CollegeCode*

Fjlall Ticket No:

TAWNHNTAT NEHRU TECHNOLOGICAL LTNIVERSITY ANANTAPUR A,P. 5I5 OO2 ANANTAPTIR

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.

on

6. The Degree/Diplomacertificatemay be issued.

Date:

REGISTRAR

The Degree/ Diploma Certificate bearing No.

is disnatchedon

Dispatchingclerk, JNTUA, Anantapur