Hall Ticket No: College Code

*

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY ANANTAPUR
ANANTHAPURAMU 515 002 A.P.

Application for Award of DEGREE
(To be sent to the Controller of Examinations, JNTUA, Ananthapuramu - 515 002. (A.P))

DD/Challan No. __________________ Dt.__________________
Bank _____________________ Amount Rs.___________
Affix a recent
In Convocation (in Absentia) Passport size
Photograph.
Pre-Convocation (Tick [√] the appropriate box)

Post-Convocation

Name
In Block Letters
(as in SSC)

Father’s
Name
(as in SSC)

Address for
Communication
(Do not repeat your
name) Pin Code:

Degree to be awarded Degree

Branch

Name of the college where
last 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.

Name: Name:
Staple one more Photograph here

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:
Enclosures to the application:

1. SBI Power Jyoothi a/c Challan (University Copy) or Demand Draft. In case of demand draft, DD i n favor of
the Registrar, JNTUA, Ananthapuramu payable at Anantapur. ( HT Number shall be written on t he back side of Demand 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 the academic requirements for the award of __________________________
Degree in _____________________. The candidate has secured ____________________________ class.

Date: CONTROLLER OF EXAMINATIONS

(To be filled in by the Office of the Registrar, JNTUA, Ananthapuramu)

1. The award o f Degree to the applicant was endorsed by the Academic Senate at its meeting
held on ____________________

2. The Executive Council approved t he award of Degree to t he applicant at its 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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