Application Form
Application Form
2320283340S
Programme Details
MSCDFSM: Master of
Programme Type MASTER Programme Mode Of Study ODL
Science(FOOD NUTRITION)
St. Ann’s College for Women
Regional Center HYDERABAD Study Center Code State Code TELANGANA
(01162)
CFN: CERTIFICATE IN
Medium ENGLISH IGNOU Student ? Yes (2301129506) Other Programme
FOOD AND NUTRITION
Fee Details
Description Amount(₹)
Programme Fee 16500.00
Development Fee 200.00
Registration Fee 300.00
Total amount 17000.00
Payment Details
Transaction Amount : Date : 2023-06-30
Transaction Number : 17643996935 Order Number : 231462538
17000 22:21:18
Personal Details
Full Name : ANNAMMA
Father Name : PRASADARAO Gender : B2: Female
TANAM
Nationality : A1: India DOB : 1980-02-22
Area : A1: Urban Marital Status : B2: Married Religion : A1: Hindu
Email [1] : annammatanam@gmail.com Mobile Number [1] : 9030576958
Email [2] : sirisha.chelva@gmail.com Mobile Number [2] : 9441171389
Correspondence Address : ramireddypeta, near old samithi office, Employement Status : C3:
narasaraopet, GUNTUR, , 522601 Employed
Social Status : C3: Not
CATEGORY DETAILS OF B2: SC Minority : B2: No
Applicable
THE APPLICANT
PwD Applicable : B2: No
Scholarship Amount: Scholarship Department: ----- Family Income: Below Poverty Line: -----
Qualification Details
OTHER
Qualification GRADUATION OR EQUIVALENT Main Subjects
Other Specify: Post Bsc Nursing
Year of Passing 2019 Division First
9999 : XXXX : NOT LISTED IN THIS LIST
Percent of Marks (rounded off) 70 Board Code Other Specify: Dr NTR University of Health
Sciences, Vijayawada,
Board Roll Number 16015201 NAD Details ,
Upload Details
PHOTO Uploaded
SIGNATURE Uploaded
MATRICULATION MARKSHEET OR CERTIFICATE Uploaded
MARKSHEET OF GRADUATION Uploaded
CATEGORY CERTIFICATE (SC) Uploaded
Self Declaration
I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek
admission. To the best of my knowledge and belief, I fulfill the minimum eligibility criteria and I have provided necessary
information and relevant documents with this application. I further undertake that I have not concealed or distorted any
other information and in the event of any information or uploaded documents being found to be incorrect, false or
misleading, my candidature shall be liable for cancellation by the University at any time and I shall have no claim of any
nature including refund of any fee paid by me and all the benefits availed by me shall be summarily withdrawn. I do
undertake that I have carefully studied the rules of the University as given in the prospectus and I accept them in totality
and shall not raise any dispute over the same. I do understand that the university can amend or change any rules without
advance intimation and I will be abiding by them.
I further declare that in the event of admission being granted to me and my obtaining a degree/diploma/certificate from
IGNOU based on concealment of any relevant information or incorrect/misleading information related to Age, Qualification
and Eligibility provided by me, I shall be solely responsible for the consequence(s) arising out of such concealment of
information or providing incorrect/misleading information; and that, the University shall not be responsible in any manner.
ANNAMMA TANAM
2320283340S