National Institute of Open Schooling
Material Production Unit
4B, Central Warehousing Corporation
Rana Pratap Bagh, G.T. Karnal Road
New Delhi -110 033
E-mail : mpdd@nios.ac.in
Requisition for Study Materials
Kindly send me the following study materials at the address given below underintimation to my e-mail ID
Course level: Secondary/Sr.Secondary _________________________________
Enrolment No./Reference No. ___________________________________________
Student’s Name ____________________________________________
Address ____________________________________________
____________________________________________
____________________________________________
E-mail ____________________________________________
Phone No/Mobile No ______________________________________________
Bank Draft No. ______________________________ (In favour of Secretary, NIOS
Date: ______________________________ payable at NOIDA)
Amount ______________________________
Name & ______________________________
branch of the Bank
Place: _______________________________
Date: Students signature
Place
1. Pl. send this form along with the Bank Draft of the requisite amount (as per the
price list enclosed) by post/Hand on the above address.
Sl.No. Subject Medium
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