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Name of the Supervisor: Designation: Mobile No: Email id: 8.

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To

The Director

Research & Development Cell, JNTUH, Hyderabad.

Date:

Sir,

Sub: ISSUE OF ORIGINAL CERTIFICATE(S) – ADMISSION CANCELLATION- Requested – Reg.

(Before completion of the course)

****

1. Name of the Scholar (In Caps) : _

2. Father’s Name :

3. H. T. No. :

4. Department :

5. A) E-mail ID :

B) Telephone Number with STD Code/ Mobile No.:

6. Communication Address :

7. Name of the Supervisor:

Designation:

Mobile No: Email id:

8. Name of the Co-Supervisor:

Designation:

Mobile No: Email id:

CANDIDATE’S SIGNATURE

SIGNATURE OF CO-SUPERVISOR SIGNATURE OF CSUPERVISOR

The following list of enclosures should be attached:

1) Original Admission Letter Issued by the Director, Admissions.

2) All Original Tuition Fee Paid Receipts (Along with Admission Fee Receipt).

3) Surrender of ID card issued by DRD.

4) Proof of requirement for cancellation.

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