Duplicate Identity Card - Simsindia.org

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dated. Bank. For Rs. 100/- in favour of TNOU, payable at Chennai towards issue of Duplicate Identity Card. Date: Signature of the Student. For office use only.
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TNOU

Directorate of Technical Education Campus, Chennai-600 025. Phone : 32467008, 22353522 Fax : 22200606 E-mail : [email protected]

Application for issue of Duplicate Identity Card Name of the student

:

Address of the Student

:

Pin Code

:

Telephone Number

:

Name of the Programme

:

Date:

Enrolment No. :

I enclose herewith duly filled-in Application form along with my photograph and Core Banking Chalan/DD No.

dated

Bank

For Rs. 100/- in favour of TNOU, payable at Chennai towards issue of Duplicate Identity Card.

Date:

Signature of the Student

For office use only

Verified / Checked. Duplicate ID Card may be issued to the above student

(Take Photocopy and use it)

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