CADET INFORMATION SHEET
(To be submitted on ₹ 100/- Non-Judicial stamp paper as per the format duly attested by
Notary)
PAASPORT
SIZE PHOTO
OF CADET
Details of Parents/Guardian
1. Father’s Name Dinesh Yadav
2. Father’s Occupation Farmer
3. Mother’s Name Chanchal devi
4. Mother’s Occupation House wife
At – Dighwan, Po – Bhadaura, Ta –
5. Permanent Address
Masaurhi, Di – Patna-804452, Bihar
6. Category (OBC/Gen/SC/ST) OBC
7. Gross Annual Income of Parents 90,000/-
8. E-Mail ID of Parents/Guardian dipukumar9006@[Link]
9. Mobile No (Linked with Aadhar Card) 9006489479 / 7766934388
Details of Candidate
10. Name of Candidate Dipu Kumar
11. Aadhar Number of Candidate 320144278768
12. Date of Birth (DD/MM/YYYY) 15/10/2014
13. Bank Account Number of Candidate
14. Name of Bank
15. Name of Branch
16. IFSC Code
17. MICR Code -
18. E-Mail Id of Candidate ---
19. Blood Group of Candidate B+ ve
20. (a) Cut mark on a Lip
Identification Marks of Candidate
(b) -
2
POSTCARD SIZE FAMILY COLOURED PHOTOGRAPH WITH CADET
(WITH FATHER, MOTHER, BOTHER/SISTER IF ANY)
_________________________ ________________
(Signature of Parent/ Guardian) (Signature of Notary)
CERTIFICATE FROM PARENT
1. I Dinesh Yadav Father/Mother/Guardian of Dipu Kumar hereby certify that I have
personally verified and found all details (Ser No. 1 to 16 of Cadet Information Sheet) are
true as per my knowledge and belief.
(Signature of Parent)
Name:
Right/Left thumb impression of Parent Address:
Right/Left thumb impression of Candidate ___________________
(Signature of Candidate)
INDEMNITY BOND
(To be Executed on Non-Judicial Stamp paper worth ₹100/-)
The President of India, In consideration of minor of whom I am the
legal/natural guardian being trained at my request in Prarthana Global Sainik School.
Name of Child Date of Birth Father’s Name Mother’s Name Guardian’s Name
Dipu Kumar 15/10/2014 Dinesh Yadav Chanchal Devi -
I undertake and agree that neither I nor my executor or administrator or any other
legal representative will make any claim against the employees of Prarthana Global Sainik
School in respect of any loss or any injury to property or person including injury resulting in
death which the said minor may suffer.
I further agree so as to bind myself, my heirs, my executors and administrators to
indemnify you and employees of Prarthana Global Sainik School against any claim which
may be made by any third party against you or any of them arising out of any act of default
on the part of the said minor or in connection with the training being imparted Prarthana
Global Sainik School.
________________________
(Signature of Parent/Guardian)
Witnesses
Signature Name : _______________
Signature Name : _______________
DECLARATION & UNDERTAKING FOR INDISCIPLINE/ANTI-RAGGING
(To be Executed on Non Judicial Stamp paper worth ₹100/-)
I, Dinesh Yadav Father/Mother/Guardian of School No _____ Cadet Dipu
Kumar of Prarthana Global Sainik School declare that I will be responsible for my ward’s
discipline and good conduct and in the event of being withdrawn from the School, will pay
the cost of training as decided by the authorities. I further declare that if my son/daughter is
involved/found involved in any incident of breach of discipline, I will personally withdraw
him/her from the School without blaming the School authorities and defaming School
reputation.
Date : Signature __________________
Name ____________________
Address ____________________
____________________
____________________
____________________
Witnesses
(1) Signature ____________________
Name ____________________
(2) Signature ____________________
Name ____________________
AFFIDAVIT BY PARENT/GUARDIAN
(To be Executed on Non Judicial Stamp paper worth ₹100/-)
1. I, Mr./Mrs./Ms Dinesh Yadav father/mother/guardian of, Dipu Kumar (full name of
student with admission/registration/enrolment number), having been admitted to Prarthana
Global Sainik School.
2. I am fully aware of what constitutes ragging.
3. I will be responsible for my ward’s discipline and good conduct and in the event of
being withdrawn from the School, will pay the cost of training as decided by the authorities.
I further declare that if my son/daughter is involved/found involved in any incident of breach
of discipline, I will personally withdraw him/her from the School without blaming the School
authorities and defaming School reputation. I am also fully aware of the penal and
administrative action that is liable to be taken against my ward in case he/she is found
guilty of indulging in or abetting ragging, actively or passively, or being part of a conspiracy
to promote ragging.
4. I hereby solemnly aver and undertake that:-
(a) My ward will not indulge in any behavior or act that may be constituted as
ragging.
(b) My ward will not participate in or abet or propagate any act of commission or
omission that may be constituted as ragging.
5. I hereby accept that, if found guilty of ragging, my ward is liable for punishment
without prejudice to any other criminal action that may be taken against him/her under
any penal law or any law for the time being in force.
6. I hereby declare that my ward has 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 affirm that, in case the declaration is found to
be untrue, the admission of ward is liable to be cancelled. Declared this 13th Day of
October month of 2025 year.
Signature of Parent/Guardian ______________
Name ____________________________
Address ___________________________
___________________________
Mobile No ________________
VERIFICATION
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
Modasa on this 13th(day) of October (month) of 2025 (year).
_______________________
Signature of Parent/Guardian
UNDERTAKING BY THE CADET
(To be Executed on Non Judicial Stamp paper worth ₹100/-)
1. I, Dipu Kumar (full name of student with admission/registration/enrolment number)
S/O or D/O Shri/Smt Dinesh Yadav, having been admitted to Prarthana Global Sainik
School, am fully aware of what constitutes ragging.
2. I am fully aware of the penal and administrative action that is liable to be taken
against me in case I am found guilty of indulging in or abetting ragging, actively or
passively, or being part of a conspiracy to promote ragging.
3. I hereby solemnly aver and undertake that:
(a) I will not indulge in any behavior or act that may be constituted as ragging.
(b) I will not participate in or abet or propagate through any act of commission or
omission any act that may be constituted as ragging.
4. I hereby affirm that, if found guilty of ragging, I am liable for punishment 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.
5. Declared this 13th day of Oct. month of 2025 year.
__________________
Signature of Cadet
Name _______________
UNDERTAKING FOR NON POSSESSION OF
SMARTPHONE/MOBILE PHONE BY THE CADET
(To be Executed on Non Judicial Stamp paper worth ₹100/-)
1. I, Dipu Kumar S/O or D/O Dinesh Yadav At – Dighwan, Po – Bhadaura, Ta –
Masaurhi, Di – Patna-804452, Bihar parent/guardian of School who is studying in class VI
in Prarthana Global Sainik School, hereby declare that my ward will not possess any
Smartphone/Mobile Phone in Prarthana Global Sainik School. If he/she found in possession
of Smartphone/Mobile Phone then a Strict Disciplinary action including
Suspension/Withdrawal from the School will be taken against my ward.
2. I will not seek any legal suit against the School.
Signature _____________
Date ______________
AFFIDAVIT & UNDERTAKING BY PARENTS/GUARDIANS
FOR NON-ADJUSTMENT TO SCHOOL ROUTINE
(To be Executed on Non Judicial Stamp paper worth ₹ 100/-)
I, Dipu Kumar S/O or D/O Shri Dinesh Yadav hereby undertake, that I will withdraw
my child School No . Name Dipu Kumar from Prarthana Global Sainik School, if he/she
does not adjust to the School routine or runs away from School. Being the part of Military
based institution, my ward has to attend PT, Games and evening stage activities. In case
my ward is not suited to the busy routine of this School or tries to run away from the School
without permission, then I will immediately withdraw my child/ward from the School without
blaming School authorities and defaming School reputation.
Date : 13/10/2025 Signature __________________
Name ____________________
Address ____________________
____________________
____________________
____________________
Witnesses
(1) Signature ____________________
Name ____________________
(2) Signature ____________________
Name ____________________
UNDERTAKING FOR PAYMENT OF INCREASED FEE
(To be Executed on Non Judicial Stamp paper worth ₹100/-)
I, Dinesh Yadav (Name of Parent/Guardian) S/O or D/O Dipu Kumar hereby
undertake, that my Son/Daughter Name Dipu Kumar who is studying in class-VI in
Prarthana Global Sainik School hereby declare that I have no objection in paying the fees of
the school, whenever it is increased.
Date : Signature __________________
Name ____________________
Address ____________________
____________________
____________________
_______________________