Hall Ticket No.

College Code *
KUKATPALLY, HYDERABAD 500 072.

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY

To be sent to The Controller of Examinations, JNT University, Kukatpally, Hyderabad-85

Application for Award of DEGREE/DIPLOMA

D.D. No.________________________Dt.________________ Bank____________________________Amount Rs._______ In Convocation (In Absentia) Pre-Convocation Post-Convocation Name in Block letters Fathers name Address for communication (Do not repeat your name) Pin Code Degree/Diploma to be awarded to the Candidate at the Convocation Name of the College where Last Studied * Month & Year of Passing Place: Date : SIGNATURE OF THE CANDIDATE  ADDRESS LABELS Name: (HTNO: S/o,D/o D.No.: Street : Cell.No Dist. : Pin: ) Name: (HTNO: S/o,D/o D.No.: Street : Cell.No: Dist. : Pin: ) Month Year Degree/ Diploma Branch (Tick [D] the appropriate box) Affix a recent passport size photograph.

Instructions to the candidate: 1. Fees # i) In Convocation (In Absentia) :Rs.400/ii) Pre-Convocation :Rs.3000/iii) Post-Convocation :Rs.400 + Late fee of Rs.100/- per year (# inclusive of Postage with effect from 27-12-2005) D. D. is to be drawn infavour of the REGISTRAR, JNT University, HYDERABAD. Xerox copy of the Provisional Certificate.
Degree Certificates will be dispatched directly to the candidate as per the address label.
(To be filled by the Controller of Examinations: JNT University, Hyderabad)

2. 3.
4.

The candidate has fulfilled all the academic requirements for the award of _____________ degree/diploma in _________________________________. The candidate has secured _____________class with

Date:

CONTROLLER OF EXAMINATIONS
(To be filled by the Registrar, Jawaharla Nehru Technological University, Hyderabad)

1. 2 3. 4. 5.

The award of Degree/ Diploma to the applicant was endorsed by the Academic Senate at its meeting held on ________________ The Executinve Council approved the award of Degree/Diploma to the applicant at its meeting held on ___________________ Degree/Diploma bearing number ______________________was awarded to the applicant at the Convocation held on ________________________ Demand drafts entered in the D. D. Register at page No. ______________on________ The Degree/Diploma certificate may be issued. REGISTRAR

Date:
Received the Degree/Diploma Certificate bearing NO.____________ Dispatching Clerk, JNTU, Hyderabad. is Dispatched Date: