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Cancellationofadmission

This document is an application for cancellation of admission to the Institute of Distance Education at the University of Mumbai for the 2003-2004 academic year. The student provides their personal details and the class they were admitted to. They request to cancel their admission due to personal reasons and return their study materials and identity card. They also request the return of their original marksheet/passing certificate submitted during admission. The application requires signatures from the concerned clerk, assistant registrar of admission, and assistant registrar of finance and accounts to approve the cancellation and determine if any fees will be refunded according to the institute rules.

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Anirudh Krishana
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264 views1 page

Cancellationofadmission

This document is an application for cancellation of admission to the Institute of Distance Education at the University of Mumbai for the 2003-2004 academic year. The student provides their personal details and the class they were admitted to. They request to cancel their admission due to personal reasons and return their study materials and identity card. They also request the return of their original marksheet/passing certificate submitted during admission. The application requires signatures from the concerned clerk, assistant registrar of admission, and assistant registrar of finance and accounts to approve the cancellation and determine if any fees will be refunded according to the institute rules.

Uploaded by

Anirudh Krishana
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INSTITUTE OF DISTANCE EDUCATION

UNIVERSITY OF MUMBAI
APPLICATION FOR CANCELLATION OF ADMISSION
(Please attach an attested Xerox copy of Fee Receipt and return original Identity Card )
ACADEMIC YEAR 2003-2004
Date :_______________
From :
Name of the Student
Shri/Smt/Kum._____________________________________________________________________________
(In Block Letters) (Surname) (Own Name) (Father’s/Husband’s Name) (Mother’s Name)

Residential Address (As registered in the IDE record)


__________________________________________________________________________________________
__________________________________________________________________________________________
Pin Code:___________________Tel.No.:________________________________________________________
Class ______________________Year 2003-2004 Roll No._______________________
To, Fees Receipt No._______________
The Professor-cum-Director, Date:_______________________
Institute of Distance Education,
University Of Mumbai,
Mumbai – 400 098.
Sir,
I secured admission to the____________________________________________________ Class in your
Institute on ______________________________ I would like to cancel it due to the following reasons:
__________________________________________________________________________________________
__________________________________________________________________________________________
1) I am enclosing a Xerox copy of the Fee Receipt. (No.__________ Date __________)
2) I am returning my Identity Card. (Original).
3) I am also returning the Study Material.
I request you to kindly return my Original Marksheet/Passing Certificate which I have submitted while
taking admission to the above class in the Institute.
Thanking you,
Yours faithfully,

*Strike out if Study Material was not issued Signature of the student

Permission may be given


To cancel the Admission as desired
by the student
___________________________
Concerned Clerk
Permitted to cancel Admission and Entitled /Not entitled for Refund
The necessary notings are made of fees as per rule
in the relevant documents

____________________ ____________________
Asstt. Registrar (Admn.) Asstt. Registrar (F & A)

Please refer to the Prospectus for the Rules of Refund. Students are requested to attach Xerox Copies of
fee receipt alongwith the application and return the original Identity Card.

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