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JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY ANANTAPURANANTHAPURAMU515 002 A.P.
Application for Award of DEGREE(To be sent to the Controller of Examinations, JNTUA, Ananthapuramu- 515 002. (A.P))
DD/ChallanNo.__________________ Dt.__________________
Affix a recent
Passport size
Photograph.
Bank _____________________ Amount Rs.___________
In Convocation (in Absentia)
Pre-Convocation (Tick [] the appropriate box)
Post-Convocation
Name
In Block Letters(as in SSC)
FathersName
(as in SSC)
Address forCommunication
(Do not repeat yourname) Pin Code:
Degree to be awarded Degree
Branch
Name of the college wherelast studied*
Month & Year of Passing Month: Year:
Place:
Date: SIGNATURE OF THE CANDIDATE
-------------------------------------------------------------------------------------------------------------------------ADDRESS LABELS (write in CAPITAL LETTERS ONLY)
Note: As your Degree/Diploma will be sent by post, write your full address neatly and legibly.
Stapleonemore
Photographhere
Name: Name:
HTNo: HTNo:
S/o (or) D/o S/o (or) D/o
House/Door No.: House/Door No.:
Street: Street:
Place: PIN: Place: PIN:
Dist.: Dist.:
Phone number: Phone number:
Hall Ticket No: College Code *
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Enclosures to the application:
1.
SBI Power Jyoothi a/c Challan (University Copy) or Demand Draft. In case of demand draft, DD in favor of
the Registrar, JNTUA, Ananthapuramupayable at Anantapur. ( HT Number shall be w ritten on the back side ofDemand draft).
Fees inclusive of Postage:
a)
In Convocation (In Absentia): Rs. 2000/-
b)
Pre-Convocation: Rs. 3000/-
c) Post Convocation: Rs. 2000/- + Late fee of Rs. 500/- per each year
2.
Photo Copy of the Provisional Certificate
(To be filled in by the Office of the Controller of Examinations, JNTUA, Ananthapuramu)
The Candidate has fulfilled all theacademic requirements for the award of__________________________
Degree in _____________________. The candidate hassecured ____________________________ class.
Date: CONTROLLER OF EXAMINATIONS
(To be filled in by the Office of the Registrar, JNTUA, Ananthapuramu)
1.
The award of Degree to the applicant was endorsed by the Academic Senate at its meeting
held on ____________________
2. The Executive Council approved the award of D egree to t he applicant at i ts meeting
held on____________________
3. Degree bearing number ______________________ was awarded to the applicant at the
Convocation held on __________________________
4. Demand draft entered in the D.D. register at page No. ________________ on _______________
5.
The Degree certificate may be issued.
Date:
REGISTRAR
The Degreea Certificate bearing No. _ ______________________is dispatched on__________________________
Dispatching clerk, JNTUA, Ananthapuramu.
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