INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE
Anti-Ragging Declaration Form
(To be submitted by second-year Post Graduate Programmee students during Term IV registration
and countersigned by a parent/legal guardian)
Personal Details
Name of the Student: ____Nikhil Tiwari_______________________________________
Roll Number: ______PGP/29/102_________________
Hostel Room Number: ___Hostel N- 206_______________
Contact Number: __9810280458__________________
Email ID: __mba25nikhilt@[Link].in________________________
Name of Parent/Legal Guardian: ___Santosh Kumar Tiwari_______________________________
Relationship: _____Father__________________
Contact Number: ___9410840458_________________
Email ID: __santoshkumartiwari30@gmail.com________________________
Declaration by the Student
I, Nikhil Tiwari , Roll No. (PGP/029/102), a student at IIM Kozhikode, hereby declare that:
(1) I have read and understood the provisions of the UGC Regulations on Curbing the Menace of
Ragging in Higher Educational Institutions, 2009, as well as the directives issued by the
Hon’ble Supreme Court of India in this regard.
Abstract of UGC regulations on ragging)
([Link]
[Link])
Summary of the judgment of the Hon. Supreme Court
[Link]
summary_of_the_Supreme_court_Judgment.pdf
(2) I have read and understood the clauses mentioned in the Academic Handbook and the email
communicated in this regard relating to the Ragging measures implemented at IIM Kozhikode
(3) I pledge that I will not indulge in, support or encourage any form of ragging, and shall uphold
the dignity and safety of all members of the student community.
(4) I understand that if I am accused of ragging, the responsibility is on me to prove that I am not
guilty.
(5) I will not remain a spectator to acts of ragging. I will report the matter immediately to any
member of the Anti-Ragging Squad of the Institute.
(6) I understand that ragging constitutes one or more of the following acts:
- Physical abuse or assault
- Verbal abuse or public insult
- Forcing participation in lewd acts
- Undue academic or personal pressure
- Isolation or social boycott
- Any act that affects the mental health and self-confidence of a student
(7) I am aware that engaging in or abetting ragging is a punishable offense and may attract
disciplinary actions including suspension or expulsion from the programme, and/or withdrawal
of scholarships or other benefits as per institutional and legal provisions.
Date: __6/6/26_____________ Signature of the student: Nikhil Tiwari
Place: _Ghaziabad______________
Declaration by the Parent/Legal Guardian
I, Santosh Kumar Tiwari , hereby declare that:
(1) I have read and understood the anti-ragging guidelines and the above declaration made by my
ward.
(2) I support the Institute’s commitment to a ragging-free environment and have advised my ward
to strictly adhere to these norms.
(3) I understand the consequences that my ward may face in case of any involvement in ragging-
related activities.
Date: __6/6/24___ Signature of Parent/Legal Guardian: Santosh Kumar
Tiwari
Place: __Ghaziabad_____________