Please read the “Instructions to Students” in page 3 before the application is filled in.

1. Name of the student as entered in S.S.C mark sheet or in the University Records.
2. Sex 3. Hall Ticket Number 4. Father’s Name 5.(i) Name of the College last studied with year and course of study. Degree/Post Graduate Examinations (ii) Whether completed the course or discontinued. Male Female

6. Course & Branch

7. Month & Year of admission

8. Month & Year of Qualifying

Examination Passed / Discontinued
9. DD Details: Amount: Date: Drawn on Bank: 10. Postal address Number:

Contd… 1

/Ms. 2 .E/B. DD of Rs.Pharm in ___________________ /B.Pharm/M.A/M. Permanent address 12.________________________________________ has 1. Successfully completed the Course work for the award of degree of B. Attested copy of Provisional Degree Certificate or copies of all semester marks cards issued by the University. Signature of the Candidate 14. JNTUK Kakinada.C. Date: Signature of the Principal with seal _____________________________________________________________________________________________________ For office use only..A during the academic year from ____________ to ____________ .Tech//M. All the Original marks cards of the candidate are verified. for necessary action This is to certify that Mr.B. Address of the University where the Candidate has Taken admission. Controller of Examinations Director of Evaluation Contd. 200/-(payable to the “Registrar”. 2. JNTUK at Kakinada). (if any) b) Mail id: 13. Discontinued the Course. __________________________________________________________________________________________________________ (To be filled in by the college office last attended) Forwarded to the Registrar. OR 2. a) Phone no.Tech/M. Encl: 1.11. Office Order Migration certificate may/may not be issued.. This College has no objection to issue Migration Certificate to the Candidate.

JNTUK.Instructions to the students 1) An applicant for a Migration Certificate who is studying any course of this University should pay a Migration Fee of Rs. 3) Fee should be paid through the Bank Demand Draft drawn in favor of the Registrar. 4) A Xerox copy of provisional degree certificate issued by the University should be enclosed. Kakinada payable at Kakinada. **** 3 . 200/.and submit the application through the Principal of the college under this University in which he/she is pursuing or pursued his/her studies last or through which he/she appeared at the examination. 2) No action will be taken unless the prescribed fee is received in this office.