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.