requisition form for study material (37 kb)

National Institute of Open Schooling Material Distribution Unit

4B, Central Warehousing Corporation Rana Pratap Bagh, Opp. State Bank Colony, G.T. Karnal Road New Delhi -110 033 ,

E-mail : mpdd@nios.ac.in , Phone : 011- 27416329 , 27462690

Requisition for Study Materials Kindly send me the following study materials at the address given below: Course level: Secondary/Sr.Secondary

Sl.No. Subject Medium 1.

2.

3.

4.

5.

6.

7.

Add Rs.150/- for Postal Charges

Enrolment No./Reference No.

Student’s Name

Complete Postal Address Pin Code

E-mail

Phone No/Mobile No

Bank Draf No. ______________________________ (In favour of Secretary, NIOS Date ______________________________ payable at Noida) Amount ______________________________ Bank Name ______________________________ and Branch

Place _______________________________

Student Signature

Note: Please send this form along with the Bank Draft of the requisite amount (includes Rs.150/- if material is required by post) on the above address. The Study Material will be sent through Business Parcel Post Service of Indian Postal Department as per the price list enclosed.