Application Form
Application Form
2470583769S
Programme Details
Mode Of
Programme Type BACHELOR Programme BCA_NEW: Bachelor of Computer Applications ODL
Study
VISHWAKARMA INSTITUTE OF
Regional Center PUNE Study Center Code State Code MAHARASHTRA
TECHNOLOGY (1617P)
Medium ENGLISH IGNOU Student ? No
Fee Details
Description Amount(₹)
Programme Fee 8000.00
Development Fee 200.00
Registration Fee 300.00
Total amount 8500.00
Payment Details
Transaction Number : Transaction Amount : Order Number : Date : 2024-08-07
pay_Oi3BwUVKitYgIB 8500 order_Oi3BW8YK2LYUw9 14:58:05
Personal Details
Father Name : DURGA
Full Name : RAJANANDINI DAS Gender : B2: Female
PRASAD DAS
Nationality : A1: India DOB : 2005-02-18
Area : A1: Urban Marital Status : A1: Single Religion : A1: Hindu
Mobile Number [1] :
Email [1] : [email protected]
9777378049
Mobile Number [2] :
Email [2] : [email protected]
9145785715
Correspondence Address : Flat 12, Building 11, Hamal nagar, Employement Status : A1:
Market Yard, bibwewadi, Pune, PUNE, , 411037 Unemployed
Social Status : C3: Not
CATEGORY DETAILS OF D4A: OBC (Creamy) Minority : B2: No
Applicable
THE APPLICANT
PwD Applicable : B2: No
Scholarship Amount: Scholarship Department: ----- Family Income: Below Poverty Line: -----
Qualification Details
Qualification 10+2 OR EQUIVALENT Main Subjects SCIENCE,
Year of Passing 2023 Division First
2101 : CHSE : COUNCIL OF HIGHER SECONDARY
Percent of Marks (rounded off) 67 Board Code
EDUCATION, ORISSA
Board Roll Number 315CD489 NAD Details ,
Upload Details
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SIGNATURE Uploaded
MATRICULATION MARKSHEET OR CERTIFICATE Uploaded
10+2 MARKSHEET / CERTIFICATE Uploaded
OTHERS1 Uploaded
Self Declaration
I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek
admission. To the best of my knowledge and belief, I fulfill the minimum eligibility criteria and I have provided necessary
information and relevant documents with this application. I further undertake that I have not concealed or distorted any
other information and in the event of any information or uploaded documents being found to be incorrect, false or
misleading, my candidature shall be liable for cancellation by the University at any time and I shall have no claim of any
nature including refund of any fee paid by me and all the benefits availed by me shall be summarily withdrawn. I do
undertake that I have carefully studied the rules of the University as given in the prospectus and I accept them in totality
and shall not raise any dispute over the same. I do understand that the university can amend or change any rules without
advance intimation and I will be abiding by them.
I further declare that in the event of admission being granted to me and my obtaining a degree/diploma/certificate from
IGNOU based on concealment of any relevant information or incorrect/misleading information related to Age, Qualification
and Eligibility provided by me, I shall be solely responsible for the consequence(s) arising out of such concealment of
information or providing incorrect/misleading information; and that, the University shall not be responsible in any manner.
RAJANANDINI DAS
2470583769S