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cover pros - IGNOU

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INDIRA GANDHI NATIONAL OPEN UNIVERSITY<br />

STUDENT EVALUATION DIVISION<br />

APPLICATION FORM FOR EARLY DECLARATION OF<br />

TERM-END EXAMINATION<br />

1. Name: ____________________________________<br />

2. Programme: Enrolment No:<br />

3. Address: ..........................................................................................................................................<br />

........................................................................................................................................................<br />

...............................................................................Pin<br />

4. Reason for early declaration of result: __________________________________________<br />

________________________________________________________________________<br />

(Enclose a copy of the documentary evidence specifying the reason for early declaration)<br />

5. Courses(s) detail for early evaluation:-<br />

S. No. Course Code Date of Examination<br />

1. ———————————— ———————————<br />

2. ———————————— ———————————<br />

3. ———————————— ———————————<br />

4. ———————————— ———————————<br />

6. Exam. Centre details, from where you have to appear/appeared at Term-end Examination:-<br />

Exam. Centre Code:<br />

7. Fee Details:<br />

Address of Exam. Centre ____________________<br />

____________________<br />

____________________<br />

____________________<br />

(The fee for early declaration of result is Rs. 700/- per course, which is to be paid through<br />

demand draft drawn in favour of ‘<strong>IGNOU</strong>’ & payable at the City of Evaluation Centre)<br />

No. of Course(s) …………………..Rs. 700/- = Total Amount :…………………………<br />

Demand Draft No. ……………………………<br />

Date …………………………….....…<br />

Issuing Bank ……………………………………………………........................................……<br />

Date: ……………………<br />

Signature of the student<br />

54

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