1/15/2016 IGNOUOnlineAdmission

RegistrationForm
ControlNumber 16174957
1.NameoftheProgrammeApplied: BA:BACHELOROFARTS Photograph

2.ProgrammeCode: BA 3.MediumofstudyCode:Name A1:English

4.RegionalCentreCode:Name 31:DEHRADUN

5.StudyCentreCode:Name 2705:D.A.V.PGCOLLEGE 6.StateCode:Name 37:UTTARAKHAND

2705:D.A.V.PGCOLLEGE
IGNOUSC2705
StudyCentreAddress: DAVCOLLEGEROAD

UTTARAKHAND

7.AreyoualreadyRegisteredwithIGNOU: B2:No

8.NameoftheCandidate: ANSHUMANKUMAR SignatureoftheStudent

9.NameofFATHER SHYAMSUNDARYADAV
10.AddressforCorrespondence:
a)AddressLine1: ACHALASADAN,HOUSENO5/14
AddressLine2: AASHIRVAADENCLAVE
AddressLine3: VASANTVIHAR
b)City: DEHRADUN c)PINCode: 248001
d)State: UTTARANCHAL
11.ContactDetails:a)LandlineNo: b)emailID: diptimaankumar@gmail.com
c)MobileNo.: 9045077752 Fax:
12.DateofBirth: 25Dec1991 13.NationalityCode:Name A1:Indian
14.GenderCode:Name A1:Male 15.CategoryCode:Name A1:General
17.MaritalStatus
16.TerritoryCode:Name A1:Urban A1:Single
Code:Name
19.WhetherMinority
18.ReligionCode:Name A1:Hindu B2:No
Code:Name
21.WhetherKashmiri
20.SocialStatusCode:Name C3:NotApplicable B2:No
MigrantCode:Name
22.EmploymentStatusCode:Name :A1:Unemployed
23.DetailsofScholarshipbeingreceived,ifany
a)AnnualScholarshipAmount: b)DepttofferingScholarshipCode:Name c)FamilyIncome(annual): d)BelowpovertyLineCode:Name e)JailInmatesCode:Name
NotApplicable NotApplicable B2:No B2:No
24.a)WhetherapersonwithDisabilityCode:Name B2:No
25.RelevantQualifications:
a)Qualification: b)MainSubjects: c)YearofPassing: d)Division:
002:10+2OREQUIVALENT SCIENCE,MATHEMATICS,ENGLISH 2010 01:First
26.DetailsofFeeremittance
TxnID PaymentType Amount PGTXNID Date
CREDIT/DEBIT 1/15/2016
16174957 2400 052911149607820
/NETBANKING 5:59:49PM
27.SimultaneousProgramme/Course
Programme CourseCode NameofCourse Credits
BA BSHF101 FOUNDATIONCOURSEINHUMANITIES&SOCIALSCIENCES 8
BA FEG1 FOUNDATIONCOURSEINENGLISH1 4
BA FEG2 ENGLISH 4
BA BPC1 GENERALPSYCHOLOGY 4
BA BPC2 DEVELOPMENTALPSYCHOLOGY 4
BA BPC3 RESEARCHMETHODSINPSYCHOLOGY 4
BA BPC4 STATISTICSINPSYCHOLOGY 4

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