Registration Fee Rs. 500/- Regd. No.

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY HYDERABAD

KUKATPALLY, HYDERABAD 500 085 , A.P.,
P.G. DIPLOMA PROGRAMMES IN CONTINUING CONTACT (CC) MODE !
CORRESPONDENCE"CUM"CONTACT (CCC) MODE" #0$%
APPLICATION FORM FOR ADMISSION TO P.G. DIPLOMA PROGRAMMES CC / CCC!
NAME O& THE COURSE' P.G. Di"#o$a in %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% !
COURSE NO. '
Registration& Fee Rs. 500/- $'st (e "aid t)ro'g) *rossed De$and Dra+t in +a,o'r o+ (THE REGISTRAR, JNTUH,
HYDERABAD) "a-a(#e at .-dera(ad on an- nationa#i/ed (an0.

D.D. N*. D+,- N+.- */ ,0- B+12 A.*31,
R4.
1. Na$e in (#o*0 #etters! & %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
2. Fat)er3s / .'s(and3s Na$e & %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
4. Per$anent Address & %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
5.Address +or Corres"onden*e & %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
E$ai# ID& %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Mo(i#e/P)one No.%%%%%%%%%%%%%%%%%%%%%%%%%%


5. State t)e #o*a# area to 6)i*) -o' (e#ong L*5+6 ! N*1 " L*5+6
7. Reser,ation & I+ -o' are *#ai$ing reser,ation 'nder an- *ategor-8 6rite 9es in t)e re#e,ant (#o*0.
SC ST BC"A BC"B BC"C BC"D BC"E D74+86-9(PH)
I+ -es8 en*#ose attested *o"- o+ *erti+i*ate in s'""ort.
: In t)e Contin'ing Conta*t CC! $ode t)e st'dents are *a##ed to attend da- ti$e reg'#ar *#asses in t)ree s"e##s ea*) o+ 15 6or0ing
da-s d'ration in a -ear.
:: In t)e Corres"onden*e C'$ Conta*t CCC! $ode t)e st'dents are *a##ed to attend *onta*t *#asses +or 15 6or0ing da-s in a -ear
a"art +ro$ re*ei,ing o+ St'd- and Learning Materia#s SLMs!.

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A*ade$i* 9ear& 2015-15
Last Date +or re*ei"t o+
A""#i*ation& 0;-05-2015
A++i< re*ent "ass"ort
si/e
P)otogra") d'#-
attested
=- t)e Ga/etted
O++i*er
>it) O++i*e Sea#
Date Mont) 9ear
?.Date o+ =irt)
;. Nationa#it- @ Re#igion &
A. Parti*'#ars o+ B'a#i+-ing E<a$ination &
Na$e o+ t)e C'a#i+-ing
E<a$ination
Na$e o+ t)e Dni,ersit- or
=oard
Mont) @ 9ear o+ Passing Tota# Mar0s O(tained at t)e
B'a#i+-ing e<a$ination
En*#ose *o"- o+ Pro,isiona# Certi+i*ate o+ B'a#i+-ing e<a$ination!
10. Detai#s o+ Re*ent E$"#o-$ent&
Na$e o+ t)e E$"#o-er D'ration Designation o+ t)e
Candidate
P#a*e o+ >or0 @
O++i*ia# Address
S*a#e o+ Pa- and
Sa#ar- Fro$ To
Tr'e *o"ies o+ ser,i*e *erti+i*ate are to (e en*#osed!
Note& T)e *andidate s)a## "rod'*e *erti+i*ate o+ e$"#o-$ent +ro$ )is/)er e$"#o-er in t)e "res*ri(ed +or$ and ENo O(Fe*tion
Certi+i*ateG +ro$ t)e "resent e$"#o-er.
DECLARATION BY THE APPLICANT
I de*#are t)at a## t)e +oregoing state$ents $ade in t)is a""#i*ation are tr'e. I a**e"t t)at an- state$ent $ade in t)is a""#i*ation8
i+ +o'nd in*orre*t on s*r'tin-8 6i## render t)e a""#i*ation #ia(#e +or reFe*tion and ad$ission8 i+ granted on t)e (asis o+ s'*) in*orre*t
in+or$ation8 6i## stand *an*e##ed.
EI de*#are t)at I )a,e not Foined and 6i## not Foin an- *o'rse o+ st'd- o+ an- Dni,ersit-/Instit'te d'ring t)e "eriod o+ $- st'd-
in t)is Dni,ersit- and 6i## a(ide (- t)e r'#es and reg'#ations o+ t)is Dni,ersit-.G

Date& Signat're o+ t)e Candidate
P#a*e &
Note &
1. In*o$"#ete a""#i*ations 6i## (e s'$$ari#- reFe*ted. No *orres"onden*e in t)is regard 6i## (e entertained.
2. Fees on*e "aid 6i## not (e re+'nded 'nder an- *ir*'$stan*es.
4. Dni,ersit- 6i## not (e res"onsi(#e +or an- "osta# de#a-/#oss in transit.
5. E<a$ination Centre on*e a##otted *annot (e *)anged 'nder an- *ir*'$stan*es.
NO OBJECTION CERTI&ICATE &ROM THE EMPLOYER
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(T* 8- 47:1-9 8; ,0- H-+9 */ ,0- O//75-!O<:+17=+,7*1)
T)is is to *erti+- t)at Sri / S$t. / H'$IIIIIIIII...IIIIIIIIIIIIIIIIIIIIIIII.II
S/o./D/o./>/oIIIIIIIIIIIIIIIIIIIIIIIIIII.............is a *andidate a""#-ing +or ad$ission
into P.G. Di"#o$a CC : / CCC ::! Progra$$e o+ JNTD. is *'rrent#- as F'##-Ti$e e$"#o-ee o+ o'r Organi/ation. T)e detai#s o+
)is/)er e$"#o-$ent are gi,en (e#o6&
1! Na$e and Address o+ t)e Organi/ation &
2! Stat's o+ t)e Organi/ation & Go,t. De"art$ent/P'(#i* Se*tor
Dnderta0ing/:::Re*ogni/ed Pri,ate Se*tor Enter"rises.
4! Date o+ Foining t)e Organi/ation &
5! a! Present "osition and date o+ A""oint$ent &
(! S*a#e o+ "a- and tota# $ont)#- Sa#ar- &
5! Tota# ser,i*e in t)is Organi/ation &IIII. 9earIIII..IMont)s
7! T)is o++i*e/Organi/ation )as NO O=JECTION to t)e a(o,e *andidate a""earing +or t)e Entran*e and Foining t)e P.G.
Di"#o$a Progra$$e o+ JNTD. S*)oo# o+ Contin'ing @ Distan*e Ed'*ation8 .-dera(ad8 i+ se#e*ted.
Signat're o+ .ead o+ t)e Organi/ation

Date& Na$e&
P#a*e& Designation&
: In t)e Contin'ing Conta*t CC! $ode t)e st'dents are *a##ed to attend da- ti$e reg'#ar *#asses in t)ree s"e##s ea*) o+ 15
6or0ing da-s d'ration in a -ear.
:: In t)e Corres"onden*e C'$ Conta*t CCC! $ode t)e st'dents are *a##ed to attend *onta*t *#asses +or 15 6or0ing da-s in a -ear
a"art +ro$ re*ei,ing o+ St'd- and Learning Materia#s SLMs!.
::: Pri,ate Se*tor Organi/ation s)a## +'rnis) do*'$entar- e,iden*e o+ e<isten*e s'*) as APGST/CST.
Page 4 o+ ;
ORIGINAL
HALL TICKET
JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY HYDERABAD, A.P.
ENTRANCE TEST &OR ADMISSION TO P.G. DIPLOMA PROGRAMMES (CC ! CCC) #0$%
To (e +i##ed in (- t)e *andidate in )is/)er o6n )and6riting and to (e s'($itted a#ong 6it) t)e a""#i*ation.
Na$e o+ t)e Co'rse&
Co'rse No.&
.a## Ti*0et No. Centre o+ E<a$ination& JNTUH C*66-:- */ E1::., K32+,>+66;, H;9"85
DATE O& E?AMINATION' TIME'
to (e +i##ed in (- t)e Candidate!
Na$e o+ t)e Candidate %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Fat)erKs /.'s(andKs Na$e %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Identi+i*ation Mar0s & 1! %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
2! %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
DIRECTOR8 ADMISSIONS
Signat're o+ t)e Candidate JNT DNILERSIT9 .9DERA=AD.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
DUPLICATE
HALL TICKET
JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY HYDERABAD, A.P.
ENTRANCE TEST &OR ADMISSION TO P.G. DIPLOMA PROGRAMMES (CC ! CCC) #0$%
To (e +i##ed in (- t)e *andidate in )is/)er o6n )and6riting and to (e s'($itted a#ong 6it) t)e a""#i*ation.
Na$e o+ t)e *o'rse&
Co'rse No.&
.a## Ti*0et No. Centre o+ E<a$ination& JNTUH C*66-:- */ E1::., K32+,>+66;, H;9"85

DATE O& E?AMINATION' TIME'
to (e +i##ed in (- t)e Candidate!
Na$e o+ t)e Candidate %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Fat)erKs /.'s(andKs Na$e %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Identi+i*ation Mar0s & 1! %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
2! %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
DIRECTOR8 ADMISSIONS
Signat're o+ t)e Candidate JNT DNILERSIT9 .9DERA=AD.
Page 5 o+ ;
A++i< re*ent "ass"ort si/e
P)otogra") d'#- attested
(-
t)e e$"#o-er 6it)
signat're and o++i*e sea#
a*ross t)e ")oto
o++i*ia# sea#
A++i< re*ent "ass"ort si/e
P)otogra") d'#- attested
(-
t)e e$"#o-er 6it)
signat're and o++i*e sea#
a*ross t)e ")oto
INSTRUCTIONS TO BE WITH ORIGINAL HALL TICKET
1. Candidates 6i## not (e ad$itted a+ter t)e *o$$en*e$ent o+ e<a$ination and not a##o6ed to #ea,e t)e )a## 'nti# t)e end o+
t)e e<a$ination.
2. T)e .a## Ti*0et s)a## (e "rod'*ed at t)e ti$e o+ e<a$ination8 +ai#ing 6)i*) t)e *andidate 6i## not (e a##o6ed to a""ear
+or t)e e<a$ination.
@. D+<2-1 ,0- +>><*><7+,- 57<56-4 */ $, #, @ *< % 71 ,0- OMR 40--, 5*<<-4>*1971: ,* 5*<<-5, +14A-< ,* ,0- 5*15-<1-9
B3-4,7*1 13.8-< 71 ,0- 40--,. USE HB >-1576 *16; ,* 9+<2-1 ,0- 57<56-4.
5. T.E .ALL TICHET S.ALL =E PRESERLED TILL T.E TIME OF ADMISSION - 6it)o't 6)i*) t)e *andidate is
not e#igi(#e +or ad$ission.
5. No tra,e##ing e<"enses 6i## (e "aid +or Fo'rne- 'nderta0en +or a""earing +or t)e Entran*e E<a$ination.
7. Ado"tion o+ an- 0ind o+ 'n+air $eans at t)e ti$e o+ e<a$ination or ta0ing "art in an- a*t o+ i$"ersonation 6i## render
t)e a""#i*ant #ia(#e +or *an*e##ation o+ )is/)er s*ri"t and +or+eit're o+ )is/)er *#ai$ +or a""earing +or t)e e<a$ination.
De*ision o+ t)e C)ie+ S'"erintendent o+ t)e E<a$ination Centre s)a## (e +ina# in a## t)ese $atters.
?. Iss'e o+ .a## Ti*0et and a""earan*e at t)e Entran*e E<a$ination does not a'to$ati*a##- entit#e a *andidate +or
ad$ission.
;. Mat)e$ati*a# Ta(#es8 Ca#*'#ators8 Pagers8 Mo(i#e P)ones et*.8 6i## not (e a##o6ed into t)e E<a$ination .a##.
Page 5 o+ ;
ADDRESS SLIP&
Na$e &
F'## Address &
Mo(i#e No.&
JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY HYDERABAD
KUKATPALLY, HYDERABAD"500 085.
ADMISSION TO P.G. DIPLOMA PROGRAMMES (CC ! CCC ) " #0$%
IN&ORMATION TO THE CANDIDATES
C*3<4-
N*.
M*9- */
O//-<71:
N+.- */ ,0- C*3<4- C*66-:- I1,+2- E67:78767,;
1
Contin'ing
Conta*t CC! :
$ode
P.G. Di"#o$a in Ind'stria#
Sa+et-
SCDE 40
a! A re*ogni/ed Degree in an- (ran*) o+
Engineering or Te*)no#og-
OR
(! A re*ogni/ed Di"#o$a in an- (ran*) o+
engineering or te*)no#og- and re#e,ant
"ra*ti*a# e<"erien*e in a s'"er,isor- *a"a*it-
+or a "eriod o+ not #ess t)an t6o -ears
OR
*! A re*ogni/ed Degree in s*ien*e 6it) P)-si*s or
C)e$istr- and re#e,ant "ra*ti*a# e<"erien*e in
a s'"er,isor- *a"a*it- +or a "eriod o+ not #ess
t)an one -ear.
2
Corres"onden*e
C'$ Conta*t
CCC! :: $ode
P.G. Di"#o$a in S'""#-
C)ain Manage$ent
SCDE 100
a! T)e *andidates s)o'#d )a,e "assed an-
=a*)e#orKs degree +ro$ a re*ogni/ed
Dni,ersit-
Page 7 o+ ;
ADDRESS SLIP&
Na$e &
F'## Address &
Mo(i#e No.&
4
Corres"onden*e
C'$ Conta*t
CCC! :: $ode
P.G. Di"#o$a in
P)ar$a*e'ti*a# C'a#it-
Ass'ran*e @ Reg'#ator-
A++airs
SCDE 100
a! =. P)ar$a*- / =. S* 6it) C)e$istr- or =io-
Te*)no#og- or =io-C)e$istr-.
OR
(! Post Grad'ates 6it) t)e a(o,e dis*i"#ines are
a#so e#igi(#e
C*66-:-'
SCDE& S*)oo# o+ Contin'ing and Distan*e Ed'*ation8 JNTD.8 H'0at"a##-8 .-dera(ad-;5
I. ADMISSIONS '
1! Ad$ission to a## P.G. Di"#o$a "rogra$$es CC : / CCC ::! 6i## (e $ade on t)e (asis o+ "er+or$an*e in t)e entran*e
test *ond'*ted (- t)e JNT Dni,ersit- .-dera(ad. T)e test 6i## (e o+ one )o'r d'ration *onsisting o+ 70 O(Fe*ti,e t-"e
B'estions. Candidates se*'ring eB'a# $ar0s in t)e Entran*e Test 6i## (e (ra*0eted +or t)e "'r"ose o+ a6ard o+ ran0ing
and at t)e ti$e o+ ad$ission8 age 6i## (e ta0en into *onsideration8 o#der *andidates (eing gi,en "riorit-.
2! T)e *andidate s)o'#d )a,e "assed in B'a#i+-ing e<a$ination (- t)e ti$e o+ #ast date o+ s'($ission o+ a""#i*ations.
4! T)e *andidate s)o'#d (e 6or0ing in t)e State o+ And)ra Prades) at t)e ti$e o+ a""#i*ation and ad$ission.
III. &EE'
T37,7*1 &--' 408000/- "er -ear +or Contin'ing Conta*t CC! : $ode
T37,7*1 &--' 158000/- "er -ear +or Corres"onden*e C'$ Conta*t (CCC! :: $ode

R-:74,<+,7*1 +19 T37,7*1 &-- >+79 A766 1*, 8- <-/319-9 319-< +1; 57<53.4,+15-4.
: In t)e Contin'ing Conta*t CC! $ode t)e st'dents are *a##ed to attend da- ti$e reg'#ar *#asses in t)ree s"e##s ea*) o+ 15
6or0ing da-s d'ration in a -ear.
:: In t)e Corres"onden*e C'$ Conta*t CCC! $ode t)e st'dents are *a##ed to attend *onta*t *#asses +or 15 6or0ing da-s in a -ear
a"art +ro$ re*ei,ing o+ St'd- and Learning Materia#s SLMs!.
IV. SCHOLARSHIP!STIPEND'
N* 450*6+<407> ! S,7>-19 A766 8- *//-<-9 ,* ,0- 5+1979+,-4 8; ,0- U17C-<47,;.
V. Candidate $'st indi*ate *#ear#- t)e na$e o+ t)e *o'rse a""#ied +or in t)e a""#i*ation and a#so on to" o+ t)e En,e#o"e
*ontaining t)e d'#- +i##ed in a""#i*ation s"e*i+-ing t)e *o'rse n'$(er a""#ied.
I+ t)e *o'rseKs n'$(er is not $entioned8 t)e a""#i*ation 6i## (e reFe*ted.
VI. T0- +>>675+,7*1 .34, 8- +55*.>+17-9 8; ,0- /*66*A71: 9*53.-1,4 (+,,-4,-9 5*>7-4 *16;).
a! A*0no6#edge$ent Card 6it) address and "osta# sta$".
(! De$and Dra+t on an- nationa#i/ed =an0 +or Rs. 500/- dra6n in +a,o'r o+ t)e Registrar8 JNTD.8 "a-a(#e at
.-dera(ad.
*! Main a""#i*ation +or$8 d'#- +i##ed in.
d! Certi+i*ate o+ ser,i*e8 E$"#o-$ent and MNo O(Fe*tionK.
e! Certi+i*ate o+ Ed'*ationa# B'a#i+i*ations SSC/Inter$ediate/Origina# Degree Certi+i*ate!.
+! St'd- Certi+i*ates +or #ast ? -ears +or deter$ining #o*a# stat's.
g! Integrated Caste Certi+i*ate +ro$ M.R.O. in *ase o+ SC/ST/=C *andidates.
)! T)ree se#+-addressed en,e#o"ed o+ 40 *$ N 10 *$ si/e ea*) 6it) Rs.5/- sta$"s.
i! Certi+i*ate o+ Date o+ =irt) SSC or EB'i,a#ent!.
F! Trans+er Certi+i*ate.
0! In *ase o+ disa(#ed *andidate8 Certi+i*ate iss'ed (- Medi*a# =oard.
#! .a## Ti*0et s)eet Origina# and D'"#i*ate! d'#- +i##ed in 6it) P)otogra")s a++i<ed and d'#- attested.
VII. An- P.G. Di"#o$a Progra$$e CC / CCC! 6i## (e started on#- i+ t)e n'$(er o+ e#igi(#e / B'a#i+ied *andidates see0ing
ad$ission to t)e "rogra$$e is not #ess t)an 50D */ ,0- ,*,+6 71,+2- */ ,0- ><*:<+..-.
Page ? o+ ;
VIII. T)e Dni,ersit- reser,es t)e rig)t to $a0e a#terations in inta0e and r'#es +or ad$ission.
I?. N* 0*4,-6 +55*..*9+,7*1 A766 8- ><*C79-9.
?. a! A""#i*ations *o$"#ete in a## res"e*ts $'st (e sent to&
TO
THE DIRECTOR , ADMISSIONS
JNT UNIVERSITY HYDERABAD,
KUKATPALLY, HYDERABAD "500 085.
( ! In*o$"#ete a""#i*ation 6i## (e s'$$ari#- reFe*ted. No *orres"onden*e in t)is regard 6i## (e entertained.
* ! Fee 6i## not (e re+'nded 'nder an- *ir*'$stan*es.
d ! A""earan*e at t)e Entran*e E<a$ination does not a'to$ati*a##- entit#e ad$ission.
?I. I+ it is dete*ted t)at a *andidate )as (een ad$itted d'e to an- $ista0e $ade inad,ertent#- in t)e "ro*essing o+
a""#i*ations and d'ring t)e ad$ission stage8 t)e Dni,ersit- reser,es t)e rig)t to *an*e# s'*) ine#igi(#e ad$ission at an-
stage.
?II. T)e *andidates $a- note t)at t)ese P.G. Di"#o$a "rogra$$es are 'niB'e 6it) re+eren*e to t)eir dis*i"#ines and no
eB'i,a#en*e s)a## (e gi,en (- t)e Dni,ersit-.
?III. Ad$issions 6i## (e *#osed 6it)in one $ont) o+ t)e *o$$en*e$ent o+ t)e +irst -ear irres"e*ti,e o+ t)e ,a*an*ies.
?IV. I+ an- dis"'te *on*erning ad$ission in t)e *o'rses o+ JNTD. arises8 t)e F'risdi*tion s)a## re$ain 6it) t)e
Co'rts/Cons'$er For'$ in .-dera(ad on#-.
?V. T)e Dni,ersit- 6i## not (e res"onsi(#e +or "osta# de#a-/#oss in transit.
L+4, D+,- */ <-5-7>, */ +>>675+,7*1 /*<.4' 8
,0
M+;, #0$% 8; %.00 >. A7,0*3, /71-
$5
,0
M+;, #0$% 8; %.00 >. A7,0 /71- */ R4.500!"

E1,<+15- EE+.71+,7*14' F
,0
J31-, #0$% DIRECTOR, ADMISSIONS
P.G. DIPLOMA PROGRAMMES (CC ! CCC) " #0$%
ENTRANCE E?AMINATION TIME TABLE
C*3<4-.
N*.
N+.- */ ,0- C*3<4- D+,- T7.-
1 P.G. Di"#o$a in Ind'stria# Sa+et- CC!
0?.07.2015 10.00 a$ to 11.00 a$
2 P.G. Di"#o$a in S'""#- C)ain Manage$ent CCC!
0?.07.2015 12.00 "$ to 01.00 "$
4
P.G. Di"#o$a in P)ar$a*e'ti*a# C'a#it- Ass'ran*e @
Reg'#ator- A++airs CCC!
0?.07.2015 02.00 "$ to 04.00 "$
Page ; o+ ;