ISC-XII

COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE EXAMINATIONS INDIAN SCHOOL CERTIFICATE EXAMINATION 2013 APPLICATION FORM FOR ENTRY OF A CANDIDATE NOT ATTENDING SCHOOL
(See Indian School Certificate Examination Year 2013 Regulations & Syllabuses: Chapter I, C, Page 2) Note: The completed Application Form along with the Examination charges must reach the office of the Council by September 15th, 2012 A. (i) CANDIDATES NAME: Your name must be entered in exactly the same manner as was entered in your ISC (XII)
Entry/Registration form. Enter your name in the grid below in CAPITAL LETTERS with one letter per space, leaving a space between each word or initial of the name. Full stops and commas must not be used. Please ensure that your name is shown correctly and is the same as certified by the Principal in your previous Class XII entry. No changes in the particulars are permitted.

(ii) MOTHERS NAME

(iii) FATHERS NAME

(iv) GUARDIANS NAME (if applicable)

(v) DETAILS OF LAST ISC EXAMINATION TAKEN: Index No. of last ISC Examination ___________________________ Year of Examination__________________ Name of your School ______________________________________________ School Code Name of the Examination Centre from which you appeared for the last ISC Examination:___________________ __________________________________________________________________________________________ B. SUBJECTS FOR ISC 2013 EXAMINATION:
I.

A code 3 (Failed) candidate is required to opt for English (Compulsory) along with a minimum of three and a maximum of five other subjects, from those offered in the last ISC Examination taken by him/her.

II. A code 4 (Supplementary) candidate may opt for any/all subject/s from those offered in the last ISC Examination taken by him/her. Subject S. No. ____________________ 1. 2. 3. ____________________ ____________________
`

Subject Code

S. No. 4. 5. 6.

Subject ____________________ ____________________ ____________________

Subject Code

C. Charges remitted (with this Application Form) ( )_____________________________ Draft No.________________ Dated ____________________ Drawn on ______________________________________________________ FOR OFFICE USE ONLY: Internal Assessment: Marks / Grade Type of entry: SUPW:

REMARKS:

Verified by: _____________ ___________________

D. NAME AND ADDRESS (To be filled in by the candidate in CAPITAL letters): Name of the Candidate: ____________________________________________________

Complete Residential Address: ____________________________________________________ ____________________________________________________ ________________________________Pin_________________ E. CANDIDATES DECLARATION: I declare that the particulars, which I have given in this Form, are correct.

Space for the attested photograph of candidate (Kindly ensure that the photograph bears the signature of the Principal and the seal of the School)

Space for the attested photograph of candidate (Kindly ensure that the photograph bears the signature of the Principal and the seal of the School)

[TWO recent & identical photographs, duly attested (bearing the signature of the Principal and seal of the school), are to be pasted in the space provided] ---------------------------------------Signature of Candidate F. PRINCIPALS ATTESTATION (to be attested by the Principal of the School from where the candidate was registered for the ISC Examination as a candidate in regular attendance): TO BE COMPLETED BY THE PRINCIPAL (Complete the relevant statement) I. For a candidate who failed in the ISC 2012 Examination: I certify that______________________________________________ appeared for the I.S.C Examination of 2012 from this School in the subjects entered on this form, and that he/she was not awarded a Pass Certificate and that all entries are correct. The candidate may reappear for the ISC Examination to be held in the Year 2013. II. For a candidate who was awarded a Pass Certificate in the ISC Examination conducted in the Year 2012 or earlier and who wants to improve his/her subject grade/s: I certify that ______________________________________________ appeared for the I.S.C. Examination of _________ from this school in the subjects entered on this form and was awarded a Pass Certificate. The candidate may reappear for the ISC Examination to be held in the Year 2013 for a Supplementary Pass Certificate. III. Transfer of Centre: For a candidate appearing for the ISC Examination from an Examination Centre other than that from where the last ISC Examination was taken by him/her: I certify that ____________________________________________ appeared for the I.S.C Examination of 2012 from this School, i.e. Centre No.__________, in the subject/s entered on this form and that all entries are correct. (A) He/she was awarded a Pass Certificate. The candidate may reappear for the ISC Examination to be held in March 2013, from the ISC Examination Centre located at ___________________________________ ___________________________________________________ City/Town____________________________. He/she was not awarded a Pass Certificate. The candidate may reappear for the ISC Examination to be held in March 2013, from the ISC Examination Centre located at __________________________________________________________ City/Town_____________________.

(B)

Date: _________________

Signature of Principal:___________________

Seal of the School:___________________

G. ENTRY CHARGES: Indian Candidate: The charge for an ISC FULL / SUPPLEMENTARY Certificate is 1,000/Foreign Candidate: The charge for an ISC FULL / SUPPLEMENTARY Certificate is 5,000/A late charge of 150/- will be applicable upto 15 days after the last date for submission of this form. The charges must be paid by a Bank Draft drawn in favour of the Council for the Indian School Certificate Examinations, payable at New Delhi and must be sent through the Principal of the School with this application form, to the Office of the Chief Executive & Secretary, Council for the Indian School Certificate Examinations, Pragati House, 3rd Floor, 47-48, Nehru Place, New Delhi - 110 505. H. NOTE FOR THE CANDIDATE: 1. This is an application for entry for the ISC 2013 Examination and should not be taken to imply that the entry will be accepted. If at any time it is detected that the name entered on the Application form is different from that entered by the Principal of the school on the Entry/Registration Form of the Indian School Certificate Examination or that the candidate has changed a subject or paper for which he/she was entered for the last Examination, his/her entry will be rejected for the ISC 2013 Examination. 2. The instructions in this form must be read carefully. Failure to comply with all the requirements may lead to the rejection of the candidates entry. 3. The Form along with the examination charges should be sent as soon as possible, so as to reach the office of the Council not later than September 15th, 2012. 4. The ISC Year 2013 Examination Regulations, Chapter 1, Section C-3, state that candidates entered as school candidates and who are not awarded Pass Certificates, will be permitted to re-appear for the Examination once only in the year following their failure, but not thereafter, without further attendance at a Council affiliated school. Hence only a candidate, who was entered as a School candidate and was not awarded Pass Certificate in the ISC Year 2012 Examination, is eligible to appear for the ISC Year 2013 Examination as a candidate not in attendance at School. Such a candidate shall enter only for those subjects, which he/she had offered in the ISC Year 2012 Examination. 5. A candidate who was awarded Pass Certificate is permitted to enter for a Supplementary Pass Certificate. Such a candidate can appear for any/all subject/s offered by him/her in the last ISC Examination taken by him/her (provided that the subject/s under consideration are still being offered for the examination in the year in which the candidate wishes to enter), without further attendance at a Council affiliated school OR after studying an additional subject(s) for two years. In such a case, the candidate will be required to complete and pass the Class XI portion of the prescribed syllabus, before he/she enters for the ISC (XII) Examination. A certification to this effect would need to be provided by the Principal of the School from where the candidate had appeared and passed the Class XI portion of the prescribed syllabus. 6. The candidate must ensure that the details of his/her entry are correct in all respects and must keep a record of it. No changes will be permitted after submission of this form. The candidate will not be allowed to take the Examination in any paper or subject for which he/she has not entered on this form. This form must be duly signed and attested by the Principal of the School. 7. For those subjects that have a THEORY and a PRACTICAL component, the candidate is required to appear in BOTH. 8. Given below are the prescribed textbooks for English Paper 2 for the ISC 2013 Examination. Please ensure that at least three (3) of the following prescribed textbooks, including one play i.e. Macbeth or Pygmalion have been studied: (i) (ii) (iv) (v) (vi) Macbeth Pygmalion Footprints (A Collection of Essays) Star Light 3
` ` `

Shakespeare Bernard Shaw Thomas Hardy Published by: Evergreen Publications Published by: Macmillan Published by: Orient Blackswan

(iii) The Mayor of Casterbridge

Hues: An Anthology of Short Stories -

IMPORTANT NOTE: 1. The candidate must ascertain from the Centre where he/she is to sit for the ISC 2013 Examination, the amount to be paid by him/her as local charges, over and above the examination charges. 2. The Admission Card and other information regarding the examination will be sent to the Principal of the School where the candidates centre for the examination is located, by the first week of February 2013. The candidate may kindly get in touch with the Principal of the school concerned, to collect the Admission Card. 3. A copy of the Examination Timetable and the Admission Card will be available in February 2013. The candidate must keep in touch with the Principal of the School of his/her examination centre, so as to be sure of the date and time of the papers for which he/she has entered. 4. If the candidate wishes to withdraw from the Examination, the Council must be notified as soon as possible and in any case, prior to the commencement of the examination. The examination charges are not refundable for candidates who withdraw. 5. The Council must be informed in case the acknowledgement slip has not been received by you by 19th October 2012. TO BE FILLED IN BY THE CANDIDATE (In capital letters) Name of the Candidate: ____________________________________________________

Complete Residential Address: ____________________________________________________ ____________________________________________________ ________________________________Pin_________________

COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE EXAMINATIONS ACKNOWLEDGEMENT SLIP (TO BE FILLED IN BY THE CANDIDATE) Received from (Name of candidate)_______________________________________________________________________
`

______________ by Bank Draft No.______________ dated______________ drawn on_________________________ on account of entry to the ISC 2013 Examination as a Code 3 or Code 4 candidate.

Receipt No.____________________ (FOR OFFICE USE)

Date:_______________________ (FOR OFFICE USE)