7/4/2019 IGNOU Online Admission

Registration Form
Control Number 1923506652P
1. Name of the Programme Applied: CRUL : CERTIFICATE IN RUSSIAN LANGUAGE Photograph

2. Programme Code: CRUL 3. Medium of study Code:Name A1 : English

4. Regional Centre Code:Name 27 : LUCKNOW

5. Study Centre Code:Name 2700:IGNOU REGIONAL CENTRE LUCKNOW 6. State Code:Name 27 : UTTAR PRADESH

Soft Copy YES

2700:IGNOU REGIONAL CENTRE LUCKNOW

5C/INS-1, SECTOR-5,
Study Centre Address: VRINDAWAN YOJNA, TELIBAGH,

UTTAR PRADESH

7. Are you already Registered with IGNOU: B2 : No Signature of the Student

8. Name of the Candidate: VIBHANSHU VERMA
9. Name of FATHER BRIJ MOHAN VERMA
10. Address for Correspondence:
a) Address Line 1: ACCESSORIES DIVISION
Address Line 2: HINDUSTAN AERONAUTICS LIMITED
Address Line 3: FAIZABAD ROAD
b) City: LUCKNOW c) PIN Code: 226016
d) State: UTTAR PRADESH
11. Contact Details: a) Landline No: - b) e-mail ID: vibver@gmail.com
c) Mobile No.: 8948941762 Fax: -
12. Date of Birth: 16-Jun-1981 13. Nationality Code:Name A1 : Indian
14. Gender Code:Name A1 : Male 15. Category Code:Name A1 : General
16. Territory Code:Name A1 : Urban 17. Marital Status Code:Name B2 : Married
18. Religion Code:Name A1 : Hindu 19. Whether Minority Code:Name B2 : No
20. Social Status Code:Name C3 : Not Applicable 21. Whether Kashmiri Migrant Code:Name B2 : No
22. Employment Status Code:Name : C3 : Employed
23. Details of Scholarship being received, if any
a) Annual Scholarship Amount: b) Deptt offering Scholarship Code:Name c) Family Income (annual): d) Below poverty Line Code:Name e) Jail Inmates Code:Name
Not Applicable Not Applicable B2 : No B2 : No
24. a) Whether a person with Disability Code:Name B2 : No
25. Relevant Qualifications:
a) Qualification: b) Main Subjects: c) Year of Passing: d) Division:
000 : OTHERS (AGE PROOF) 000
26. Details of Fee remittance
TxnID PaymentType Amount PGTXNID Date
1923506652P IDBI 2325 918519277683 7/4/2019 7:07:03 PM
27. Simultaneous Programme/Course
Programme Course Code Name of Course Credits
CRUL ORU1 COMMUNICATION SKILL-I 8
CRUL ORUL2 COMMUNICATION SKILL-II 8

https://onlineadmission.ignou.ac.in/admission/formpreview.aspx?ctrlno=1923506652P 1/1