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: