You are on page 1of 8

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA CC

KAKINADA:533 003
Application Form for Registration for II,III & IV B. Tech./B. Pharmacy– Examination
(Read instructions carefully before filling the application)
Examination
Center of Examination
Regular Examination

Supplementary Examination

Month & Year of Examination

H.T. No.
I SEM II SEM

Name of the Candidate:…………………………………………………………………………
(In BLOCK Letters)

Father’s/Guardian’s Name……………………………………………………………………..

Branch :……….................. ……………………………………………………………………

REGULATION R07 R05 RR NR OR
Sex: Male Female

Details of Fee Paid :
DD/ Challan No. Date Amount(Rs.) Name of the Bank & Place

Subjects for which Candidate is registered (Including Practical’s ):
Total No. of Subjects
Sl . No Subject Code & Name (As given in the Syllabus)
Code THEORY Name
1.
2.
3.
4.
5.
6.
PRACTICALS
1.
2.

Station: Signature of the Candidate
Date :

Centre 1. PRACTICALS 1 2.T.Original JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA Hall Ticket for II. Pharmacy . 3. Hall Ticket . 4. 5. Pharmacy . 3. Tech/B. Father’s Name …………………………………………………… Please affix your photograph duly 3. 2.I. Pg-2 . 5. Tech/B. 6. Name of the Candidate ……………………………………………. 2. PRACTICALS 1 2.I.Duplicate JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA Hall Ticket for II. Father’s Name …………………………………………………… Please affix your photograph duly 3. II Semester End Examination H.III & IV B. Centre 1. Candidate’s Signature Principal Controller of Examinations.T . 6. 2. 4. Regular/Supplementary…………………………………………… attested by the Principal Details of Subjects Registered Subject Names (As given in the Syllabus) Theory 1.III & IV B. Candidate’s Signature Principal Controller of Examinations ------------------------------------------------------------------------------------------------------------------------------------------------- Hall Ticket . II Semester End Examination H. No.No. Name of the Candidate ……………………………………………. 2. Regular/Supplementary…………………………………………… attested by the Principal Details of Subjects Registered : Subject Names (As given in the Syllabus) Theory 1.

310/- For three subjects : Rs. Pharmacy during the Year… …………………His/ Her character is found to be good and the facts mentioned by him/her in the application have been verified and found to be correct. payable at KAKINADA should be enclosed to the application. Instructions: • Candidates are instructed to be very careful about the entries to be made. Pg-3 .D. Candidate will be held responsible for any incorrect entry that he/she makes. He/ She has registered for all the subjects mentioned above for the current semester. • Any false or incorrect statement in the application will render the candidate liable to disciplinary action. • The University reserves the right to cancel the admission of the candidate at any stage when it is detected that his/her admission to the examination or the college is against rules. • The application should be submitted through the Principal/Head of respective college/unit. JNT University. 410/- For four and above : Rs. All entries should be in candidate’s own handwriting. Tech /B. Certificate This is to certify that ……………………………………is /was a student of this college studying B. in favour of the Registrar. 610/- (Including Fee for Memorandum of Marks) Note: No Application is accepted unless the candidate pays the prescribed fees along with the fees for marks memorandum within the stipulated time. • A D. Principal’s remarks if any: Date: Signature of the principal with seal Prescribed Fees For whole examination : Rs. 210/- For two subjects : Rs. 610/- For each Theory/practical subject : Rs. drawn on any Nationalized bank for the examination fees including fees for memorandum of marks.

notebooks or loose sheets of paper. Candidates are not allowed to use any book or books nor are they allowed to keep with them a book or part thereof. he will at once be expelled from the examination hall. they are liable for expulsion. Candidates are requested to bring along with them everyday their hall tickets. Otherwise they are liable to be sent out of the examination hall. If they do so. All candidates should be present in the Examination Hall 15 minutes before the time of commencement of Examinations. These will be supplied to the candidates by the chief superintendent upon request when answering papers in mathematics and science subjects. Candidates are also prohibited from bringing their own mathematical tables into the examination hall. He will not be allowed to sit for the remaining papers and he will be liable to be rusticated. copy or communication with a person outside the examination hall. Candidates are permitted to bring Electronic Calculators into the examination hall. They should bring with them the Identity card issued by the college and should be presented for inspection whenever demanded. Mathematical instruments will however be allowed to be brought in. No student will be allowed after the time at which the Examination commences.Note : Read instruction carefully Instructions to the candidates The University reserves the right to cancel the admission of the candidate at any stage when it is detected that his/her admission to the college is against rules. or paper of any kind. Candidates are prohibited from bringing to the examination hall any books. Pg-4 . They are also prohibited from talking to each other. If a candidate is found violating these rules and/or committing any other malpractice and/or behaving in an undisciplined manner or causing nuisance or disturbance to the other candidates.

of Subjects Sl .. JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA CC KAKINADA:533 003 Application Form for Registration for I B.T.. …………………………………………………………………… REGULATION R07 R05 RR NR OR Sex: Male Female Details of Fee Paid : DD/ Challan No...... 2. Date Amount(Rs. PRACTICALS 1.. Name of the Candidate:………………………………………………………………………… (In BLOCK Letters) Father’s/Guardian’s Name…………………………………………………………………….. 7. Branch :………. 8. 5. Tech /B.) Name of the Bank & Place Subjects for which Candidate is registered (Including Practical’s ): Total No. Pharmacy... No Subject Name (As given in the Syllabus) Code THEORY Name 1. No. Station: Signature of the Candidate Date : ... 4. 3.. 2... 6. – Examination (Read instructions carefully before filling the application) Examination Center of Examination Regular Examination Supplementary Examination Month & Year of Examination H...

3. Father’s Name …………………………………………………… attested by the 6. Tech. Centre 4. Pg-2 . 4 8. PRACTICALS 1 2. PRACTICALS 1 2. 2. 7. Name of the Candidate ……………………………………………. 6.End Examination H. Name of the Candidate ……………………………………………./B. Father’s Name …………………………………………………… photograph duly attested by the 6. Hall Ticket . Regular/Supplementary…………………………………………… Principal Details of Subjects Registered : Subject Names (As given in the Syllabus) Theory 1. Pharmacy – End Examination H. 5 2. 8. 6. 3. Pharmacy . 4.T. Candidate’s Signature Principal Controller of Examinations --------------------------------------------------------------------------------------------------------------------------------------------- Hall Ticket . Tech.Original JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA Hall Ticket for I B. 5. Please affix your 5. Please affix your photograph duly 5. Candidate’s Signature Principal Controller of Examinations. Centre 4. 7.Duplicate JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA Hall Ticket for I B. Regular/Supplementary…………………………………………… Principal Details of Subjects Registered Subject Names (As given in the Syllabus) Theory 1.No./B. No.T .

Candidate will be held responsible for any incorrect entry that he/she makes.D. • The University reserves the right to cancel the admission of the candidate at any stage when it is detected that his/her admission to the examination or the college is against rules. JNT University. 810/- ( Including Fee for Memorandum of Marks) Note: No Application is accepted unless the candidate pays the prescribed fees along with the fees for marks memorandum within the stipulated time. 410/- for four subjects : Rs. • A D. 210/- For two subjects : Rs . Instructions: • Candidates are instructed to be very careful about the entries to be made.310/- For three subjects : Rs. 810/- For each Theory/practical subject : Rs. payable at KAKINADA should be enclosed to the application. Tech /B. • The application should be submitted through the Principal/Head of respective college/unit. He /She has registered for all the subjects mentioned above for the current semester. • Any false or incorrect statement in the application will render the candidate liable to disciplinary action. 510/- For five and above : Rs. Certificate This is to certify that ……………………………………is /was a student of this college studying B. drawn on any Nationalized bank for the examination fees including fees for memorandum of marks. Pharmacy during the Year… …………………His/ Her character is found to be good and the facts mentioned by him/her in the application have been verified and found to be correct. Pg-3 . Principal’s remarks if any: Date: Signature of the principal with seal Prescribed Fees For whole examination : Rs. All entries should be in candidate’s own handwriting. in favour of the Registrar.

he will at once be expelled from the examination hall. Candidates are not allowed to use any book or books nor are they allowed to keep with them a book or part thereof. They are also prohibited from talking to each other. copy or communication with a person outside the examination hall. Candidates are prohibited from bringing to the examination hall any books. These will be supplied to the candidates by the chief superintendent upon request when answering papers in mathematics and science subjects. No student will be allowed after the time at which the Examination commences. Candidates are also prohibited from bringing their own mathematical tables into the examination hall. Pg-4 . Otherwise they are liable to be sent out of the examination hall.Note : Read instruction carefully Instructions to the candidates The University reserves the right to cancel the admission of the candidate at any stage when it is detected that his/her admission to the college is against rules. Candidates are requested to bring along with them everyday their hall tickets. or paper of any kind. They should bring with them the Identity card issued by the college and should be presented for inspection whenever demanded. they are liable for expulsion. notebooks or loose sheets of paper. If they do so. All candidates should be present in the Examination Hall 15 minutes before the time of commencement of Examinations. If a candidate is found violating these rules and/or committing any other malpractice and/or behaving in an undisciplined manner or causing nuisance or disturbance to the other candidates. Candidates are permitted to bring Electronic Calculators into the examination hall. He will not be allowed to sit for the remaining papers and he will be liable to be rusticated. Mathematical instruments will however be allowed to be brought in.