(To be submitted only at concerned Regional Centre)
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1 (To be submitted only at concerned Regional Centre) 2018 C3-Others Please Specify : Affix your latest passport size photograph (4cm x 5cm) duly attested by you 115
2 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
3 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 Signature of the Official... Name of the Official... Hall Ticket Designation... Issued Not Issued Name of the Regional Centre/Division
4 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 & 5. Identity Card is to be submitted to the issuing authority after completion of the said programme. STUDENT CARD (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 Course Applied for :... DD/Challan No. :... DD/Challan Date :... Amount :... DD Drawn on :... For Office Use Only Your Enrolment Number is 118
5 Enrolment No. Name of the Programme Name Father's/Husband s/mother's Name Address (in Capital Letters) Pin Code Full Signature of the Candidate PASTE LATEST PHOTOGRAPH TO BE PASTED WHICH WILL BE ATTESTED BY UNIVERSITY OFFICERS 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 From The Regional Director, IGNOU Regional Centre PIN: CITY: STATE: 119
6 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 ( 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 anjusgupta7@gmail.com Ms. Ghazala Parveen, Prod. Asstt., EMPC ghazala.syed.mail@gmail.com Ms. Kailash Saluja, A.R., MPDD kailashsaluja@ignou.ac.in Prof. Jyantika Dutta, Lady Irwin College IGNOU Committee against Sexual Harassment (ICASH) Prof. Uma Medury, Chairperson, SOSS umamedury@ignou.ac.in Dr. Gurmeet Kaur, Associate Professor, SOL gurmeetkaur@ignou.ac.in Dr. Neera Singh, Associate Professor, SOH neerasingh@yahoo.com Dr. Rakhi Sharma, Associate Professor, SOET rakhis@ignou.ac.in Mr. Raveendran P. T., AR, F&A Ms. Renu Katyal, AR, SOA renu@ignou.ac.in Ms. Rashmi Sarpal, PS, SOSS rashmisarpal@ignou.ac.in Ms. Parineeta, Assistant, SOTHSM 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 binitoms@ignou.ac.in Dr. G. Mythili, Dy. Director, STRIDE gmythili@ignou.ac.in Ms. Azra Arshad, Maintenance Engineer, EMPD Ms. Neeru Sayal, EA, RSD 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
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