CENTRE FOR DISTANCE EDUCATION

ANNA UNIVERSITY CHENNAI :: CHENNAI 600 025 APPLICATION FOR TEMPORARY BREAK OF STUDY (to be used by the student studying under Distance Mode of Education)
To be Submitted to the Director, Centre for Distance Education, Anna University Chennai Documents to be enclosed: The following documents shall be submitted along with the application failing which the application for Break of Study will not be considered for that particular semester(s). 1. 2. 3. 4. 5. NO DUE Certificate from the study centre Attested copy of Hall Ticket of previous semester examinations Medical certificate / Copy of Employers order A Demand Draft as applicable Self Addressed Stamped Envelope : :

1. Name of the Student 2. Roll No. 3. Name and address of Study centre in which studying 4. Programme Name 5. Current Semester Number 6. Month and Year of admission to the I Semester 7. i. Name and Address of the Study centre ii. Name and Designation of Coordinator 8. Details of semester(s) successfully Completed before break of study 9. Period of the temporary break of study now applied for 10. Details of semesters yet to be completed 11. The Session and Academic year during which the student proposes to rejoin and continue the programme (Example : March 2009 or September 2009)

: : : MBA / MCA / MSc

: : :

: :

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12. Semester and academic year during which the maximum period for completion of the programme normally ends 13. Whether the remaining period is adequate to complete the programme after break of study 14. Reasons for the request of temporary break of study 15. Full Address for Communication during the time of break of study (with pin code Phone No., Mobile No. & E-mail address) 16. Details of temporary break of study availed previously, if any. The copy of approved letter for break of study is to be enclosed) 17. Details of the arrear courses of the previous semesters to be completed, if any (Mark sheets of the completed semesters are to be enclosed) 18. Details of remittance of Break of Study fees

DD Amount Name of Bank & Branch DD Number Date of DD

Rs.

SIGNATURE OF THE STUDENT Station : Date :

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(FOR OFFICE USE ONLY) SPECIFIC RECOMMENDATIONS OF THE COORDINATOR OF THE STUDY CENTRE

SIGNATURE : NAME AND DESIGNATION : DATE :

Check List for Office Use only 1. 2. 3. 4. 5. Whether NO DUE certificate from Study centre is enclosed? Whether attested copy of Hall Ticket is enclosed? Whether Medical certificate/Copy of Employers order is enclosed? Whether the Applicable Demand Draft for Break of study is enclosed? Whether all items in application are filled in all respect?

: : : : :

Yes/No Yes/No Yes/No Yes/No Yes/No

Date :

Set In-charge Signature

APPROVED / NOT APPROVED

DIRECTOR CDE

CENTRE FOR DISTANCE EDUCATION ANNA UNIVERSITY CHENNAI :: CHENNAI 600 025

Rules and Regulations for Break of Study

1. Candidates will be governed by the regulations, which are in force at the time of rejoining. 2. A candidate is eligible for break of study for two Semesters without any break of study fee. 3. Break of study for more than two Semesters is allowed on payment of break of study fee of Rs. 5,000/- for every Semester. 4. Candidates re-joining the programme on expiry of the period of Break of Study, have to pay readmission fee of Rs.500/- along with the Semester fee. 5. For candidates who paid the Semester fee and then avail break of study : a. If the request for break of study is received at the Centre for Distance Education before the commencement of classes, readmission fee alone need to be paid at the time of rejoining provided the break of study availed is for not more than two Semesters. If the period of break of study exceeds two Semesters break of study fee of Rs. 5000/- Per Semester should also be paid. b. If the request for break of study is received at the Centre for Distance Education after the commencement of classes but within Three Weeks time from the date of commencement of classes for that particular Semester and if the candidate has not attended any classes, readmission fee of Rs. 500/- and an additional sum of Rs. 5,000/have to be paid at the time of rejoining. If such request is received after Three Weeks from the date of commencement of classes, full Semester fee, readmission fee and break of study fee as applicable is to be paid at the time of re-joining, even though the candidate has not attended any class. Note: Normally application in the prescribed format for permission for break of study with the recommendation of the Co-ordinator of the Study Centre concerned should be sent to the Director, Centre for Distance Education for consideration. However, to avoid anticipated delay in getting the recommendations of the Co-ordinator, etc., an advance copy of the application may be sent direct to the Director, Centre for Distance Education.

c.

If the request for break of study is received at the Centre for Distance Education after the commencement of classes and if the candidate has attended classes, then he / she has to pay the Semester fee and readmission fee at the time of re-joining.