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ENROLNMENT NO.: _______________________________

NAME: __________________________________________

COURSE CODE: __________________________________

FORM NO. 1

INDIRA GANDHI NATIONAL OPEN UNIVERSITY

Enrol. No.: ASSIGNMENTS REMITTANCE-CUM-ACKNOWLEDGEMENT
CARD
Programme Title:

Name: Enrol. No.:

Programme Title:
Name:
Course Code: Medium:
Course Code: Medium:

S. No. Assignment No. For Office Use Only S. No. Assignment No.
For Office Use Only
S. No. S. No.
Date of Receipt:
Name of Evaluator:
Name of Evaluator:

Date of despatch to
Signature of the Student the Evaluator: Signature of the Student

Name:
Date of receipt from
the Evaluator: Address of the Student:
Date :
Date : Seal
Date :
(Please write complete address and affix adequate postal stamp on reverse)

Affix
Stamp
Here

From: To

The Coordinator (ADDRESS OF THE STUDENT)

Study Centre concerned ................................................
................................................
................................................
 IGNOU STUDY CENTRE
1632

ENROLNMENT NO.: ______________________________

NAME: _________________________________________

ADDRESS: ______________________________________

________________________________________________

________________________________________________

________________________________________________

PROGRAMME TITLE: ______________________________

COURSE CODE: __________________________________

COURSE TITLE: __________________________________

ASSIGNMENT CODE: _____________________________

(as printed on assignment sheet)

STUDY CENTRE CODE: ___________________________

SIGNATURE: _________________

DATE: ______________________