Application Form For Change/Correction of Records

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VARDHAMAN MAHAVEER OPEN UNIVERSITY, KOTA
APPLICATION FORM FOR CHANGE/CORRECTION
(Fill in CAPITAL letters of English)
To,
The Director Regional Centre
Vardhaman Mahaveer Open University
……………………………………………………………………………
……………………………………………………………………………
(Name & Address of Concerned Regional Centre)
Sub : Application for Change / Correction of records.
SCHOLAR NO.
PROGRAMME
Y/N
Correction1
Existing
Correct
Student Name
(WRITE CAPITAL LETTER)
Fathers Name (WRITE CAPITAL LETTER)
Mothers Name
(WRITE CAPITAL LETTER)
Date of Birth
/
/
/
/
Address
(WRITE CAPITAL LETTER)
Mobile No.
Y/N
Correction1
Existing
Correction
Photograph
Wrong
After verification of Original Admission Form
Signature
Wrong
After verification of Original Admission Form
Y/N
Transfer2
Name & Address of Present Centre
Name & Address of Desired Centre
Regional Centre
(WRITE CAPITAL LETTER)
Study Centre
(WRITE CAPITAL LETTER)
1. Corrections will be made after verification of Original Admission Form.
2. As per Vardhaman Mahaveer Open University, Kota Rules.
(Full Signature of Student)
OFFICE USE ONLY
The requested corrections has been checked & verified with original admission form.
Dealing Assistant Section Officer Regional Director