForm15alongwiththefeesshouldreachtheUniversityonorbefore01.07.2011. 9. Changes in the elective or specialization subjects will be notified only in the website under the student profile.BoththestudentandtheLearningCentrecanaccessthesameundertheirrespectivelogins.No othercommunicationwillbesentinthisregard. 10. The SLMs for the elective / specialization subjects, wherever applicable, will be dispatched after the changesareeffectedandnotified. 11. Therewillbenochangeinthevalidity(maximumdurationforcompletion)oftheprogram. 12. Elective / specialization change request is permitted only once for a student. Reversal or any further changeisnotpermitted. 13. ThestudentsapplyingforduplicateIdentityCardarerequiredtoencloseanaffidavitonaStamppaperof Rs.15/intheformatgiveninthe3rdpage.

INSTRUCTIONSFORFILLINGFORM15

Page1

FORM FILLING INSTRUCTIONS


1. CENTRECODE:Writethe5digitLearningCentrecodethroughwhichtheFormissubmitted. 2. ROLLNUMBER:Writethe9digitrollnumberasitappearsintheUniversityIdentityCard. 3. PROGRAM:WritethenameoftheProgramyouarepursuing. 4. SEMESTER:Writethesemesterinwhichyouarepresentlystudying. 5. NAMEOFTHESTUDENT:WriteyournameasregisteredwiththeUniversity. 6. FATHERS/MOTHERS/GUARDIANSNAME:WritethenameofyourFather/Mother/Guardian. 7. ELECTIVE CHANGE REQUEST:ThisfieldisapplicableonlyifthestudentisrequestingforchangeofElective / Specializationsubjects. a) OLD ELECTIVE: WritethenameoftheoldElective/ SpecializationgroupbyreferringtoTable1given below. b) NEWELECTIVE:WritethenameofthenewElective/SpecializationgroupbyreferringtoTable1given below. 8. ADDRESS CHANGE REQUEST: This field is applicable only if the student is requesting for change of Address. a. OLDADDRESS:Writeyouroldaddress. b. NEWADDRESS:Writeyournewaddress. 9. REQUEST FORDUPLICATEIDCARD:Thisfieldisapplicableonlyifthestudentisapplyingfortheduplicate IdentityCard.
REASON: No student is permitted to hold 2 identity cards simultaneously. Students can apply for a

duplicateIDcardonlyiftheoriginalIDcardismisplacedorlost. 10. TELEPHONENUMBERWITHSTDCODE:Writeyourcontacttelephone/mobilenumberwithSTDcode. 11. EMAIL:WriteyouremailID. 12. FEEDETAILS:ThisfieldisapplicabletothestudentsapplyingforchangeofelectivesorduplicateIDcard.All paymentsneedtobemadeonlythroughtheDemandDraft.Filluptherequiredfieldsasbelow: a. DEMAND DRAFT NUMBER: Write the Demand Draft number, date, amount and the Bank name in the respectivefields.AttachthedemanddrafttoFORM15.Name,RollNumberandCentreCodemustbe writtenonthereverseoftheDemandDraft. 12. SIGNATUREOFTHESTUDENT:Signtheformwithdate. 13. TheLearningCentreisrequiredtocountersigntheformaftercheckingtheRollNumber,Name,Program, Semester,CentreCode,FeeDetails,etc.filledbythestudentbeforeforwardingtoUniversity.
INSTRUCTIONSFORFILLINGFORM15 Page2

TABLE 1: ELECTIVES/SPECIALISATIONS
SI PROGRAM SEMESTER ELECTIVE/SPECIALISATION Finance Marketing HumanResourceManagement InformationSystems Banking MBARevised 3 RetailOperations (Spring2010) OperationsManagement ProjectManagement TotalQualityManagement HealthCareServicesManagement InternationalBusiness AirTicketing&CRS Hotel&RestaurantAdministration PGDTTM 2 TransportManagement PublicRelations&Advertising

FORMAT OF THE AFFIDAVIT


TOBEMADEONRs.15NONJUDICIALSTAMPPAPER
I,______________________________(nameofthestudent),son/daughterof________________________ aged_____________,residingat __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________________________________________solemnlyaffirmandstateasfollows: 1. IstateanoaththatIampursuing______________________(program)withRollNumber_____________ attheSikkimManipalUniversity. 2. IhaveregisteredthroughtheLearningCentre_________________________________________________ 3. IsubmitthatIhavelosttheoriginalIdentityCardissuedbytheuniversity. 4. Ifurthersubmitthatinspiteofdiligentsearch,IamnotabletotracetheoriginalIdentityCardandhence itisconsideredaslost.Iftraced,IwillsurrendertotheUniversity. 5. IfurtheraffirmthatIhavenotmisusedandIshallnotmisusetheIdentityCardinanymanner. 6. Alltheabovementionedinformation/statementaretrueandcorrect. 7. RequesttheUniversitytoissuemeaduplicateIdentityCardonthestrengthofthisaffidavit.
INSTRUCTIONSFORFILLINGFORM15 Page3

____________________________ SignatureoftheStudentwithdate Solemnlyaffirmedandsignedbeforemeonthisday_____________________(date). ___________________________ SignatureandsealoftheNotary Address: RegistrationNumber:

DISPATCH INSTRUCTIONS
1) PleasedispatchthefollowingtotheUniversitythroughyourLearningCentre: FORM15 DemandDraft,ifapplicable Affidavit,incaseofrequestforduplicateIDcard

2) Dispatchtheabovetothefollowingaddress: AdditionalRegistrar DirectorateofDistanceEducation ReregistrationSection SikkimManipalUniversity SyndicateHouse Manipal,Karnataka,India,PIN:576104 Tel:918204297101,4297111 Email:[email protected] NOTE: The status of all the applications received within the due date will be made available on SMU DDE website www.smude.edu.in after processing. The Learning Centres and the students can access this informationthroughtheirrespectivelogins.
Page4

INSTRUCTIONSFORFILLINGFORM15

You might also like