Application Form
Application Form
2470384997S
Programme Details
Programme Type BACHELOR Programme BAFEG: Bachelor of Arts (English) Mode Of Study ODL
Regional Center VATAKARA Study Center Code PSMO COLLEGE (1409) State Code OTHER
Medium ENGLISH IGNOU Student ? No
Fee Details
Description Amount(₹)
Programme Fee 5000.00
You have Opted for soft copy, a discount of 15% is applicable on Programme fee. - 750.00
Development Fee 200.00
Registration Fee 300.00
Total amount 4750.00
Payment Details
Transaction Number : Transaction Amount : Order Number : Date : 2024-07-15
pay_OYyvCC9D8qTAZa 4750 order_OYyuiY3wQ3N0e2 16:56:26
Personal Details
Full Name : MUHAMMED YASEEN Father Name : ASHRAF Gender : A1: Male
Nationality : A1: India DOB : 2005-11-07
Area : B2: Rural Marital Status : A1: Single Religion : B2: Muslim
Mobile Number [1] :
Email [1] : [email protected]
9744049052
Mobile Number [2] :
Email [2] : [email protected]
8089334856
Correspondence Address : PARACHIKKODAN HOUSE, PALLISSERI, Employement Status : A1:
KALIKAVU, MALAPPURAM, , 676525 Unemployed
Social Status : C3: Not
CATEGORY DETAILS OF D4A: OBC (Creamy) Minority : A1: Yes
Applicable
THE APPLICANT
PwD Applicable : B2: No
Scholarship Amount: Scholarship Department: ----- Family Income: Below Poverty Line: -----
Qualification Details
Qualification 10+2 OR EQUIVALENT Main Subjects COMMERCE,
Year of Passing 2024 Division First
9999 : XXXX : NOT LISTED IN THIS LIST
Percent of Marks (rounded off) 79 Board Code Other Specify: Board of Higher Secondary Education
Kerala
Board Roll Number 23357960 NAD Details ,
Upload Details
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SIGNATURE 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nature including refund of any fee paid by me and all the benefits availed by me shall be summarily withdrawn.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.
MUHAMMED YASEEN
2470384997S