INDIRA GANDHI NATIONAL OPEN UNIVERSITY
Application for Change of Address/Correction of Name
Date: __________
To
Registrar, SRD
IGNOU
Maidan Garhi
New Delhi-110 068.
THROUGH CONCERNED REGIONAL DIRECTOR
Enrolment No.____________________________ Programme____________________________
Name (in caps)___________________________________________________________________
1. DETAILS FOR CHANGE/CORRECTION OF MAILING ADDRESS
New Address Old Address
__________________________________ _____________________________________
__________________________________ _____________________________________
__________________________________ _____________________________________
__________________________________ _____________________________________
City________________Pin______ City__________________Pin____________
State________________________ State________________________________
2. CORRECTION OF NAME
(For correction in the spelling of name please attach an attested photocopy of 10th class
Certificate)
Name as recorded __________________________________________ (In CAPITAL LETTERS)
Correct Name ______________________________________________(In CAPITAL LETTERS)
_____________________________________________
Signature of Student
Phone/Mobile Number __________________________
FOR OFFICE USE
CONTROL NUMBER .................................... LOTNO........................... DATE .............................
Please tick the appropriate box:
Change/Correction of Address
Correction of Name