(Last date for submission: 23.09.11 by 4.00 p.m.

)
Regd.No.

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY: KAKINADA

KAKINADA: 533 003 (AP) Application Form for PG Admissions under Sponsored Category
(Academic Year 2011-12) (Please read the information to candidates before filling the application) Details of Demand Draft for Rs. 500/- in favour of The Registrar, J.N.T. University Kakinada payable at Kakinada. D.D.No. Date Bank Amount Rs. 500/-

Application for Admission to

M.Tech (

: M.S

: M.Pharmacy

: Regular

: Part Time

appropriate Boxes ) Affix recent passport Size photograph duly Attested by the employer with Office Seal

Specialization: .

Place of Preference
( Please Tick 1. 2. 3.

: KAKINADA:

VIZIANAGARAM:

any one ) :

NAME (in block letters)

Fathers /Husbands Name :. Permanent Address : :

4.

Address for Correspondence: (with PIN code)

Email ID

: ..

Telephone . :Mobile:

5.

Reservation :

If you are claiming reservation under any category,

in the appropriate block and

enclose attested copy of Integrated Caste Certificate in support of your claim. SC ST BC-A BC-B BC-C BC-D BC-E PH Others

6.

Date of Birth: DATE

MONTH

YEAR

7.

(a) (b)

Nationality & Religion Place of Birth

: : Village Mandal District State

(i) Candidate (ii) Father/Mother /Guardian

8.

Particulars of Parent/Guardian (Guardian, only if Parent is not alive) i) ii) iii) iv) Name Relationship with the candidate Profession and Designation Mailing address

: : : : : :

v)

Contact Number

Signature of the Guardian

9. Particulars of qualifying Examination (Enclose Xerox copies of Provisional Certificates/ Marks Memos) Name of the Qualifying Examination Name of the University Month & Year of Passing Total Marks /Percentage

10. Particulars of Employment (s) since passing the qualifying examination (enclose service certificate as a proof) Name of the Post Employers name and address Scale of Pay / Salary drawn From Period to

DECLARATION BY THE APPLICANT I declare that the information furnished in the application is true to the best of my knowledge. I accept that if any statement made in this application is found incorrect on scrutiny, the application will be liable for rejection of admission, if granted, on the basis of such incorrect information. I declare that I have not joined and will not join any course of study of any University / Institute during the period of my study in this University and will abide by the rules and regulations of this University. I will maintain 75% of attendance as required by University regulations. Date : Place : Note : 1. Incomplete applications will be summarily rejected. No Correspondence in this regard will be entertained. 2. Fee once paid will not be refunded under any circumstances. 3. University will not be responsible for any postal delay/loss in transit. Signature of the Candidate

SPONSORSHIP CERTIFICATE
(This Certificate is to be signed by the Head of the Office/Organization) This is to Certify that Shri/Smt/Kum ._____________________________________________________________________________ S/o / Daughter of _________________________________________________________________________ a candidate applying for Admission into __________________________________________ Course of JNTUK is currently employed in Full-Time service with Designation and pay in the Organization.

The Details of his / her employment are given below: 1. Name and Address of the Organization :

2. Status of the Organization 3. Date of joining the Organization

: Govt. Department/Public Sector Undertaking/Recognized* Private Sector Enterprises :

4. (a) Present Position and date of appointment: (b) Scale of pay and total monthly Salary : 5. Total service in this Organization : __________ Years ________Months

6. This Office/Organization has NO OBJECTION to Sponsor the candidate to join M.Tech / M.Pharamacy/MS Programme under Sponsored Category of JNTUK. If selected, he/she will be relieved of his/her duties during the above programme. Date : Place : Seal of Office Signature of Head of the Organization 1. Name : 2. Designation :

Private Sector Organization shall furnish documentary evidence for recognition, such as APGST Registration, Industry license, Approval/license from concerned Government or Public Sector Departments.

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY KAKINADA 533 003 (AP)

Admission for M.Tech / M.S. / M.Phramacy Programmes-2011-12 Under Sponsored Category
INFORMATION TO CANDIDATES 1.ADMISSION: Applications are invited for admission to M.Tech / M.S / M.Phramacy Courses for the academic year 2011-12 offered at Kakinada & Vizianagaram Campuses, JNTU KAKINADA . Candidates with requisite qualifications are eligible to apply. The order of priority in selection for admissions shall be (i). Working Experience of 1 Year ii) Rank in GATE 2011 or PGECET -2011 Rank Card or GPAT- 2011 Rank Card (iii). Marks obtained in the qualifying examination. Applications received in response to these notifications in the prescribed format will only be considered. No other requests for admission will be entertained. Admission is subject to the number of applications received.

2. RESERVATIONS : Reservation of SC/ST/BC categories will be as per rules. 33 1/3% of seats are reserved for women in all categories. Note: i). ii). iii) iv) Separate application must be submitted for each discipline Candidates must fill in the course applied under specialization category in the application. No scholarship /stipend is offered by the University. No Hostel Facility available for the sponsoring candidates

3. FEE PARTICULARS: a. Registration fee of Rs. 500/- to be paid in the form of crossed Demand Draft drawn in the name of The Registrar, JNT University Kakinada payable at Kakinada, along with the application. Tuition fee is Rs 25,000 per Semester (Excluding College fee )for M.Tech., M.S. Programme . Tuition fee is Rs.90,000 per semester (Excluding College fee )for M.Pharamacy Programme.

b. c.

4. APPLICATIONS SHOULD BE ACCOMPANIED BY THE FOLLOWING: i) ii) iii) iv) Bank Demand Draft for Rs. 500/- (separate application for each course applied); Attested copy of degree, date of birth, service and salary certificates; NO OBJECTION CERTIFICATE and SPONSORSHIP CERTIFICATE from the employer. in the prescribed proforma. Integrated permanent Community Certificate in case of SC/ST/BC in the prescribed proforma; one from the Revenue Officer and another from the Head of the Institution last studied or from service records. v) Attested copy of 1). Valid GATE -2011 Score card ( if qualified) or PGECET-2011 Hall Ticket and Rank Card ( if

qualified)/GPAT 2011 Score Card 2). Qualifying examination marks memo.

5.

The candidates are advised to attend Spot admissions as per the schedule to be displayed with filled application along with necessary certificates. More number of candidates may attend the counseling than the number of Seats available and mere attendance at the counseling does not guarantee allotment of a seat. Applications received after the due date / incomplete application in any respect will be summarily rejected. No correspondence will be entertained in this regard.

(a) Registration fee will not be refunded under any circumstances. b) The candidates

may have to appear for counseling on the dates notified in the JNTUK website:www.jntuk.edu.in

(b)The University reserves the right to make alterations in the intake and rules for admission. (c) If it is detected that a candidate has been admitted due to any mistake made inadvertently in the processing of Applications and during the admission stage, the University reserves the right to cancel the seat at any stage. 7. Admission will be closed within one month of the commencement of the first semester class work irrespective of the Vacancies. 8. 9. If any dispute concerning admissions in the courses of JNTUK arises, the jurisdiction shall remain with the Courts in Kakinada only and the High Court of Andhra Pradesh. The University will not be responsible for postal delay/loss in transit.