ANNEXURE I VERIFICATION

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1 ANNEXURE I AFFIDAVIT BY THE STUDENT (To be submitted alongwith Entrance-cum-Admission Form) I, full name of student with admission/registration/ enrolment number) s/o, d/o Mr./Mrs./Ms. having been admitted to (name of the institution), have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational institutions (hereinafter called the Regulations ) carefully read and fully understood the provisions contained in the said Regulations. 2) I have, in particular, perused clause 3 of tne Regulations ana am aware as to what constitutes ragging. 3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware or tne penal and administrative action that is liable to be taken against me in case 1 am found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 4) I hereby solemnly aver and undertake that a) I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. b) I will not participate in or abet or propagate througn any act of commission or omission that max be constituted as ragging under clause 3 of tne Regulations. 5) 1 hereby affirm mat. if found guilty of ragging. 1 am liable for punishment according to clause 9.l of the Regulations, without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in force. 6) I hereby declare that 1 have not been expelled or debarred from admission in any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging: and further affirms tha, in case the declaration is found to be untrue, I am aware that my admission is liable to be cancelled. Declared this day of month of year. VERIFICATION Name :. Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at (place) on this the (day) of month year). Solemnly affirmed and signed in my presence on this the (day) of (month), (year) after reading the contents of this affidavit. OATH COMMISSIONER 307

2 ANNEXURE II AFFIDAVIT BY THE PARENTS/GUARDIAN (To be submitted alongwith Entrance-cum-Admission Form) I, full name parent/guardian with admission/registration/ enrolment number) s/o, d/o Mr./Mrs./Ms. having been admitted to (name of the institution), have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational institutions (hereinafter called the Regulations ) carefully read and fully understood the provisions contained in the said Regulations. 2) I have, in particular, perused clause 3 of tne Regulations ana am aware as to what constitutes ragging. 3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware or tne penal and administrative action that is liable to be taken against my ward in case he/she is found guilty of or abetting ragging, actively or passively, or being par; of a conspiracy to promote ragging. 4) I hereby solemnly aver and undertake that a) My ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. b) My ward will not participate in or abet or propagate througn any act of commission or omission that may be constituted as ragging under clause 3 of tne Regulations. 5) 1 hereby affirm mat. if found guilty of ragging, my ward is liable for punishment according to clause 9.l of the Regulations, without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the time being in force. 6) I hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging: and further affirms that, in case the declaration is found to be untrue, I am aware that admission of my ward is liable to be cancelled. Declared this day of month of year. VERIFICATION Name :. Address : Tellephone /Mobile No.. Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at (place) on this the (day) of month year). Solemnly affirmed and signed in my presence on this the (day) of (month), (year) after reading the contents of this affidavit. 308 OATH COMMISSIONER

3 Employment Certificate (To be provided by the Principal/Headmaster/Headmistress) This is to certify that Mr./Ms.... has been teaching in this School since... as Post Graduate/Graduate/Primary/Assistant Teacher teaching at Sr. Sec./Secondary/Primary level and he/she is a full time temporary/permanent teacher of this school. He/She has... years of teaching experience. This school is Govt./Govt. aided/unaided and is duly recognised by the central or a state government or a unioin territory. Signature of Principal/Headmaster/Headmistress Place :... Name :... Date :... Designation :... Name of the school :... Registration No. of the school :... Address of the school : (Seal /Stamp)... Category Certificate (I) (i) SC/ST Candidates This is to certify that Mr./Ms./Mrs....son/daughter/wife of Shri... of Village... Town... Distt.... State/U.T.... belongs to... Caste which is recognised as Scheduled Caste/Scheduled Tribe under the Constitution. (Scheduled Caste Part C States) Order 1951 read with the SC/ST list (Modification Order, 1956). Mr./Ms./Mrs.... and his/her family reside in Village/Town... District... State/U.T.... (Signature of Tehsildar/Commissioner/District Magistrate) Place :... Signature... Date :... Seal/Stamp... Category Certificate (II) (ii) OBC Candidates (only non-creamy layer) This is to certify that Mr./Ms./Mrs....son/daughter/wife of Shri... of Village... Town... Distt.... State/U.T.... belongs to... Caste who are eligible for availing the benefits as per Central list of 5 to 13 Cs/OBC as per Resolution No /68/93-DCC(C) of Ministry of Social Justice & Empowerments as modified from time to time by that Ministry based on the advice of the National Commission for Backward Classes. (NCBC). Mr./Ms./Mrs.... and his/her family reside in Village/Town... District... State/U.T.... (Signature of Tehsildar/Commissioner/District Magistrate) Place :... Signature... Date :... Seal/Stamp... Certificate This certificate duly filled-in and signed is to be submitted to the Regional Centre concerned after receiving the letter of offer for admission to B.Ed. after entrance test.) I hereby undertake that the school will provide facilities to Mr./Ms.... needed for carrying practical work for the B.Ed. programme. This school is Secondary/Higher/Senior Secondary School. Signature of Principal/Headmaster/Headmistress Place :... Name :... Date :... Designation :... Name of the school :... Address of the school : (Seal /Stamp)...

4 6- izos k ijh{kk o izos k&2011 gsrq vkosnu i= Hkjus ds laca/k esa funsz k vkosnu i= Hkjus ls igys dìk;k fueufyf[kr funsz'kksa dks /;kuiwozd if<+, % d½ [k½ x½?k½ izos k ijh{kk,oa izos k gsrq vkosnu i= tek djkuk % fo kffkz;ksa dks dsoy Hkjk gqvk vkosnu i= gh tek djkuk gs] mlds lkfk layxud ugha yxkus gsa uhps mfyyf[kr layxudksa ¼nLrkostksa½ dks fo'ofo ky; ls ch-,m esa izos'k ds fy, izos'k izlrko izkir gksus ds ckn gh tek djk;k tkuk gsa QkeZ esa fn, x, ckwdlksa esa mfpr dksm la[;k HkjsaA jkt;&dksm] osdfyid fo"k; dksm] ksf{kd vgzrk dksm ds fy, i`"b la- 91 ls 92 ns[ksaa d`ik;k /;ku nsa fd {ks=h; dsanz esa izos'k ijh{kk,oa izos'k QkeZ tek djkus ds ckn Js.kh dksm ifjorzu laca/kh fdlh Hkh fuosnu ij fopkj ugha fd;k tk;sxka vkosnu i= Hkjrs le; d`ik;k Li"V v{kjksa dk iz;ksx dhft,a /;ku jgs fd vki vkosnu i= dks Hkjrs le; fn, x, lhkh izek.ki=ksa dks?kks"k.kk lfgr iwjk djsaa ;fn vki?kks"k.kk ij glrk{kj ugha djsaxs ;k vu; izek.ki=ksa dks fufnz"v vf/kdkfj;ksa }kjk izekf.kr ugha djk,axs rks vkids vkosnu i= ij fopkj ugha fd;k tk,xka f k{kkffkz;ksa dks izos k ds fy, vkosnu i= ds lkfk jktif=r vf/kdkjh }kjk vuqizekf.kr nlrkost+ksa dh fueufyf[kr izfr;ksa dks dsoy lacaf/kr {ks=h; funs kd ds ikl tek djkuk gs % 1- vad rkfydk lfgr mpp vksj mpprj ek/;fed@ofj B ek/;fed fo ky; izek.ki= ftlesa tue frffk n'kkzbz xbz gksa 2- Lukrd ;k LukrdksÙkj mikf/k dh vad rkfydka 3- Js.kh izek.ki=] ;fn ykxw gksa 4- vuqhko izek.ki= vksj eku;rkizkir fo ky; dk fu;qfdr i=a 5- Ldwy dks dsanz ;k jkt; ;k dsanz 'kkflr izns'k dh ljdkj }kjk tkjh eku;rk,oa lac)u izek.ki= dh izfra 6- ch-,m- izk;ksfxd dk;z laikfnr djus ds fy, vkosnu nf'kzdk esa fn, x, izk#i ds vuqlkj ek/;fed@mpprj ek/;fed fo ky;ksa ls vfuok;z lqfo/kk, iznku djus laca/kh izek.ki=a i=&o;ogkj ds fy, irk vkidk irk gj rjg ls iwjk gksa fo'ofo ky; vkils blh irs ij i=&o;ogkj djsxka ;fn vkidk irk cny tk, rks vki {ks=h; dsunz dks vius u, laidz irs ds ckjs esa rqjar lwfpr dhft,a

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