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Enrol. No.

______________________ INDIRA GANDHI NATIONAL OPEN UNIVERSITY


ASSIGNMENTS REMITTANCE-CUM-ACKNOWLEDGEMENT
Programme Title: _______________________ CARD
Name :____________________________________________ Enrol. No. ________________________ Programme Title: _______________________

Course Code: _______________________Medium:_________ Name :___________________________ Medium:______________________________

______________ Course Code: _____________________ For Office Use Only

S.No Assignment No. S.No Assignment No. S.No._______________________________

Signature of receiver__________________

For Office Use Only

S.No___________________ Date :_______________


Date of Receipt___________

Name of Evaluator_________

Date of despatch to Seal


the Evaluator: Signature of the Student
Signature of the Student ______________________
Name :_______________________________
Date :_________________ Date of receipt from
Address of Student:__________________________
the Evaluator:
_____________________ Date :__________________
(Please write your complete address and affix adequate postal stamp on reverse)

Enrol. No. ______________________ INDIRA GANDHI NATIONAL OPEN UNIVERSITY


ASSIGNMENTS REMITTANCE-CUM-ACKNOWLEDGEMENT
Programme Title: _______________________ CARD
Name :____________________________________________ Enrol. No. ________________________ Programme Title: _______________________

Course Code: _______________________Medium:_________ Name :___________________________ Medium:______________________________

______________ Course Code: _____________________ For Office Use Only

S.No Assignment No. S.No Assignment No. S.No._______________________________

Signature of receiver__________________

For Office Use Only

S.No___________________ Date :_______________


Date of Receipt___________

Name of Evaluator_________

Date of despatch to Seal


the Evaluator: Signature of the Student
Signature of the Student ______________________
Name :_______________________________
Date :_________________ Date of receipt from
Address of Student:__________________________
the Evaluator:
_____________________ Date :__________________
(Please write your complete address and affix adequate postal stamp on reverse)

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