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<body bgcolor="#c8c9cf" leftmargin="0" topmargin="0" rightmargin="0">
<table cellspacing="0" cellpadding="0" width="1003" align="center" border="0">
  <tbody>
  <tr>
    <td>
      <p align="left"><img style="WIDTH: 1000px; HEIGHT: 267px" height="267" hspace="0" 
      src="images/red-logo.jpg" width=1000 border=0></p></td></tr>
  <tr>
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      <table cellspacing="0" cellpadding="8" width="100%" align="center" border="0">
        <tbody>
        <tr>
          <td valign="top" bgcolor="#ffffff" colspan="2">
            <table class="dm1" id="menu1" cellspacing="0" cellpadding="0">
              <tbody>
              <tr>
                <td><a class="item1 left" href="index.html">Home</a> 
                  </td>
                <td><a class="item1" href="javascript:void(0)">IGNOU</a> 

                  <div class="section"><a class="item2" href="igprofile.html">IGNOU: 
                  A Brief</a> </div></td>
                <td><a class="item1" href="javascript:void(0)">Programmes</a> 
                  <div class="section"><a class="item2" href="cert.htm">Certificates</a> 
                  <a class="item2" href="dip.htm">Diplomas</a> 
                  <a class="item2" href="adp.htm">Associate Degrees</a> 
                    </div></td>
                <td><a class="item1" href="javascript:void(0)">Admission</a> 
                  <div class="section"><a class="item2" href="how.htm">How to 
                  Apply?</a> <a class="item2" href="info.htm">Information 
                  Session</a><a class="item2" href="rq.htm">Information Request Form</a>  <a class="item2" href="parents.htm">Information for 
                  Parents</a> <a class="item2" href="cont.htm">Deptt. Of 
                  Continuing Education </a><a class="item2" 
                  href="student.htm">Student Advising Centre</a> <a class="item2" 
                  href="campus.htm">Campus Tour</a>
                  <a 
                  class=item2 href="financial.htm">Financial Aid</a>
                   <a class="item2" 
                  href="guide.htm">Information for Guidance Counsellors</a> 
                  </div></td>
                <td><a class="item1" href="javascript:void(0)">Campus 
                  Services</a> 
                  <div class="section">
                  <a class="item2" 
                  href="dept.htm">Departments</a> 
                  <a class="item2" 
                  href="training-2.htm">Student Services</a>
                  <a class="item2" 
                  href="corp.htm">Corporate Training</a>
                   <a class="item2" 
                  href="hostel.htm">Accomodation Facilities</a>
                   <a class="item2" 
                  href="intern.htm">Internship Office</a>
                   <a class="item2" 
                  href="career.htm">Career Service Office</a>
                   </div></td>
                <td><a class="item1" href="contact.htm">Contact Us</a> </td>
                <td><a class="item1" href="szone.htm">Student Zone</a> </td>
                 <td><a class="item1" href="faq.htm">FAQs</a> </td>
                 <td><a class="item1" href="faq.htm">Visit&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</a>
                 <div class="section">
                  <a class="item2" 
                  href="http://www.fimtcommunitycollege.org">FIMT Community College</a> 
                 <a class="item2" 
                  href="http://www.iphhparamedic.in">Institute of Public Health &amp; Hygiene</a>
                 <a class="item2" 
                  href="http://www.fimt-ggsipu.in">FIMT - GGSIPU</a>
                  <a class="item2" 
                  href="http://www.fimtindia.com">Fairfield Institute of Management Tech.</a>
                  <a class="item2" 
                  href="http://www.careeratiphh.in">Career At IPHH</a>
                  </div>
                  </td>
                <td>
                  <form name="frm"><select class="item1" onchange="javascript:go()" 
                  size=1 name=search style="WIDTH: 250px"> <option value="" 
                    selected>Search</option> <option value="abt">About IPHH 
                    Community College</option> <option 
                    value=ignou>IGNOU-Profile</option> <option 
                    value=contact>Contact Us</option> <option value="dhs">Deptt. 
                    of Para Medical Science</option> <option value="dif">Deptt. of 
                    Fashion &amp; Interior Design</option> <option 
                    value=dbm>Deptt. of Business Management</option> <option 
                    value=dahs>Deptt. of Altenative Health Science</option> 
                    <option value="dcj">Deptt. of Mass Communication &amp; 
                    Journalism</option> <option value="dit">Deptt. of IT</option> 
                    <option value="dh">Deptt. of Hospitality</option> <option 
                    value=hostel>About Hostel</option> <option 
                    value=hostel>Student Zone</option> <option 
                    value=hostel>FAQ</option></select></form></td></tr></tbody></table></td></tr>
        <tr>
          <td valign="top">&nbsp; 
            <p class="MsoNormal" style="MARGIN: 5.25pt 0in; LINE-HEIGHT: 11.25pt" 
            align=center><span 
            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'"></span><span 
            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'"></span>&nbsp;</p><span 
            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'"><font 
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            align=center> <span 
                  style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'" 
           >
                <font face="Arial" size="4" 
            ><strong > 
                  <font color="#ff0000" size="5">REQUEST 
            FORM 
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            align=justify> <span style="FONT-SIZE: 
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           > <font face="Arial" 
                  size=4>  </font> </span>  &nbsp;</p> <p class="MsoNormal" 
                  style="MARGIN: 5.25pt 0in; LINE-HEIGHT: 11.25pt" 
            align=justify><span 
                  style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'" 
           > <font 
                  face=Arial size=4> </font>  </span>    </p> <center >
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                  <tbody ><tr> <td bgcolor="#6895bc" 
                  colSpan=2>
                <p align="center"><font face="Verdana" color="#ffffff" size="3">
                <strong 
                  >Please Fill the form to send 
                  query </strong> </font> </p> </td> </tr><tr>
                <td>
                  Name</td>
                  <td ><input size="70" name="fname" 
                  ></td> </tr> <tr > <td >  
                     Address</td> <td 
                    > <input 
                    size=70 name=adr 
                 ></td></tr> <tr > <td >  
                      Contact No</td> <td 
                    > <input 
                    size=70 name=contact_no 
                 >   </td> 
                       </tr> 
                    <tr > <td >  E-mail</td> 
                    <td > <input 
                    size=70 name=email 
                 >  </td>     
                    </tr> <tr 
                    > <td 
                    >Course</td>
        <td>
          <input size="70" name="course" 
                 ></td> </tr> 
            <tr ><td>Queries/Requirement</td><td><textarea name="req" rows="8" cols="70"></textarea></td></tr>
            <tr ><td></td><td><p align="center"><input 
            type=submit value=Send>
            <input type="reset" value="Clear"     
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            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'"><font 
            face=Arial size=4></font></span>&nbsp;</p>
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            align=left><span 
            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'"><font 
            face=Arial size=4></font></span>&nbsp;</p>
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            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'"><strong><font 
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            style="FONT-SIZE: 10pt; FONT-FAMILY: 'Trebuchet MS','sans-serif'; mso-fareast-font-family: 'Times New Roman'">&nbsp;</p></span></td></tr></tbody></table>
      <p>&nbsp;</p>
      <p>&nbsp;</p>
      <p>&nbsp;</p>
      <p>&nbsp;</p></td></tr></tbody></table>
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