Enrolment No.

Programme: INDIRA GANDHI NATIONAL OPEN UNIVERSITY

ASSIGNMENT REMITTANCE-CUM-ACKNOWLEDGEMENT FORM
Name: ...........................................................................................................
Enrolment No. Programme:
Course Code: ...................................................... Medium:
Name: ...........................................................................................................
Sl. No. Assignment No. For Office Use Only
Course Code: ................................................................ Medium:

Sl. No.: ......................................................... Sl. No. Assignment No.

FOR OFFICE USE ONLY

Date of Receipt.: ...........................................

Name of Receipt: .......................................... Sl. No.:..............................................

Date of despatch
to the Evaluator: ............................................ Signature of the receiver

Date:..................................................
Sig. of dealing Accountant Date of receipt from
Date: ....................................... Evaluator: Signature of the
Seal
Student ..........................................................................

Note: 1. Submit this form to the coordinator of your study centre alongwith the assignment.
2. When you submit the assignment by post, enclose a self-addressed stamped envelop along with this.