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
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)