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Handbook and Prospectus - IGNOU

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INDIRA GANDHI NATIONAL OPEN UNIVERSITY<br />

( To be submitted at the concerned Regional Director)<br />

APPLICATION FORM FOR ISSUE OF MIGRATION CERTIFICATE<br />

(To be filled in by the Applicant - Before filling in the form, see instructions on reverse)<br />

1. Name ................................................................................................................................... ..........<br />

2. Father’s Name ............................................................................................................................................<br />

3. Address.................................................................................................................. PIN .............................<br />

4. Particulars of last examination ....................................................................................................................<br />

Examination Passed<br />

(Programme)<br />

Year of Passing Enrolment No. Marks Obtained Grades Obtained<br />

5. Name of the Regional Centre <strong>and</strong> Study Centre to which the C<strong>and</strong>idate attached<br />

6. Name of the University to which the c<strong>and</strong>idate wants to migrate<br />

Draft Details<br />

Amount Rs. _______________________ D.D. No. _______________________ Date ____________<br />

Bank Name & ____________________ Place of Issue____________________<br />

(To be filled in by the Admissions Division)<br />

1. The information furnished by Shri/Smt.Km. ___________________________________________<br />

is correct as per scholar register.<br />

2. He/She may be issued the Migration Certificate applied for ______________________________<br />

Date __________________ DealingAssistant Section Officer<br />

I hereby declare that the information provided is correct to the best of my knowledge <strong>and</strong> I have paid all the fee<br />

due to the University. In the event of any information being found incorrect the Certificate shall be liable to<br />

cancellation by the University.<br />

Received the Migration Certificate No. _________________________ dated ____________<br />

Dated

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