Od (Original Degree) Application Form New For 2011 & 2012 Passouts
Od (Original Degree) Application Form New For 2011 & 2012 Passouts
Od (Original Degree) Application Form New For 2011 & 2012 Passouts
College Code
JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY : KAKINADA KAKINADA 533 003 A.P.(India) APPLICATION FOR AWARD OF DEGREE (To be sent to the Controller of Examinations, JNTUK, Kakinada 533 003.
D.D. No:
Bank:
In Convocation (in Absentia)
Dt.:
Amount Rs.:
Pre Convocation
Post- Convocation
Name in Block
Letters(As Per SSC)
Email-id:
Pin Code:
Degree to be Awarded
Place : Date :
Degree
Branch
3. Another Passport size Photograph with HT Number written on the back side.
The Candidate has fulfilled all the academic requirements for the award of Degree in . The Candidate has secured
Class : Date :
CONTROLLER OF EXAMIANTIONS
1. The award of Degree to the applicant was endorsed by the Academic Senate at it meeting held on 2. The Executive Council approved the award of Degree to the applicant at it meeting held on 3. Degree bearing number Convocation held on 4. Demand drafts entered in the D.D. Register at Page No. 5. The Degree certificate may be issued. on was awarded to the applicant at the
Date :
REGISTRAR
is Dispatched on
FOR OFFICE 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 legibly.
HTNO
:
:
:
:
:
Affix one more Photograph here & Write the Hallticket No on the backside of Photograph
NAME
FATHERS NAME
EMAIL ID
CONTACT NO
ALT- CONTACTNO :
ADDRESS
PINCODE
-------------------------------------------------------------------------------------------------------------------------------------------------------
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 legibly.
HTNO
: :
:
: :
Affix one more Photograph here & Write the Hallticket No on the backside of Photograph
NAME
FATHERS NAME
EMAIL ID CONTACT NO
ALT- CONTACTNO :
ADDRESS
PINCODE
2. 3
Xerox copies of SSC, Provisional certificate. 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.
Enclose one passport size photograph in a separate cover and pin the cover to the application. The H.T No should be invariably written on the backside of the photographs.
5. 6. 7.
The Student Name and Fathers Name in the Provisional certificate must be written as per SSC. If there is mistake in the PC/CMM correct immediately and enclose the corrected copies. In case the filled application will by send by post. Please write OD-APPLICATION on the top of the cover. If they fail to fulfill any of the requirements stipulated above the OD Application will not processed.
8.