IGNOU - Application Form For Issue of Migration Certificate

INDIRA GANDHI NATIONAL OPEN UNIVERSITY
IGNOU (To be submitted to the Regional Centre Concerned)
FORM OF APPLICATION FOR ISSUE OF MIGRATION CERTIFICATE
(To be filled in by the applicant. Before filling in the form, see instructions on reverse)

1. Name and Address of the Applicant: ………………………………………………………..........................
2. Father’s Name: …………………………………………………………………………………………......
3. Particular of last examination: ……………………………………………………………………………...
Examination
Passed
(Programme
Year of Passing Enrolment No. Marks Obtained Grade Obtained
4. Name of the Regional Centre and: …………………………………………………………………………..
Study Centre to which the candidate ………………………………………………………………………...
Was attached
5. Name of the University to Which: …………………………………………………………………………..
The candidate wants to migrate
(To be filled in by the Regional Centre)
1. The information furnished by Shri / Smt. / Km.: ……………………………………………………………
is correct per Scholar Register
2. He/She may be issued the Migration Certificate applied for.
Dated……………….. (Dealing Assistant) (Section Officer)
I hereby declare that the information provided is correct to the best of my knowledge and I have paid all the fees due to
the University. In the event of any information being found incorrect the Certificate shall be liable to cancellation by
the University.
Received the Migration Certificate No. ………………………… dated …………………………………………..
(Signature of the Applicant)
Received
Rs………………….
D.D.No……………
Date…………….....
Bank
Name……………...
Place of
Issue……………….
INSTRUCTIONS
A fee Rs.300/- should be remitted by way of a Demand Draft drawn in favour of IGNOU and payable at the
Regional Centre concerned.
At the time of submission of the application for issue of Migration Certificate the applicant should attach
Xerox copy of consolidated statement of Marks or Provisional Certificate issued by this University (duly
attested) for the verification.
 Duplicate Migration Certificate can be issued on payment of Rs.300/- only 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.2/- to be sworn before a Magistrate on the following format :
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.