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7/28/2019 Jn Tuko d Application
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Hall Tick et No: College Code 0 4 8 1 1 A 0 4 6 0 8 1
JAWAHAR LAL NEHRU TECHNOLOGICAL UNIVERSITY : KAKINADA
KAKINADA – 533 003 A.P.(India)
APPLICATION FOR AWARD OF DEGR EE
(To be sent to the Controller of Examinations, JNTUK, K ak inada – 533 003.
D.D. No: Dt.:
Bank: Amount R s.:
In Convocation (in A bsentia)
Pre – Convocation (Tick [√] the a ppr opr iate box
Post- Convocation
Affix a r ecent
Passport Size
Photograph
Name in Block Letter s(As Per SSC)
P E N M E T S A S R I N I V A S
V A R M A
Father ’s name inBlock Letter s
P S A T Y A N A R A Y A N A R A
J U
Address f or
Communication (Do not
repeat your name)
QTR. NO : 335/D , SECTOR – 6,UKKUNAGRAM ,STEEL PLANT ,
VISAKHAPATNAM
Contact No: 9676462929 Pin Code: 5 3 0 0 3 2
Degree to be Awar dedDegr ee
B. TECH
Br anch ELECTRONICS & COMMUNICATIONENGNEERING
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(To be filled in by the Office of the Controller of Examinations, JNTUK, K ak inada)
The Candidate has f ulf illed all the academic r equir ements f or the awar d of
Degr ee in . The Candidate has secur ed
Class :
Date : CONTROLLER OF EXAMIA NTIONS
(To be filled in by the Office of the Registrar, JNTUK, K ak inada)
1. The awar d of Degr ee to the a pplicant was endor sed by the Academic Senate at it meeting held
on
2. The Executive Council a ppr oved the awar d of Degr ee to the a pplicant at it meeting held
on
3. Degree bearing number was awarded to the applicant at the
Convocation held on
4. Demand dr af ts enter ed in the D.D. R egister at Page No. on
5.The Degree certificate may be i
ssued.
Date : R EGISTRAR
The Degree Cer tif icate bearing No. is Dispatched on .
Dispatching Cler k , JNTUK, K ak inada.
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FOR POSTAL USE ONLY:
LABELS FOR PERMANENT ADDRESS (Write in CAPITAL LETTERS ONLY)
Note: As your Degree will be sent by post, write your full address neatly and legi bly.
-------------------------------------------------------------------------------------------------------------------------------------------------------
FOR POSTAL USE ONLY:
LABELS FOR PERMANENT ADDRESS (Write in CAPITAL LETTERS ONLY)
Note: As your Degree will be sent by post, write your full address neatly and legi bly.
HTNO : 04811A0460
NAME : PENMETSA SRINIVAS VARMA
FATHER’S NAME : P SATYANARAYANA RAJU
EMAIL ID : [email protected]
CONTACT NO : 9676462929
ALT- CONTACTNO : 9959000348
ADDRESS : QTR.NO : 335 / D, SECTOR-6,
UKKUNAGARAM,
STEEL PLANT , VSP
PINCODE : 530032
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HTNO :
NAME :
FATHER’S NAME :
EMAIL ID :
CONTACT NO :
ALT- CONTACTNO :
ADDRESS :
PINCODE :
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List of copies to be enclosed to the application for processing OD
1. DD in favour of the Registrar, JNTUK, K ak inada payable at K ak inada.
( Name and H.T. Number shall be written on the back side of Demand draft)
Fees inclusive of Postage :
a) In Convocation (In Absentia) : Rs 1500/- b) Pr e-Convocation : Rs. 3,500/ -
c) Post Convocation : Rs. 1500/ - + ( Late fee of Rs. 500/ - per every year ).
2. Xerox copies of SSC, Provisional certificate.
3 a) Xerox copy of CMM(for B.Tech/B.Pharmacy courses).
b) Xerox copies of two semesters marks memo for M.Tech/M.Pharmacy course.
c) Xerox copies of five semesters marks memo for MCA course.
d) Xerox copies of three semesters marks memo for MBA course.
4 Enclose two passport size photographs in a separate cover and pin the cover to theapplication. The H.T No should be invariably written on the backside of the photographs.
5. The Student Name and Fathers Name in the Provisional certificate must be written as per SSC.
6. If there is mistake in the PC/CMM correct immediately and enclose the corrected copies.
7. In case the filled application will by send by post. Please write “OD-APPLICATION “ on thetop of the cover.
8. If they fail to fulfill any of the requirements stipulated above the OD Application will not processed.
Place :
Date : SIGNATURE OF THE CA NDIDATE