2018

(To be submitted only at concerned Regional Centre)

C3-Others
Please Specify :

Affix your latest

passport size
photograph
(4cm x 5cm) duly
attested by
you

115
INSTRUCTIONS FOR CANDIDATES
1. Please send your Application form by Regd. Post/Speed Post to the concerned Regional Centre. List of Regional Centres
is given in Annexure-I in the student handbook and prospectus.
2. Application form submitted to any office other than the concerned Regional Centre will not be entertained.
3. No change of category shall be entertained after the submission of application form.
4. The last date for the receipt of filled in application form at the concerned Regional Centre will be the date as mentioned
in the advertisement. Application received after this date will not be accepted.
5. Please retain the photocopy of the form for future reference.
6. Copy of documents mentioned at (i), (ii) & (iii) under employment certificate are to be attached with this application
form.
7. Application form received without self attested copies of educational qualifications and professional qualification (i.e.
completion of NCTE recognised teacher education programme through face-to-face mode) will be summarily rejected.
8. Application form with overwriting/fluid will be summarily rejected.

116
 DECLARATION OF THE APPLICANT
I hereby declare that I have read and understood the conditions of eligibility for the B.Ed. programme for
which I seek admission. I fulfill the minimum eligibility criteria on last date of submission of this
application form and I have provided necessary information in this regard in the application form. I shall
provide proof of my eligibility along with the original certificates in the event of qualifying for admission
after Entrance Test at the time of counselling. I have carefully studied the rules of the University as printed
in the prospectus and I accept them and shall not raise any dispute in future over the same rules. In the
event of any information being found blank, incorrect or misleading, my candidature shall be liable to cencellation
by the University at any time and I shall not be entitled to refund of any fee paid by me to the University.
Date: ................................. (Signature of Applicant)

FOR OFFICIAL USE

Mentioned at (i), (ii) & (iii)
Checked & Verified all necessary documents and the student is Eligible/not-eligible for appearing in
the Entrance Examination in 2017.
Signature of the Official ....................................
Name of the Official .........................................
Hall Ticket Designation .........................................................
Issued Not Issued Name of the Regional Centre/Division ...............

117
 INSTRUCTIONS
1. This card should be produced on demand at the Study
Centre and Examination Centre or any other
Establishment of IGNOU to use its facilities. No
Student shall be allowed to appear in any examination/
practical without it.
2. The facilities would be available only relating to the
course or courses for which the student is actually
registered.
3. Duplicate Identity Card will be issued by the Regional
Director, on payment of Rs. 200/- by way of Demand
Draft only in favour of IGNOU payable at the city
where Regional Centre is located.
4. Loss of Identity Card is to be reported immediately to
the nearest Police Station &
STUDENT CARD
5. Identity Card is to be submitted to the issuing authority
after completion of the said programme.

(FOR USE OF IGNOU FACILITIES ONLY)

Indira Gandhi National Open University

ACKNOWLEDGEMENT CARD
Dear Student,

Thank you for joining IGNOU Programme. We acknowledge the receipt of your application form. Please mention
Enrolment Number and course applied for in all your future correspondence with the University.

To be filled in by the Student

For Office Use Only

Course Applied for
DD /Challan No.
DD /Challan Date
Amount
DD Drawn on
: ..........................................................
: ..........................................................
Your Enrolment Number is
: ..........................................................
: ..........................................................
: ..........................................................

118
Enrolment No. _________________________________
Name of the Programme _________________________
PASTE
Name ________________________________________
Father's/Husbands/Mother's Name _________________ LATEST PHOTOGRAPH TO
BE PASTED WHICH WILL
____________________________________________ BE
ATTESTED BY
Address (in Capital Letters) _______________________ UNIVERSITY OFFICERS

____________________________________________
____________________________________________
Pin Code _________________
Full Signature of the Candidate ____________________
ATTESTED BY
REGIONAL DIRECTOR____________________
INDIRA GANDHI NATIONAL OPEN UNIVERSITY

Please mention your full postal address at the space allocated Affix
Postage
stamp for
Rs 6/-

To
______________________________________
______________________________________
______________________________________
CITY: _________________________________
STATE: _______________________________
From
The Regional Director,
IGNOU Regional Centre
_____________________ PIN:
_____________________

119
 IGNOU POLICY REGARDING SEXUAL HARASSMENT AT THE WORKPLACE
In compliance with the guidelines of the Supreme Court, IGNOU has adopted a policy that aims to prevent/ prohibit/
punish sexual harassment of women at the workplace. Academic/non-academic staff and students of this University
come under its purview.

Information on this policy, rules and procedures can be accessed on the IGNOU website (www.ignou.ac.in). Incidents
of sexual harassment may be reported to the Regional Director of the Regional Centre you are attached to or to any
of the persons below:

Apex Committee Against Sexual Harassment (ACASH)

Prof. Anju Sahgal Gupta, Chairperson, SOH 011-29572776 anjusgupta7@gmail.com

Ms. Ghazala Parveen, Prod. Asstt., EMPC 011-29573286 ghazala.syed.mail@gmail.com

Ms. Kailash Saluja, A.R., MPDD 8800736002 kailashsaluja@ignou.ac.in

Prof. Jyantika Dutta, Lady Irwin College

IGNOU Committee against Sexual Harassment (ICASH)

Prof. Uma Medury, Chairperson, SOSS 011-29572741 umamedury@ignou.ac.in

Dr. Gurmeet Kaur, Associate Professor, SOL 011-29572984 gurmeetkaur@ignou.ac.in

Dr. Neera Singh, Associate Professor, SOH 011-29572790 neerasingh@yahoo.com

Dr. Rakhi Sharma, Associate Professor, SOET 011-29572923 rakhis@ignou.ac.in

Mr. Raveendran P. T. , AR, F&A 011-29571211

Ms. Renu Katyal, AR, SOA 011-29572977 renu@ignou.ac.in

Ms. Rashmi Sarpal, PS, SOSS 011-29572702 rashmisarpal@ignou.ac.in

Ms. Parineeta, Assistant, SOTHSM 011-29571758

Ms. Swati Pal, Ph.D in Chemistry

Dr. Taisha Abraham, Associate Professor

Ms. Naina Kapoor, Director (Sakshi, NGO)

Regional Services Division Committee against Sexual Harassment (RSDCASH)

Dr. Bini Toms, Chairperson, Dy. Director, RSD 011-29572407 binitoms@ignou.ac.in

Dr. G. Mythili, Dy. Director, STRIDE 011-29572614 gmythili@ignou.ac.in

Ms. Azra Arshad, Maintenance Engineer, EMPD

Ms. Neeru Sayal, EA, RSD 011-29572417 neerusayal115@mail.com

Dr. Radhika Menon, Asst. Professor, Mata Sundari College, Delhi University

RCCASH for Regional Centres

Members of RSDCASH will recommend the panel of names for RCCASH for each Regional Centre, and nominated by the
Vice Chancellor.

120