Undetaking Form 4th year form

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students in final year ,

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  • J.B. INSTITUTE OF ENGINEERING & TECHNOLOGYUGC AUTONOMOUS

    (Accredited by NBA & NAAC, Approved by AICTE & Affiliated to JNTUH, Hyderabad)Bhaskar Nagar, Yenkapally(V), Moinabad(M)

    _______________________________________________________________________

    Date:_____________

    Student Undertaking for Exemption of One/Two Subjects (R11)

    I, ________________________________________________________ studied

    B.Tech _____________________________________________ (Branch) in J. B. Institute

    of Engineering & Technology during the academic years _____ to _____ and secured the

    required Minimum credits (192 / 142) credits (142 Credits for lateral entry students) for

    the award of the B.Tech Degree. Though I failed in one theory subject / two theory

    subjects, I did not apply for supplementary examination and will not apply in future for

    any supplementary examination. Hence, I request that my Consolidated Marks Memo

    and Provisional Certificate may kindly be issued, at an early date. The Exemption

    subjects details are mentioned below.

    S.No. Year & Semester

    Subject Name Subject Code

    Credits

    1

    2

    Signature of the student:______________________

    Name of the student: _______________________

    Hall Ticket No. _______________________

    Branch: _______________________

    // FORWARDED //

    Signatue of Principal:

    College Seal: