India Standard XII Mark Form

Fields marked with * are REQUIRED.

* Student Last Name or Surname: * Student First name or Given Name:
* Western Student Number: * OUAC Reference Number:

Students in India may qualify for admission based on their mid-year, predicted and mock examination results. Please complete and submit this form:

* Examination Board
School Number

If you have already received your final Standard XII Results, please provide:

Roll Number/UID
Centre Number
Admit Number/Index Number

Standard XII Results

MID-YEAR OR FINAL MARKS ARE REQUIRED FOR ADMISSION REVIEW.

If you are currently completing Standard XII, you are also encouraged to provide predicted mark and/or mock exam results using the form below.

Subject Mid-Year Mark Predicted Mark Mock Exam Result Final Mark

Standard X Results

Subject Overall Mark Year Completed

If you have entered Standard X results above, please upload Standard X results as a PDF file.



School Information

* School
* Counsellor/Principal Name
* Telephone
* Official School Email Address


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The personal information on this form is collected under the authority of The University of Western Ontario Act 1982, as amended. To view the complete Personal Information Collection Notice visit the online Academic Calendar at: http://www.westerncalendar.uwo.ca.