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IGNOUSC2855

This document is a form for students of Indira Gandhi National Open University to request corrections or changes to their personal information, including name, father's name, address, mobile number, email, and date of birth. It also includes sections for changing study centers and regional centers, along with spaces for providing reasons for these changes. Students are required to sign the form and attach a photocopy of their IGNOU Identity Card.

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0% found this document useful (0 votes)
31 views1 page

IGNOUSC2855

This document is a form for students of Indira Gandhi National Open University to request corrections or changes to their personal information, including name, father's name, address, mobile number, email, and date of birth. It also includes sections for changing study centers and regional centers, along with spaces for providing reasons for these changes. Students are required to sign the form and attach a photocopy of their IGNOU Identity Card.

Uploaded by

bishavgond786
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIRA GANDHI NATIONAL OPEN UNIVERSITY

REGIONAL CENTRE, KOLKATA


CORECTION OF ADDRESS / S C / R C / NAME / FATHER’S NAME/MOBILE NO/E-MAIL/DOB

NAME FATHER’S NAME ADDRESS SC CHANGE RC CHANGE MOBILE EMAIL DOB

Enrolment No. …………………………………………….. Programme ………………………………………………

In the case of Change of Study Centre

From: Study Centre ………………………………… To : Study Centre ..........................

Reason for Change ………………………………………………………………………………………………………………………………………………………….………………

In the case of Change of Regional Centre

Present Regional Centre Code................................................. New Regional Centre Code ........................

Reason for Change ……………………………………………………………………………………………………………………….……………………………………………..

In the Case of Correction of Name


Name as recoded(In Capital Letters) Correct Name (In Capital Letters)

………………………………………………………………………………............. …..………………………………………………………………………………........
In the Case of Correction of Father’s Name
Name as recoded(In Capital Letters) Correct Name (In Capital Letters)

........................................................... .............................................................
In the case of Change/ Correction of Address
Old Address New Address

………………………………………………………………………………............. ……………………………………………………………………………….............

………………………………………………………………………………............. ……………………………………………………………………………….............

………………………………………………………………………………............. ……………………………………………………………………………….............

………………………………………………………………………………............. ……………………………………………………………………………….............

City………………………………………………Pin……………………………... City……………………………………………..Pin…………………….…………...

State…………………………………………………….…………………………. State…………………………………………………….……………………………..

In the case Correction of Mobile No / Email / Date of Birth

Old Mobile No: .................................... New Mobile No. ....................................

Email as Recorded: ................................................... New Email: .........................................................

DOB as Recorded: (DD/MM/YY) ............................. DOB Correct:(DD/MM/YY) .....................................

Full Signature of Student


Dated…………………………………………………………………………….
Name of Applicant……………..………………………………………………….

Note: - Please enclose the photocopy of IGNOU Identity Card.

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