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 Passport size Photograph. In Convocation (in Absentia) 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) Degree to be awarded Pin Code: Degree Branch Name of the college where last studied* Month & Year of Passing Month: Year: Place: Date: SIGNATURE OF THE CANDIDATE ------------------------------------------------------------------------------------------------------------------------- Staple one more Photograph here 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: HTNo: S/o (or) D/o House/Door No.: Street: Place: Dist.: Phone number: PIN: Name: HTNo: S/o (or) D/o House/Door No.: Street: Place: Dist.: Phone number: PIN: 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: 2. 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 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 Degree Certificate bearing No. _ ______________________is dispatched on__________________________ Dispatching clerk, JNTUA, Ananthapuramu.