1/28/2018 IGNOU Online Admission

Registration Form
Control Number 1811844088P
1. Name of the Programme Applied: BLIS : BACHELOR OF LIBRARY AND INFORMATION SCIENCE Photograph

2. Programme Code: BLIS 3. Medium of study Code:Name A1 : English

4. Regional Centre Code:Name 05 : PATNA

5. Study Centre Code:Name 0517:INSTT. OF LIB. & INF. SCIENCE 6. State Code:Name 05 : BIHAR

0517:INSTT. OF LIB. & INF. SCIENCE

IGNOU PROG. STUDY CENTRE
Study Centre Address: PATNA UNIVERSITY

BIHAR

7. Are you already Registered with IGNOU: B2 : No

8. Name of the Candidate: PUJA Signature of the Student

9. Name of HUSBAND VINAY KUMAR
10. Address for Correspondence:
a) Address Line 1: C/O - RAMUMED SHUKLA
Address Line 2: RAHUL NAGAR, NEAR SUJI MILL
Address Line 3: BRAHAMPURA
b) City: MUZAFFARPUR c) PIN Code: 842003
d) State: BIHAR
11. Contact Details: a) Landline No: - b) e-mail ID: pujashukla254@gmail.com
c) Mobile No.: 9123256684 Fax: -
12. Date of Birth: 15-Feb-1994 13. Nationality Code:Name A1 : Indian
14. Gender Code:Name B2 : Female 15. Category Code:Name A1 : General
16. Territory Code:Name B2 : Rural 17. Marital Status Code:Name B2 : Married
18. Religion Code:Name A1 : Hindu 19. Whether Minority Code:Name B2 : No
21. Whether Kashmiri Migrant
20. Social Status Code:Name C3 : Not Applicable B2 : No
Code:Name
22. Employment Status Code:Name : A1 : Unemployed
23. Details of Scholarship being received, if any
a) Annual Scholarship Amount: b) Deptt offering Scholarship Code:Name c) Family Income (annual): d) Below poverty Line Code:Name e) Jail Inmates Code:Name
Not Applicable Not Applicable B2 : No B2 : No
24. a) Whether a person with Disability Code:Name B2 : No
25. Relevant Qualifications:
a) Qualification: b) Main Subjects: c) Year of Passing: d) Division:
005 : GRADUATION OR EQUIVALENT ARTS,ENGLISH,HINDI 2016 02 : Second
26. Details of Fee remittance
TxnID PaymentType Amount PGTXNID Date
CREDIT/DEBIT 1/28/2018 6:17:00
1811844088P_1 6200 IGACUPSVY3
/NETBANKING PM
27. Simultaneous Programme/Course
Programme Course Code Name of Course Credits
BLIS BLI221 LIBRARY, INFORMATION AND SOCIETY 4
BLIS BLI222 INFORMATION SOURCES AND SERVICES 4
BLIS BLI223 ORGANISING AND MANAGING INFORMATION 4
BLIS BLI224 ICT FUNDAMENTALS 4
BLIS BLI225 COMMUNICATION SKILLS 4
BLIS BLIE226 MANAGEMENT OF LIBRARY AND INFORMATION CENTRE 4
BLIS BLIE227 DOCUMENT PROCESSING PRACTICE 4
BLIS BLIE228 INFORMATION PRODUCTS AND SERVICES 4
BLIS BLIE229 ICT IN LIBRARIES 4

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