ANNEXUR-I
(to RR Form of JANUARY 2014 session)

INFORMATION FOR STATISTICAL PURPOSE. STUDENTS ARE REQUIRED TO FILL UP THIS ANNEXURE COMPULSORILY

1. Name of student : __________________________

2. Enrol. No. :

3. Programme Code :

4. Category : (Cross (X) the appropriate Box only)

General SC ST OBC

5. Whether Kashmiri Migrant: (Write ( ) if applicable)

6. Whether Physically handicapped: (Write ( ) if applicable)

7. Whether minority: (Write ( ) if applicable)

8. Social Status: (Cross (X) the appropriate Box only)

Ex-service man War-widow Not applicable

9. Employment Status: Cross (X) the appropriate Box only)

Unemployed Employed IGNOU Employee KVS Employee

10. Religion: Cross (X) the appropriate Box only

Hindu Muslim Christian Sikh Jain Buddhist Parsi Jews Others
(Please specify ____________)

11. Details of Scholarship being received, if any.

(a) Amount (annually) (b) Govt./Deptt.

12. Family income (yearly)