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Migration certificate form final

The document is an application form for the issuance of a Migration Certificate from Indira Gandhi National Open University. It requires personal details, examination particulars, and a fee payment of Rs. 500 via Demand Draft. Instructions for submission and conditions for issuing a duplicate certificate are also provided.

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59 views2 pages

Migration certificate form final

The document is an application form for the issuance of a Migration Certificate from Indira Gandhi National Open University. It requires personal details, examination particulars, and a fee payment of Rs. 500 via Demand Draft. Instructions for submission and conditions for issuing a duplicate certificate are also provided.

Uploaded by

chatorigali.2728
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
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INDIRA GANDHI NATIONAL OPEN UNIVERSITY

(to be submitted to the concerned Regional Director)


APPLICATION FORM FOR ISSUE OF MIGRATION CERTIFICATE
(To be filled-in by the Applicant. Please see instructions on reverse before filling the form)

1. Name …………………………………………...…………………………………………………………

2. Father’s Name …………………………………………………………………………………………….

3. Address ………………………………………………………..………………………………………….

…………………………………………………………State.....……………….Pin Code………………….

4. Mobile Number …………………………………. 5. Email id …………………………………………

6. Particulars of last examination ……………………………………………………………………………

Examination Passed Year of Passing Enrolment No. Marks Obtained Grades Obtained
(programme)

7. Name of the Regional Centre and Study Centre to which the candidate attached
……………………………………………………………………………………………………………

8. Name of the University to which the candidate wants to migrate


……………………………………………………………………………………………………………

Draft Details
Amount Rs. ……………………………….. D.D. No…………………………… Date…………………

Bank Name & …………………………….. Place of Issue ………………………………………………

DD should be in favour of ‘IGNOU’ and payable at Noida only.


1. I hereby declare that the information provided is correct to the best of my knowledge and I have paid all the fee due to the
University.
2. I have not taken any migration certificate from the University beforethis.
3. I further certify that I have not enrolled with any other university/Institution after passing out from IGNOU up to this date.
4. I also undertake that I am not enrolled in any other programme of IGNOU at present.
5. In the event of any of the above information being found incorrect, the Certificate shall be liable for cancellation by the
University.

Signature of the Applicant

(To be filled in by the Regional Centre)


1. The information furnished by Shri/Smt./Km................................................................................................is correct as per Grade
Card enclosed.
2. He/She may be issued the Migration Certificate applied for …………………………………………………
Date …………… Dealing Assistant ………………………. Section Officer ………………………

(P.T.O.)
INSTRUCTIONS

1. A fee Rs.500/- should be remitted by way of a Demand Draft drawn in favour of IGNOU and payable
at the city of Regional Centre concerned.

2. At the time of submission of the application for issue of Migration Certificate, the applicant
should attach duly attested Xerox copy of consolidated Statement of Marks and the Degree
Certificate/ Provisional Certificate issued by this University.

3. It should be submitted at the Regional Centre to which the student was last attached with.

4. Duplicate Migration Certificate can be issued on payment of Rs.500/-, in case the same has
been lost, destroyed or mutilated, on submission of an Affidavit drawn upon a non-judicial
stamp paper the value of Rs.10/- to be sworn in before a Magistrate on the following format :

-----

AFFIDAVIT

“I, …...………..……………………….…. , son/daughter of ........................................................... , resident of


………………..……………………………………………………………………….…………………………
…………………………….…. hereby solemnly declare that the Migration Certificate No………………….
dated……..……………issued to me by the ..................................................................................................... to
enable me to join …………………………………………… University has been lost and that I did not join
any other University on the basis of the same nor have I submitted the same for joining any other University.”

(DEPONENT)

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