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MBA Prospectus-2014 - IGNOU

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INDIRA GANDHI NATIONAL OPEN UNIVERSITY<br />

(To be submitted to 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 ....................................................................................................................................<br />

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

4. Particulars of last examination<br />

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

(Programme)<br />

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

_________________________________________________________________________<br />

6. Name of the University to which the candidate wants to migrate<br />

_________________________________________________________________________<br />

Draft Details<br />

Amount `300/- D.D. No. ___________________ Date________________<br />

Bank Name ________________________ & Place of Issue _______________________<br />

1. I hereby declare that the information provided is correct to the best of my knowledge and have<br />

paid all the fee due to the University.<br />

2. I have not taken any migration certificate from the University before this.<br />

3. I further certify that I have not enrolled with andy other University/Institution after passing out<br />

from <strong>IGNOU</strong> up to this date.<br />

4. In the event of any of the above information being found incorrect, the the Certificate shall be<br />

liable for cancellation by the Univerity.<br />

(To be filled in by the Regional Centre)<br />

Signature of the Applicant<br />

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

is correct as per Grade Card.<br />

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

Dated ______________ Dealing Assistant ______________ Section Officer _____________<br />

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