Applicationfor Awardof DEGREE/DIPLOMA To be sentto the Conholler of Examinations,JNTUA, Anant
Dt.
D.D.No.
Amount Rs.
Bank
T T T
Affix a recent Passport size Photograph.
(in Absentia) In Convocation I Pre-Convocation
I
Post-Convocation
box) ffl"t 1./1tfreappropriate
)
Name In BlockLetters (asin SSC) Father's Name (as in SSC)
Addressfor Communication (Do not repeatyoul name)
Degree/Diplomato be awarded
PinCode:
Degree/Diploma Branch
Name of the collegewhere last studied*
Month & Year of Passing
Year:
Month:
Place: SIGNATURE OF TFIE CANDIDATE
Date:
ADDRESS LABELS (write in CAPITAL LETTERS ONLY) will be sentby post, write your full addressneatly and legibly' your Degree/Diploma Note: As
Name: HTNo: S/o (or) D/o House/DoorNo.:
Name: HTNo: S/o (or) D/o House/DoorNo.:
Street:
Street: Place:
Place:
Dist.: Phonenumber:
PIN:
Dist.: Phonenumber:
PIN:
Enclosuresto the application:
1.
DD in favor of the Registrar,JNTUA, Anantapur payable at Anantapur. (HT Number shall be written on the back side of Demanddraft). Feesinclusive of Postage:
2.
a)
In Convocation(In Absentia):Rs. 2000/-
b)
Pre-Convocation: Rs. 3000/-
c)
Post Convocation:Rs. 2000/- + Late fee ofRs. 500/- per eachyear
PhotoCopy ofthe ProvisionalCertificate
(To be filled in by the Office of the Controllerof Examinations,JNTUA, Anantapur)
The
candidate has fulfilled
all
the
academic reouirements for
Degree / Diploma in
secured
.
the
award of
The candidate has
class,
CONTROLLER OF EXAMINATIONS
Date:
(To be filled in by the Office of the Registrar,JNTUA, Anantapur)
l.
The award of Degree/Diplomato the applicantwas endorsedby the Academic Senateat its meeting heldon
L.
3. The ExecutiveCouncil approvedthe award of Degree/Diplomato the applicant at its meetingheld on
4. Degree/Diploma bearingnumber
was awardedto the applicantat the
Convocation heldon 5. Demanddraft enteredin the D.D. registerat pageNo.
Application for Award of DEGREE/DIPLOMA D.D.No. Dt. In ...
Degree/Diploma to be ... Note: As your Degree/Diploma will be sent by post, write your full address neatly and ... c) Post Convocation: Rs. 2000/- + Late fee ofRs.
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