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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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