Bangalore University Application Form 07

21
Bangalore University Admission Open for Diploma in Epilepsy Care 2009, Contact [email protected] , [email protected] , [email protected] . Bangalore University has launched new courses since 2005 in the field of Disability and rehabilitation .Directorate of Correspondence Courses & Distance Education in collaboration with CBR Network(South Asia) invites applications for Community based Rehabilitation Courses for the Academic Year 2009-10 offered through distance mode. Courses Offered in this Program. Sl .N o. Courses Duratio n Eligibility General Condition 1. PG Diploma in CBR One year A graduate in any discipline (Preferably in life sciences) Or a graduate or students who have completed third year in medical or para medical courses Under Dual programme students pursuing any master’s degree are eligible to apply. Those who have completed 21 years of age as on July 2006 2 Diploma in CBR One year a) A pass in 10+2 or equivalent examination b) Anyone pursuing any undergraduate degree in a recognized University c) Parents, Teachers, Nurses, Health workers, CBR workers, Special Teachers fulfilling(a)or(b) as above Those who have completed 18 years of age as on July 2006

Transcript of Bangalore University Application Form 07

Page 1: Bangalore University Application Form 07

Bangalore University 

 Admission Open for Diploma in Epilepsy Care 2009,

Contact [email protected], [email protected][email protected].

 Bangalore University has launched new courses since 2005 in the field of Disability and rehabilitation .Directorate of Correspondence Courses & Distance Education in collaboration with CBR Network(South Asia) invites applications for Community based Rehabilitation Courses for the Academic Year 2009-10 offered through distance mode. Courses Offered in this Program. 

Sl.No.

Courses Duration Eligibility General Condition

1. PG Diploma in CBR One year A graduate in any discipline(Preferably in life sciences)Or a graduate or students who have completed third year in medical or para medical coursesUnder Dual programme students pursuing any master’s degree are eligible to apply.

Those who have completed 21 years of age as on July 2006

2 Diploma in CBR One year a) A pass in 10+2 or equivalent examination b) Anyone pursuing any undergraduate degree in a recognized Universityc) Parents, Teachers, Nurses, Health workers, CBR workers, Special Teachers fulfilling(a)or(b) as above 

Those who have completed 18 years of age as on July 2006

3 Diploma in Epilepsy care

One year a) A pass in 10+2 or equivalent examination b) Anyone pursuing any undergraduate degree in a recognized Universityc) Parents, Teachers, Nurses, Health workers, CBR workers, Special Teachers fulfilling(a)or(b) as above

Those who have completed 18 years of age as on July 2006

4 Certificate Programs(offered by CBR NETWORK)

a) a)      Indian Portage on Early childhood Development

b) b)      Inclusive Education

One Month

No formal Education is required Those who have completed 18 years of age as on July 2006

Page 2: Bangalore University Application Form 07

c) c)      Planning and management of NGOs and Self Help Organizations.

d) d)      Planning and Management of citizen charters

           D1-FEE STRUCTURE:  (Note: CBR NETWORK would assist you by preparing correct DDs as the previous experience shows many mistakes are made while preparation of DDs causing unnecessary delays in admission. You can send one DD or Cheque in favor of CBR NETWORK for the total fee and add Rs 35 towards DDs charges)

Fee should be paid by two separate Demand draft is payable to Finance Officer, Bangalore University and to CBR Network (South Asia), Bangalore.(It is important to prepare correct DDs. Name, course for which applied address, phone number should be written on the backside of each DD. If students have difficulty in the preparation of DDs CBR NETWORK will assist them in the preparation of DDs)Fee In India:Name of the course.

Course Fees (Rs.)

Payable to CBR Network 

Payable to Finance officer, Bangalore University

Payable to Finance officer, Bangalore University

Total

PG Diploma 15,000.00 Rs. 10,500.00+500 courier charges to send study materials

Rs. 4,500.00 Rs 200 Rs 15700 plus DD charges

Diploma in CBR

6,000.00 Rs. 4,200.00 and 500 courier charges to send study materials

Rs .1,800.00 Rs 200 Rs 6700 plus DD charges

Diploma in Epilepsy Care (DEC)

6,000.00 Rs. 4,200.00 500 courier charges to send study materials

Rs .1,800.00 Rs 200 Rs 6700 plus DD charges

CP-1  

1,250.00

Rs. 875.00 +500courier charges to send study

Rs. 375.00 

Rs 200 Rs 1950 plus DD charges

Page 3: Bangalore University Application Form 07

materials 

CP-2   

1,250.00

Rs. 875 +500  courier charges to send study materials 

Rs. 375.00  

Rs 200 Rs1950 plus DD charges

CP-3 

1,500.00

Rs. 1050+500 

Rs. 450.00 Rs 200 Rs 2200 plus DD charges

CP-4 1,500.00

Rs. 1050+500 

Rs. 450.00 Rs 200 Rs2200 plus DD charges

 Fee for International Students:International students will have to pay the fees as follows: For more information contact CBR NETWORK.a. Students from SAARC region-Four times the Indian feeb. Other foreign students-Ten times the Indian fee.

Working Knowledge in computer is desirable Students will receive self-learning materials consisting of CDs and printed study

material The material is available in English. Certificate courses materials is available in

Kannada Students can study according to their convenience. The student should complete

all the modules within three successive annual examinations conducted by Bangalore University. If the student fails to successfully complete all modules within three year, the student will have to re-register for the course.

Students should submit practical record for each module duly certified by the supervisors in the designated study centers

Theories examinations will be conducted online in the designated examination centers and consist of objective type of questions.

  

Note: Students registering for PG Diploma and Diploma need not pay the course fee for the certificate programmes. However they need to pay examination fees for the certificate courses. Application form can also be downloaded from cbrnetwork.org.in OR by sending an E-mail to [email protected]. Such downloaded applications should be accompanied with a Demand Draft of Rs.200/- drawn in favor of “Finance Officer, Bangalore University, Bangalore” payable at Bangalore towards the Application fee without which the application will be rejected. Application form and other details can be obtained at CBR Network (South Asia) 134, 1st block, 6th main, 3rd phase, Banashankari 3rd stage. Bangalore-560085

Page 4: Bangalore University Application Form 07

Ph: (080-26724221,26724273 or 9886036035 or 9341324407) or by sending E-Mail at [email protected]  Or contact CBR Unit, Directorate of Correspondence Courses and Distance Education, Central College Campus, Bangalore University, Bangalore. Registration through postCandidates desiring to obtain the Application and Prospectus shall send a self addressed envelope of 30/20 cm size affixing postal stamp worth of Rs. 75/- so as to reach on or before the due date with Demand draft of Rs. 200/- drawn in favour of “ Finance Office Bangalore University , Bangalore”. Towards the application fee mentioning the course for which the application is required.

  Signed DirectorDirectorate of Correspondence Courses & Distance EducationBangalore University Address for correspondence

 Directorate of Correspondence Courses & Distance EducationCBR UnitCentral College Campus,Ambedkar VeedhiBangalore UniversityBangalore-1   

Page 5: Bangalore University Application Form 07

APPLICATION FORM FOR CBR COURSESBANGALORE UNIVERSITY

DIRECTORATE OF CORRESPONDENCE COURSES & DISTANCE EDUCATION

FORM OF APPLICATION FOR ENROLMENT AS A DISTANCE PROGRAMME CANDIDATE

*Students are advised to study carefully the instructions, regulations, and scheme of education before filling the application.*Super scribe your envelope with completed Application forms with “APPLICATION FOR CBR COURSES”         This application should be duly filled-in and submitted to

CBR Network (South Asia), 134, 1st Block, 6th Main, Banashankari III Stage, Bangalore-560 085.

ORThe Director, Directorate of Correspondence Courses and Distance Education, Central College Campus, Bangalore University, Dr.Ambedkar Veedhi, Bangalore - 560 001. Demand draft No…………………………….Date………………. In favor of Finance officer payable at S.B.M, Avenue Road, Bangalore is enclosed.A. ÖSpecify the programmeP.G.DIPLOMA IN CBR -PLANNING AND MANAGEMENT (PGCBR)       

  DIPLOMA IN CBR (DCBR)

DIPLOMA IN

EPILEPSY CARE

(DEC)

 

CERTIFICATE COURSES

  

CP-1.Indian Portage on Early Childhood Care Development (ECCD)

      

  CP-2. Inclusive Education

  

 CP-3. Planning and Management of Non Government Organization and Self

Page 6: Bangalore University Application Form 07

help organization        

CP-4. Planning and Management of Citizen charters

 B. Indicate any 3 study centers in order of preference with code numbers

Order of preference Name of the study center with address Study Center code1  

  

2   

 

3     C. Enrolment

 2. Demand Draft for having paid Rs………………….to be enclosed

 

1 Name (in Block Letters) 

 

2 Father’s Name   

3 Mother’s Name   

4 Full Postal Address       

5 Date of Birth   

6 Nationality   

7 Whether Employed? Or Unemployed   

8 If employed furnish the office address & Tel No.   

9 Whether belong to SC/ST/Cat-I (Xerox copy of Caste certificate issued by the competent Authority not prior to Dec.1997)

  

10 Institution last studied (Back references should be clearly indicated)

 

11 Name of the Examination Passed Name of the University/ Board

Month & Year of passing

Register Number       

Page 7: Bangalore University Application Form 07

   

Place:

Signature of the Candidate

Date: 

PLEASE NOTE:1. 1.      Failure to furnish the following Certificates (Xerox/Photo copy only) with

the application may result in rejection. (Do not send original certificates) a. a.      2 sets of Xerox copies (duly certified) of the marks card of the

qualifying examinationb. b.      Caste Certificate (SC/ST/Cat-I), if applicablec. c.      Disability certificates should be enclosed long with the a application

form given in the prospectus to avail scholarships 

II The Course materials once issued will not be exchanged. III If the Course material is lost; it may be obtained on payment of prescribed fees.  Place:

Signature of the Candidate

Date: 

FOR OFFICE USE ONLYThe candidate has passed………………………………..examination

from………………University/Board. He/she satisfies/does not satisfy all the conditions of the

regulations pertaining to the Post Graduate Diploma/ Diploma/ Certificate course in Community Based Rehabilitation.

 Enrolment Certificate may be issued/application may be rejected. Case worker Superintendent Director

Date: Date: Date:  

Page 8: Bangalore University Application Form 07

D-4Examination Particulars 1a.Sl no   Fee Payable to

Finance Officer Bangalore University

Payable to CBR NETWORK

1 Examination application fee

Rs 10.00 Rs 10 Nil

2 Examination fee Rs 250.00 per module

Rs 125 Per Module

Rs 125 Per Module to conduct

3 Marks card fee Rs 50.00 Rs 50 nil4 Scrutiny fee Rs 5.00 Rs 5 Nil5 Diploma award fee Rs 110 Rs 110 Nil6 courier /postage

dispatch charges and photo copy charges

    240

 Note:Fees pertaining to items from 1,2,3,4,should be sent for each examination student is appearing.Item 5 & 6 should be sent after completion of all the modules.Last date to send examination fee is 31st January.

Page 9: Bangalore University Application Form 07

D-5BANGALORE UNIVERSITY

P.G. Diploma in CBR PLANNING AND MANAGEMENT/DIPLOMA IN CBR/DIPLOMA IN EPILEPSY CARE and CERTIFICATE COURSES in CBR

Examination……………Place of Examination……………………….. Centre No. ………………….  

 Photograph of the student

           

 Note: 1. The candidate shall have only the Admission Card with him/her in the Examination Hall.

2. Read carefully the instructions on the overleaf and they should be followed scrupulously. 3. Photograph shall be attached.   Signature of the candidate Chief Superintendent  INSTRUCTIONS TO THE CANDIDATESFOR ONLINE EXAMINATIONS1. 1.       The URL that will give the exam needs to be entered in the browser.2. 2.       Student has to click on “start” button in the opening screen to start the

exam.3. 3.       In the second screen student has to choose the exam and enter the hall

ticket number to start the exam. Only exams falling on that date will be displayed for the student. If the student has to give two papers on that day, they have to choose the correct paper for writing the exam in morning and afternoon sessions

4. 4.       In the next screen the first question will be displayed, using next, previous buttons on the screen students can freely navigate through questions

Page 10: Bangalore University Application Form 07

5. 5.       Once student has finished answering all questions, he/she should confirm in the last screen that “test over submit the details”. Then the details will be stored in the database along with the result.

  

MALPRACTICE 7. Candidates are prohibited from bringing into the Examination room any book or portion of a book, slate, manuscript or paper of any description from communicating or copying from each other and from communicating with any person outside the Examination Room. Any candidate detected in the violation of these rules should be sent out of the Room forthwith. Such candidates will not be permitted to take the subsequent papers of the Examination and they are liable to be debarred from the Examination for a period of not less than 2 years.8. Candidates are forbidden to write to Examiners.

REGISTRAR (EVALUATION)

Page 11: Bangalore University Application Form 07

D-6.ADDRESS SLIPTo be filled in by applicant (6 copies of his/her address) and returned with the completed application form. (Please note that the admission intimation, original certificate and lessons will be sent only to this address) USE BALL PEN WHILE FILLING THE ADDRESS IN BLOCK LETTERS. AVOID INK PEN.

  Paste two copies of the photo here.

     Name:………………………………(in block letters) Address:(in block letters)city:State;CountryPhone number:Mobile numberE mail:

PIN

SPECIMEN SIGNATURE1…………………………………… 2…………………………………..  3…………………………………… 4…………………………………..

Page 12: Bangalore University Application Form 07

D-7BU CBR student CARD

CBR Network (South Asia),134,1st Block, 6th Main,

Banashankari III Stage, Bangalore-560085.

   

    

Name: 

 

Address for correspondence    

 

Pin code:  Phone number:Mobile numberE mail

 

Study center chosen with Name & Address 

 

Reason for choosing this Study center     

 

    Name: Signature:Place:Date: 

Page 13: Bangalore University Application Form 07

D-8 (Examination)BANGALORE UNIVERSITY

DIRECTORATE OF CORRESPONDENCE COURSES & DISTANCE EDUCATIONCentral College Campus, Bangalore-560 001.

(This form should be sent along with the examination DDs before 31stth January………) 

Photograph5cm x7cm

   ID.No.

 Form of   

Application for PG Diploma /Diploma/CertificateExamination (Distance Education Scheme)

Year of Regn. to be specified 

Course……………………………………. Note: Please read instructions carefully before filling up the Application form.

 Name (In English) 

 

Address 

 

Regional Language, Mother Tongue 

 

Age & Date of Birth  Sex 

 

Name and Occupation ofFather or Guardian

 

Name of Mother 

 

Whether belongs to SC/ST/Cat-I 

 

Modules chosen for the examination 2007

Modules chosen for the examination 2008

Modules chosen for the examination 2009

Paper/Module taken 1………….. 2 …………. 3.……….. 4……….5.………….

 6 ………….7…………….8…………….9…………….10……………

Fees paid (amount)and the place where paid 

Rs. D.D.No Date

    Date………………..Signature of the candidate

Page 14: Bangalore University Application Form 07

 INSTRUCTIONS2. 2.      The examination fee once paid will under no circumstance be refunded.3. 3.      The marks card and degree certificate will be issued to the candidates as

per the name written in this form. Hence the candidates should write his/her name legibly &properly.

4. 4.      Candidates should give complete address as it will ensure any communication by post reaching without delay.

  

Page 15: Bangalore University Application Form 07

  Dear All 

Sub: Bangalore University 

 ADMISSION NOTIFICATION FOR CBR COURSES for 2009 batch

  We are happy to inform you that Bangalore University has opened admission for 2009 for various CBR courses. We are enclosing notification for your kind information. We are also enclosing one set of application form for which you may photocopy and distribute to students. The previous experience shows that there are many mistakes made in the preparation of DDs. Therefore we wish to offer help in preparation of correct DDs to avoid unnecessary delay in admission. You can send one cheque in favor of CBR Network(South Asia) for the total amount of the fee + Rs.35 towards DD preparing charges.  If you require any further information please email to us. Kindly create awareness among NGOs, medical doctors, physiotherapists, speech therapist about the courses offered by Bangalore University. We look forward to hearing from you. Best wishes,   Indumathi Rao Indumathi RaoFormer member National commission for persons with Disabilities, IndiaRegional AdviserCBR NETWORK(South Asia)134,1st Block,6th Main BSK III Stage, Bangalore -560085Phone-91-80-26724273,26724221E [email protected]:www.cbrnetwork.org.in   

   

  

Page 16: Bangalore University Application Form 07