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Application Form

This document provides details of a student's admission to a Master's program in History at IGNOU. It includes the student's personal details, payment details, selected courses, uploaded documents, and declaration. The admission is for the July 2022 session to study through distance learning.

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amankumar
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0% found this document useful (0 votes)
55 views2 pages

Application Form

This document provides details of a student's admission to a Master's program in History at IGNOU. It includes the student's personal details, payment details, selected courses, uploaded documents, and declaration. The admission is for the July 2022 session to study through distance learning.

Uploaded by

amankumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Indira Gandhi National Open University Generated On: 26-04-2024 22:04:49

2220272897S
Programme Details
Programme Type MASTER Programme MAH: MASTER OF ARTS (HISTORY) Mode Of Study ODL
JAI NARAIN DEGREE COLLEGE
Regional Center LUCKNOW Study Center Code State Code UTTAR PRADESH
LUCKNOW (2701)
Medium HINDI IGNOU Student ? No

Fee Details
Description Amount(₹)
Admission fee for programme 7000.00
Processing Fee 300.00
Total amount 7300.00

Payment Details
Transaction Amount : Date : 2022-07-24
Transaction Number : 15561589539 Order Number : 220165240
7300 17:37:51

Personal Details
Father Name : GYAN
Full Name : ANUSHKA Gender : B2: Female
PRAKASH
Nationality : A1: India DOB : 1998-07-04
Area : A1: Urban Marital Status : A1: Single Religion : A1: Hindu
Mobile Number [1] :
Email [1] : anushkatiwari563@gmail.com
9335139184
Email [2] : Mobile Number [2] :
Correspondence Address : INDIRA NAGAR COLONY, BEHIND
Employement Status : A1:
FOREST OFFICE ROAD GOLA, LAKHIMPUR, KHERI, UTTAR
Unemployed
PRADESH, 262802
Social Status : C3: Not
CATEGORY DETAILS OF A1: Unreserved (UR) 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: HISTORY HOME SCIENCE
Year of Passing 2019 Division First
9999 : XXXX : NOT LISTED IN THIS LIST
Percent of Marks (rounded off) 65 Board Code
Other Specify: CSJMU KANPUR
Board Roll Number 3121809 NAD Details ,

Course Details For MAH: MASTER OF ARTS (HISTORY)


# Course Code Name of Course Credits Category Term
1 MHI1 Ancient and Medieval Societies 8 COMPULSORY YEAR 1
2 MHI2 Modern World 8 COMPULSORY YEAR 1
3 MHI4 Political Structure in India 8 COMPULSORY YEAR 1
4 MHI5 History of Indian Economy 8 COMPULSORY YEAR 1
Total Credit Selected 32

Upload Details
PHOTO Uploaded
SIGNATURE Uploaded
MATRICULATION MARKSHEET OR CERTIFICATE Uploaded
10+2 MARKSHEET / CERTIFICATE Uploaded
MARKSHEET OF GRADUATION Uploaded
DEGREE OR PROVISIONAL CERTIFICATE OF GRADUATION Uploaded

IGNOU 2022 JULY ADMISSION SP Page 1 of 2 SAMARTH


Indira Gandhi National Open University Generated On: 26-04-2024 22:04:49

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.

ANUSHKA
2220272897S

IGNOU 2022 JULY ADMISSION SP Page 2 of 2 SAMARTH

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