Report of suspected deception in examination

Blankettnr. 175

• Routine for dealing with suspected deceptive conduct in examinations. See here.

  (You can use this online procedure to report up to 10 students per form)

   

• Information about student(s):

• Student’s first and last name
• Student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Student’s email address
• Student’s telephone number
• The report concerns more than one student: No Yes
• Second student’s first and last name
• Second student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Second student’s email address
• Second student’s telephone number
• The report concerns a third student: No Yes
• Third student’s first and last name
• Third student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Third student’s email address
• Third student’s telephone number
• The report concerns a fourth student: No Yes
• Fourth student’s first and last name
• Fourth student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Fourth student’s email address
• Fourth student’s telephone number
• The report concerns a fifth student: No Yes
• Fifth student’s first and last name
• Fifth student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Fifth student’s email address
• Fifth student’s telephone number
• The report concerns a sixth student: No Yes
• Sixth student’s first and last name
• Sixth student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Sixth student’s email address
• Sixth student’s telephone number
• The report concerns a seventh student: No Yes
• Seventh student’s first and last name
• Seventh student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Seventh student’s email address
• Seventh student’s telephone number
• The report concerns a eight student: No Yes
• Eight student’s first and last name
• Eight student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Eight student’s email address
• Eight student’s telephone number
• The report concerns a ninth student: No Yes
• Ninth student’s first and last name
• Ninth student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Ninth student’s email address
• Ninth student’s telephone number
• The report concerns a tenth student: No Yes
• Tenth student’s first and last name
• Tenth student’s personal identity number
  Tecken kvar
  YYYYMMDD-XXXX
• Tenth student’s email address
• Tenth student’s telephone number

• Department making report:

• Department/equivalent making report:
• Contact person:
• Contact person’s email address
• Contact person’s telephone number

• Course and mode of assessment:

• Name of course:
• Course code:
• Level of course: - - - Undergraduate Master’s Doctoral
• Name of course examiner:
• Is the student/Are the students taking a degree programme? - - - Ja Nej
• Name of degree programme:
• In which semester of the programme is the course given? - - - 1 2 3 4 5 6 7 8 9 10 11 12
• Number of credits for the assessment component the report concerns:
  Tecken kvar
• Number of credits for the whole course:
  Tecken kvar
• Mode of assessment: - - - written exam in exam room written remote exam written assignment independent project/degree project other (please specify):
• Other (please specify):
  Tecken kvar
• Describe the examination. Specify the date, time allowed, and number and type of questions (if relevant):
  Tecken kvar

• Information about the suspected deception:

• The report concerns (more than one option may be selected):
  plagiarism

  use of unauthorised aids

  unauthorised collaboration

  other
• If you have indicated “Other” above:
  Tecken kvar
• Describe the reasons for suspicion. Indicate where the evidence appears in the written documentation. Give an account of your perception of the course of events.
  Tecken kvar
• Upload written documentation, e.g. Urkund report and/or own compilation:
  Bläddra...

  
  You can upload more than one file
  
  • ()
• State the instructions for the assessment component regarding aids, collaboration, cheating and plagiarism
  Tecken kvar
• Upload a copy of the instructions for the assessment component
  Bläddra...

  
  You can upload more than one file.
  
  • ()
• Describe the general information on cheating and plagiarism provided during the module or the degree programme:
  Tecken kvar
• Give an account of how the matter has been dealt with. Specify the date when the teacher reported suspicion, describe contact with the student(s) and provide any other information that should be taken into account.
  Tecken kvar
• Upload official notes from meetings and email correspondence with the student(s)
  Bläddra...

  
  You can upload more than one file.
  
  • ()
• If you have any questions, please contact:

• Please note:

  The report is not submitted until you click on the button “Submit report” and receive a confirmation on the web page that the report has been received and registered.