H.T.No. COLLEGE CODE
APPLICATION FOR PROVISIONAL CERTIFICATE
JAWAHARLAL NEHRU ARCHITECTURE & FINE ARTS UNIVERSITY
Mahaveer Marg, Hyderabad-500 028, A.P.
NAME OF THE CANDIDATE
(IN BLOCK LETTERS AS PER S.S.C.)
FATHER’S NAME
(IN BLOCK LETTERS)
COURSE AND BRANCH
MONTH & YEAR OF PASSING EXAM
(To be filled by the candidates who have completed
the Course)
PERMANENT ADDRESS
NOTE: Please enclose the following:
1. Demand Draft for Rs.500/- drawn in favour of the REGISTRAR, JNAFAU,
HYDERABAD. (Payable at Hyderabad)
2. Xerox Copy of SSC Certificate and all Semester/Year Marks Memos.
FEE PARTICULARS: (Rs.500/-)
Bank: ______________________ D.D.No. ____________________ Date: ______________
Date:_______________ SIGNATURE OF THE CANDIDATE
Degree/Diploma
Branch
Pin code
Phone No. 1) 2)
Certificate of Identification
(To be signed by any member of the Teaching Staff of the College)
I certify that Mr. / Mrs. / Miss__________________________________________________
Son/ Daughter of _________________________________________________is a Bonafide
Student of (College Name______________________________________________________
College Code: _____ with H.T.No.___________________, and has passed the
______________________________examination.
Signature
Date:____________ Designation and stamp
___________________________________________________________________________
Please Note:
The Candidate will be held personally responsible for any incorrect entry made. He/She
should be very careful about the entries to be made in the application for the Provisional,
including spelling of name etc.
Verified the particulars furnished by the candidate and found correct.
Issued PC No.:
On date:
Verified by Controller of Exams