Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

INDIRA GANDHI NATIONAL OPEN UNIVERSITY

REGIONAL CENTRE, NOIDA (UP)


FORM FOR OBTAINING DEGREE/DIPLOMA CERTIFICATE

1. PROGRAMME CODE :

2. ENROLMENT NO. :

3. NAME IN FULL :

4. HOME ADDRESS (Current Address) :

PIN
5. IF EMPLOYED, PLEASE GIVE :
YOUR CURRENT STATUS OF EMPLOYMENT

PIN

6. E-mail ID :

7 MOBILE/TELEPHONE No. :

8. REGIONAL CENTRE NAME :

9. DETAILS OF PAYMENT OF: Amount: Draft No. Date:


DEGREE/DIPLOMA FEE (offline)
Issuing Bank: Place of issue:

(Demand draft in favour of IGNOU payable at NOIDA)

10. DETAILS OF ONLINE PAYMENT OF: Amount: Transaction ID


DEGREE/DIPLOMA FEE Date:_____

Date: Signature of student:

The form duly filled in along with bank draft of the requisite amount is required to be sent at
the following address:-
The Regional Director
IGNOU Regional Centre
C-53, Sector 62,
Institutional Area
Noida, Uttar Pradesh - 201305

You might also like