ANNEXURE I VERIFICATION

Similar documents
ANTI-RAGGING MEASURES : SUBMISSION OF AFFIDAVIT BY THE STUDENTS / PARENT / GUARDIAN

Checklist for documents. (For Admission to Diploma Courses ) Provisional Admission Letter (Original)

fcykliqj fo ofo ky;]

c) Two copies of recent self-attested photographs duly signed d) Undertakings on prescribed format as required under item Nos.4 & 5 of this letter

BERHAMPUR UNIVERSITY BHANJA BIHAR, BERHAMPUR , ORISSA

1. Name of the Applicant (In BLOCK LETTERS as in HSC Certificate) ( (b) Nationality. (c) Blood Group. 3. Date of Birth : Date Month Year

CENTRAL UNIVERSITY OF JHARKHAND

Kindly Note: While coming to the University, the student must carry original copies of his/her certificates and mark sheets' and other relevant docume

i) Sub-Divisional Magistrate ii) iii) iv) v) Block Officer vi)

MDS STUDENT INFORMATION FORM

I YEAR BDS ACADEMIC YEAR

STUDENT INFORMATION FORM

National Institute of Technology, Raipur G.E. Road, Raipur Chattisgarh Website:


National Institute of Technology, Raipur G.E. Road, Raipur Chhattisgarh Website:

College of Engineering Pune (An Autonomous Institute of Government of Maharashtra) Wellesley Road, Shivajinagar Pune-05

Commencement of Classes :

Action taken report regarding the committee formed in our college during the academic year

Dear Students, Welcome to the Indira Family!

PROVISIONAL BAMS MERIT LIST ( )

THE SALARY AND ALLOWANCES OF THE CHIEF WHIP IN THE LEGISLATIVE ASSEMBLY OF THE NATIONAL CAPITAL TERRITORY OF DELHI (AMENDMENT) BILL, 2015 A BILL

Website :

THE LEADER OF OPPOSITION IN THE LEGISLATIVE ASSEMBLY OF THE NATIONAL CAPITAL TERRITORY OF DELHI (SALARIES AND ALLOWANCES) (AMENDMENT) BILL, 2015 A

Commencement of Classes :

APPLICATION FORM FOR ADMISSIONS INTO I YEAR BDS COURSE UNDER C CATEGORY (NRI QUOTA) FOR THE ACADEMIC YEAR

School of Aeronautics

PLEA BARGAINING. A new concept

jktlfkku dsunzh; fo'ofo ky;

The brief facts of the case, as set out in the contempt application follows:

lacaf/kr vuqøekad ds lkeus n'kkz;h xbz frffk dks layxu cqykok i=d ds vuqlkj lelr nlrkostksa dks iw.kz djkdj miflfkr gksa

The Code of Criminal Procedure (Delhi Amendment) Bill, 2015 BILL. To further amend the Section 176 of the Code of Criminal Procedure, 1973.

ICAR-Central Institute for Subtropical Horticulture Rehmankhera, P.O. Kakori, Lucknow (India) Phone: (O) , ; Fax:

fjfdr lwpuk 1- in dk uke % gydk okgu pkyd 2- fjfdr dh la[;k % 01¼,d½ ¼vukjf{kr½

jktlfkku dsunzh; fo'ofo ky;

I do hereby apply for admission to B.Tech/ M.Tech. Degree Course in your College. My full particulars are given below.

THE BAR COUNCIL OF RAJASTHAN

SURENDERA DENTAL COLLGE & RESEARCH INSTITUTE SRI GANGANAGAR (RAJASTHAN) ANTI RAGGING MEASURES For Strict Compliance by Students

fgekpy izns k ljdkj iz kklfud lq/kkj laxbua vf/klwpuk

jktlfkku d`f"k fo'ofo ky;] chdkusj ¼uke ifjorzu½ fo/ks;d] 2009

lnl;ksa dh ny ifjorzu ds vk/kkj ij fujgzrk

ANNEXURE-I OBC Certificat Format

OBC Reservation: Information and Certificate Template. Academic Year

Government of Himachal Pradesh Department of Training & Foreign Assignment. No. Per (Trg. ) A(3)-3/87-II Dated Shimla , the 18 th March, 2008.

iz:i 6 fu;e 13 ¼1½ vksj 26 nsf[k,à

GOVERNMENT OF INDIA ARMED FORCES TRIBUNAL, REGIONAL BENCH, JAIPUR (RAJ)

fof/k fohkkx &&&&&&&&&& vf/klwpuk,a 17 vxlr 2016

WRIT PETITION No of Anil Kumar Jain. Versus. State of Chhattisgarh & others.

Managing Director, Kanpur Electricity Supply Company Ltd. (KESCO) 14/71, Civil Lines, Kanpur Petitioner. ORDER (Hearing on

vmaeku rfkk fudksckj iz'kklu ANDAMAN AND NICOBAR ADMINISTRATION erl; funs'kky; DIRECTORATE OF FISHERIES ****

jkti=] fgekpy izns'k] 10 uoecj] dkfrzd] 1937 vkcdkjh,oa djk/kku fohkkx vf/klwpuk f keyk&2] 7 uoecj] 2015

izos'k gsrq p;fur Nk=ksa ds fy, vko';d lwpuk

OFFICE: - ELECTRICITY DISTRIBUTION DIVISION (TANDA)

e/;izns k ekuo vf/kdkj vk;ksx i;kzokl Hkou] [k.m&1] vjsjk fgyl] Hkksiky buvuzf ki ;kstuk

Government of Himachal Pradesh Printing & Stationery Department No: Mudran (B)10-9/2010 Dated Shimla-2 the

DBT-JRF Programme. OBC Reservation: Information and Certificate Template

NOTICE INVITING TENDER

jkt; lwpuk vk;ksx fgekpy izns'k vf/klwpuk

egf"kz lkunhifu jk"vªh; osnfo k izfr"bku] mttsu

fgekpy izns k ljdkj jktlo fohkkx rkjh[k f keyk&2 12 flrecj] vf/klwpuk

Tender Notice & Documents for Printing of Examinations Booklet/


Invitation for Expression of Interest for Empanelment of NABL Labs

RE-TENDER DOCUMENT FOR SUPPLY OF GENERAL STATIONERY AND COMPUTER STATIONERY ITEMS IN HIGH COURT LUCKNOW BENCH, LUCKNOW

dsunzh; ek/;fed f k{kk cksmz

v.meku rfkk fudksckj iz'kklu ANDAMAN & NICOBAR ADMINISTRATION

ubz fnyyh] 28 tqykbz] 2017

For Office Use. Applied for the post with post code FIRST NAME MIDDLE SURNAME. 4. a) Date of birth (as in Matriculation certificate) D D M M Y Y Y Y

Total quantities of surveying work. Places at which to be delivered

INSTITUTE OF TECHNOLOGY GURU GHASIDAS VISHWAVIDYALAYA (Central University) BILASPUR

Government of Himachal Pradesh Printing & Stationery Department No: Mudran (B)10-4/2011 Dated Shimla-2 the

MISCELLEANEOU APPEAL UNDER ORDER 43 RULE 1(k) OF CODE OF CIVIL PROCEDURE, 1908.

HIGH COURT OF JUDICATURE FOR RAJASTHAN AT JODHPUR. S.B. Civil Writ Petition No / 2017

MADHYA PRADESH ACT NO. 22 OF 1996 THE GWALIOR VYAPAR MELA PRADHIKARAN ADHINIYAM, 1996.

vlk/kj.k izkf/dkj ls izdkf'kr

FORMAT FOR CERTIFICATE OF NATIONALITY

ljdkjh xtv] mrrj izns k

THE HIMACHAL PRADESH LAW DEPARTMENT MANUAL

fmiyksek dkmfulfyax&2018 gsrq vko ;d lwpuk

Tender Document GOVERNMENT MEDICAL COLLEGE, HALDWANI.

INDIAN INDUSTRIES ASSOCIATION

Short Term Tender no.91/eudc (VIII)/LESA/

ELECTRCITY URBAN DISTRIBUTION CIRCLE-VII, LESA

JAWAHAR NAVODAYA VIDYALAYA, FATEHPUR RAJPUTAN, DISTRICT PATIALA (PB) TENDER NOTICE

Total quantities of surveying work. Places at which to be delivered

Advertisement No. Rectt./02/2015 LAST DATE OF RECEIPT OF APPLICATIONS:


Hkkjr ljdkj Hkkjrh; iqjkrro losz{k.k Tkks/kiqj eamy] tks/kiqj. fufonk lwpuk

Jiwaji University, Gwalior Tender Form

APPLICATION FOR NEW LICENCE/RENEWAL OF LICENCE TO ENGAGE IN THE BUSINESS OF PRIVATE SECURITY AGENCY

APPLICATION FOR ADMISSION TO B.PHARM COURSE, KERALA: 2012 (Through Lateral Entry)

INDIAN INSTITUTE OF PULSES RESEARCH KALYANPUR, KANPUR

Hkkjr of India Hkkjrh; iqjkrro Survey of India Tkks/kiqj eamy] Circle.

SCHOOL OF STUDIES ENGINEERING &TECHNOLOGY GURU GHASIDAS VISHWAVIDYALAYA (Central University) APPLICATION FORM

Heard learned counsel for the parties.

Jiwaji University, Gwalior. Tender Form

INDIAN INSTITUTE OF PULSES RESEARCH KALYANPUR, KANPUR TENDER NOTICE NO. 7/2012/IIPR

Rajasthan State Ganganagar Sugar Mills Limited 4th Floor, Bhawani Singh Road, Nehru Sahkar Bhawan, JAIPUR RAJASTHAN

vlk/kj.k Hkkx III [k.m 4 izkf/dkj ls izdkf'kr

(a) Bid Processing fee is mandatory to be paid through online mode i.e., internet payment gateway (Credit/Debit Card), Net Banking, NEFT/RTGS

GOVERNMENT OF HIMACHAL PRADESH HOME DEPARTMENT

Transcription:

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 2009. (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

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 2009. (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

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. 12011/68/93-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)...

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