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Eastern {Jnivcrsify

Invkilator's Renort
on
Acioption of unfalrilleans in Examination
by students
[Alter
cornpletion of the procedure,
subrnii thr: fonrr rvitir evieJenec to ilie Dean]
Mid terrn Exam / Final Exanr (plerse tick)
Course No. &
'f
itle :
Scction:
Course Tcachcr :
Daic of cxam :
Iloorl t-\o.
lD No. & Narire of rhc Srudcnr :
Nature of Unfair- Pleans (.A.ttach eviilence, if any):
A"ction i'akcn /Penaltv irn posccl :
Invigilator'sSignaturc: ......
....... D:itc
Irrvigililt*r's nainc :.
Dcpt./Faculty: ...
Signaiurc oltirr: Coui'sc Tcache r:
Siniemcnt by tirr sturicni: (Opiionai)
I accept tl:;;act.t,
-f,r;t!ings
anC
isenelry
describcrl iti tl;is re
pori
.
SiuCcnt's s;gnair:r: . . ..
...... . .Daic: .. .. . .
F:\Dcsk top 7 Aug. 0TiUFML'FI.t Rcpon fcm-2.dcc
p;bi
I I 5. .Ol
Tirrc :

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