Indira Gandhi National Open University
Regional Centre Delhi-1, NCT of Delhi
Plot.No.J2/1, Block-B-1, Mohan Cooperative Industrial Estate
Mathura Road, New Delhi-110044
Tel: 011-26990082, 26990083 Fax: 011-26990084
Email: rcdelhi1 [at] ignou [dot] ac [dot] in
Examination Form for appearing in Backlog Practical Examination of BCA/MCA
(to be submitted at Regional Centre Delhi-I)

1. NAME OF STUDENT : ………………………………………………..
2. PROGRAMME : ………………………………………………...
3. ENROLMENT NO : …………………………………………………
4. DETAILS
S.No. Course Code Course Name Semester Year PSC Where you attended the practical
of this semester
5. Reasons for appearing a. Failed
b. Short of attendance
c. Study Centre closed
6. Enclosed Proof a. Copy of Marksheet with marks highlighted
b. Attendance proof
Signature : …………………………..
(of the student)
Address: …………………………….
……………………………………....
………………………………………
Phone………………………………..
VERIFICATION BY REGIONAL CENTRE
Exam Centre Allotted
1. Point 5 (a)/(b)/(c) verified and found : Correct / Wrong
2. On the basis of verification : Eligible / Not eligible
Signature of Assistant Signature of ARD (I/C)
Last Date for Submission of form
January Exam July Exam
1st November 1st May