THE GLOBAL OPEN UNIVERSITY, NAGALAND
(A State University established by the Government of Nagaland under Act 3 of 2006)
Dimapur - 797 112, Nagaland
DEGREE CERTIFICATE REQUISITION FORM
Mention your Roll Number issued by the University
................................................................................
The Registrar
The Global Open University Nagaland
Dimapur - 797 112
My full name is ...................................................................................................................................
(Write your name in Capital Letters)
My Father's name is.............................................................................................................................
(Write your Father's name in Capital Letters)
I have successfully completed all the examinations and thesis requirements for the award of
............................................................................................................................................................
(Name of the Degree)
I am enclosing a Bank Draft bearing Draft Number........................................in the name of "The
Global Open University Nagaland" payable at New Delhi for Rs. 1000 as the Degree Issuing Fee.
1. I have already cleared the dues.
2. I am enclosing the attested copies of the marks-sheets issued to me by The Global Open University Nagaland.
3. I am also enclosing the attested copies of the Degree Certificates and other documents related
to my age, +2 / Bachelor's / Master's qualifications.
4. My address for correspondence is ..............................................................................................
...................................................................................................................................................
...................................................................................................................................................
5. My telephone / mobile numbers are ...........................................................................................
6. My email ID is ..............................................................................................................................
7. My permanent address is ...........................................................................................................
...................................................................................................................................................
8. I would like to mention the following good points as to why I like The Global Open University :
Date Place Signature
Paste
your
Photo
Remarks of the Finance Department : For Office Use Only
Remarks of the Examination Department :
Degree issued / not issued (Date and Serial Number) :
Date of Despatch : Signature of the Competent Authority