Issue of Certificates
Issue of Certificates
P)
APPLICATION FOR ISSUE OF DUPLICATE CERTIFICATES
1. Name of the Applicant (in block letters)
:
3. Fathers Name
:
4. Mothers Name
:
6. The month & Year of the examination and hall ticket number
:
with which the applicant appeared for the examination.
7. Reasons under which the applicant for the issue of duplicate
:
certificate is made
8. Whether the damaged Original pass certificate is available
:
and enclosed
9. If lost:
(a)Whether police enquiry certificate is enclosed to the effect
that the certificate/marks memo is lost beyond recovery.
:
(b) Whether an affidavit regarding the loss of the original
certificate/marks memo beyond recovery by 1st class
Magistrate/Notary is attached.
10. Whether the online receipt/challan for appropriate
amount towards fee for obtaining a duplicate
certificate/marks memo is enclosed. :
(Name of the Bank, online receipt/challan number, Date &
Amount to be mentioned)
Declarations
1) I _____________________ do hereby declare that my original marks memo/Provisional Certificate /
Migration Certificate/Original Degree Certificate/Consolidated Marks Memo bearing Registration
Number/Hall ticket number __________________________of B.Tech/B.Pharm/M.Tech/M.Pharm/
MCA/MBA/M.Sc./Pharm D/Pharm D (PB) _________________(month) _____________ (Year) is neither
suspended nor cancelled by the competent authority.
2) I solemnly declare that the particulars furnished above are true to the best of my knowledge and belief.
Note: The furnishing of inaccurate or false particulars will entail, besides withholding of the duplicate
memos/certificate, such disciplinary action as may be called for or deemed fit by the Registrar, JNTUA,
Ananthapuramu.
Identification Certificate
I certify that the above particulars furnished by the candidate have been verified and found correct with
reference to the records of the college and the applicant Mr/Ms______________________is the same person to
whom the original certificate /marks memo was issued and that the issue of the duplicate to the candidate is
recommended.
Station:
Date:
Following is the procedure to obtain duplicate certificate from JNTUA, Anantapur A.P.
1. Original Police Enquiry certificate to the effect that the certificate/ Marks Memo is lost beyond
recovery and the enquiries have been made to trace the original certificate but in vain.
2. An affidavit on non-judicial stamp paper/special adhesive stamp worth of Rs. 100/- by 1st class
Magistrate/ Notary (as per proforma)
3. Online receipt/challan for Rs.200/- for duplicate marks memo, Rs. 500/- for provisional certificate,
Migration & CMM certificate & Rs. 3000/- for Original Degree.
Note:
If the spoiled certificate is available or in case any pieces of it are available they may be sent to this
office along with the application. In case the damaged original certificate is enclosed, police enquiry
certificate and affidavit are not required.
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