0% found this document useful (0 votes)
2 views

Application Form (1)

Khaidem Priyaluxmi Devi has applied for the Bachelor of Arts program at Indira Gandhi National Open University, with a total fee of ₹5000. She has completed her 10+2 with 83% marks and has selected courses totaling 40 credits. The application includes a self-declaration confirming her eligibility and understanding of the university's rules.
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
0% found this document useful (0 votes)
2 views

Application Form (1)

Khaidem Priyaluxmi Devi has applied for the Bachelor of Arts program at Indira Gandhi National Open University, with a total fee of ₹5000. She has completed her 10+2 with 83% marks and has selected courses totaling 40 credits. The application includes a self-declaration confirming her eligibility and understanding of the university's rules.
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: 21-01-2025 08:40:39

Control Number:

2510151346S
Programme Details
Programme Type BACHELOR Programme BAM: Bachelor of Arts Mode Of Study ODL
Regional Center IMPHAL Study Center Code D.M. COLLEGE OF SCIENCE (1707) State Code MANIPUR
Medium ENGLISH IGNOU Student ? No

Fee Details
Description Amount(₹)
Programme Fee 4500.00
Development Fee 200.00
Registration Fee 300.00
Total amount 5000.00

Payment Details
Transaction Amount : Date : 2025-01-21
Transaction Number : 22222587939 Order Number :
5000 14:03:56

Personal Details
Full Name : KHAIDEM Father Name : KH.
Gender : B2: Female
PRIYALUXMI DEVI PREMCHAND SINGH
Nationality : A1: India DOB : 2005-06-02
Area : A1: Urban Marital Status : A1: Single Religion : A1: Hindu
Mobile Number [1] :
Email [1] : [email protected]
9362927637
Email [2] : Mobile Number [2] :
Correspondence Address : Irom Meijrao Mamang Makha Leikai, Employement Status : A1:
imphal, IMPHAL WEST, , 795009 Unemployed
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: -----

Distance Education Bureau ID


Details According To DEB Application Form Status
DEB Unique ID 012501221404
ABC ID 523781134764
Name Khaidem Priyaluxmi Devi KHAIDEM PRIYALUXMI DEVI OK
Date of Birth 02/06/2005 02/06/2005 OK
Gender Female B2: Female OK

Qualification Details
Qualification 10+2 OR EQUIVALENT Main Subjects ENGLISH, SCIENCE,
Year of Passing 2023 Division First
9999 : XXXX : NOT LISTED IN THIS LIST
Percent of Marks (rounded off) 83 Board Code
Other Specify: COHSEM, Imphal, Manipur
Board Roll Number 16437 NAD Details ,

Course Details For BAM: Bachelor of Arts


# Course Code Name of Course Credits Category Term
1 BEVAE181 Environmental Studies 4 COMPULSORY SEMESTER 2
2 BHIC131 HISTORY OF INDIA FROM THE EARLIEST TIMES UPTO 300 CE 6 ELECTIVE SEMESTER 2
3 BSOC131 INTRODUCTION TO SOCIOLOGY 6 ELECTIVE SEMESTER 1
4 BSOC132 SOCIOLOGY OF INDIA 6 ELECTIVE SEMESTER 2
5 BPSC101 Understanding Political Theory 6 ELECTIVE SEMESTER 1
6 BEDSV101 Value Education 6 COMPULSORY SEMESTER 2
7 BMDG171 Disability, Society and Culture 6 ELECTIVE SEMESTER 1

IGNOU 2025 JANUARY ADMISSION SP Page 1 of 2 SAMARTH


Indira Gandhi National Open University Generated On: 21-01-2025 08:40:39

Total Credit Selected 40

Upload Details
PHOTO Uploaded
SIGNATURE Uploaded
MATRICULATION MARKSHEET OR CERTIFICATE Uploaded
10+2 MARKSHEET / CERTIFICATE 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.

KHAIDEM PRIYALUXMI DEVI


2510151346S

IGNOU 2025 JANUARY ADMISSION SP Page 2 of 2 SAMARTH

You might also like