JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY GURAJADA VIZIANAGARAM

APPLICATION FOR PROVISIONAL CERTIFICATE (R20)

College
[Link]. Code

NAME OF THE CANDIDATE

*(IN BLOCK LETTERS AS PER S.S.C.)

FATHER’S NAME
(IN BLOCK LETTERS)
UG / P.G.
PROGRAMME AND BRANCH
Branch
MONTH & YEAR OF PASSING EXAM
(To be filled by the candidate, who
Completed the Course)

PERMANENT ADDRESS

Aadhaar Card Number

PHONE NUMBER + 9 1

E-MAIL ID

FEE PARTICULARS: (200/-) (3000/-)

Online Payment Reference No. (DU Number): Date:
NOTE:
1. The fee shall be paid toAccount Name: EXAMINATION ACCOUNT THE REGISTRAR
JNTUGV VIZIANAGARAM. Account Number:[Link] Code: SBIN0063645 Bank;
STATE BANK OF [Link]: JNTU GURAJADA VIZIANAGARAM apply for certificates.
The receipt of the payment shall be submitted along with the application Through Principal.
2. For tatkal provisional certificate is 3,000/- shall be paid at above bank details. apply for certificates.
the receipt of the payment shall be submitted along with the application.
3. Photocopy of SSC certificate should be enclosed.
4. The filled in application along with online payment receipt shall be sent to the director of evaluation,
JNTU GURAJADA Vizianagaram – 535 003.
5. Corrections in the individual marks memos will not be entertained after issuing pc&cmm.
Undertaking:
I verified and agree with the grades in all the grade sheets and will not claim for any further
changes/ modifications in future.
Date: SIGNATURE OF THECANDIDATE

For College Office Use

Certificate of Identification

I certify that Mr. / Mrs. / Miss.

S/o/ D/o is a Bonafied Student of this College
College Code:
during to with [Link]. and he/she secured eligible

credits out of 160/120credits and obtained CGPA. He/She is eligible to obtain Provisional Certificate as
per the regulation under which he/she is admitted.

Date: Signature of thePrincipal

(With Office Seal)
 JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY GURAJADA VIZIANAGARAM
CONSOLIDATED MARKS MEMO / CREDIT SHEET (R20)
Name: Year of Admission: College:

Branch: Month & Year of Final Exam: College Code:

I YEAR I SEMESTER I YEAR II SEMESTER
[Link] Course G GP S C [Link] Course G GP S C
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Total Total
II YEAR I SEMESTER II YEAR II SEMESTER
[Link] Course G GP S C [Link] Course G GP S C
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Total Total
III YEAR I SEMESTER III YEAR II SEMESTER
[Link] Course G GP S C [Link] Course G GP S C
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Total Total
IV YEAR I SEMESTER IV YEAR II SEMESTER
[Link] Course G GP S C [Link] Course G GP S C
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Total Total
Number of Credits Registered: Number of Credits Obtained: CGPA secured:

Signature of the Candidate PRINCIPAL

With Office Seal