7/15/24, 3:41 PM Anti Ragging | Ragging in college | Anti Ragging Affidavit

Undertaking Registration form for

Universities
Fields marked with * are Mandatory.

Student's Details
First Name *
Bhavya

Middle Name (optional)

Middle Name

Surname / Last Name *

Srivastava

Mobile Number (+91)*

9873377462

Email*
s23hs09005@[Link]

Gender *
Female

City*
Jatni

State*

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ODISHA

Select Nationality*
Indian

Parent / Guardian Details

Parent / Guardian Name*
Harish Srivastava

Parent / Guardian Phone Number (+91)*

9811114062

Parent / Guardian Email*

harishsrivastav67@[Link]

Parent / Guardian City*

New Delhi

Parent / Guardian State*

DELHI

Parent / Guardian address*

GH-2/92-B,
ankur apartments, pashchim vihar, New Delhi-110063

University and Course Details

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State in which University is based*

ODISHA 

University name (Select University state first)*

Indian Institute of Technology Bhubaneshwar (U-03

Your University Details

University
U-0355
Code
University
Indian Institute of Technology Bh
Name

Select University first and then fill the

following as per the University details

University Director/Vice Chancellor *

Prof. Shreepad Karmalkar

University Phone Number (+91)*

6747134560

University Landline Number (Optional)

University Landline Number

Details of the course (UG/PG/Diploma)*

Ph.D

Name of the Course *

English

Number of students in your class

Number of students in your class

Current year of study*

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2

Nearest Police Station to yourUniversity*
Jatni

UGC Regulations
I confirm that I have read UGC's regulations on
Ragging.(To read, click on the link ABSTRACT OF
UGC REGULATIONS ON RAGGING)

I confirm that I have read the Judgment of the

Hon. Supreme Court on prevention of Ragging.
(To read, click on the link SUMMARY OF THE
JUDGMENT OF THE HON. SUPREME COURT )

I promise that I will not indulge in Ragging or any

form of violent behaviour. Neither will I tolerate
being ragged or subjected to violence.

I understand that if I am accused of Ragging, the

responsibility is on me to prove that I am not
guilty.

I will not remain a spectator to acts of Ragging. I

will report the matter immediately to my
Principal/Director and/or to the Anti-Ragging
Helpline at 1800 180 5522 or email to
helpline@[Link]

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Confidential Survey

Please answer these questions truthfully and honestly
because this survey is totally Confidential, So no part
of this survey is going to show anything to your
University.
Your University will only know that you have
participated in this survey

Were you ever ragged ? *

No Yes

Did you ever rag anybody ? *

No Yes

What is the phone number of National Anti-Ragging

Helpline *

18001805522

Does ragging happen in your University ? *

No Mild Severe

WARNING: Please recheck your details (specially email

addresses and mobile number) before submitting the
form
I have rechecked the form and confirm that all the
details are correct.

Submit Form

Useful links

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 University Grants Commission (UGC)


 Monitoring Agency, Centre for Youth (C4Y)

 Ministry of Education (MoE)

Useful links of this website

 Verify Your Undertaking

 Council Login

 University/ Standalone Institution/ College Login

 Admin Login

 NRMC

Sitemap

 Home

 Fill Undertaking

 Fill Compliance

 Register Complaint

 Give Your Feedback

 Download Undertaking

 Frequently Asked Questions

 Information Packs

 Videos on Ragging

Contacts
University Grants Commission (UGC)

Anti Ragging Cell

6, Benito Juarez Marg
South Campus, South Moti Bagh
New Delhi - 110021

National Anti-Ragging Helpline

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Phone No -: 1800-180-5522

Email -: helpline@[Link]

Monitoring Agency
Centre for Youth (C4Y)
New Delhi - 110068

Phone No -: 91-11416 19005

Email -: antiragging@[Link]

This website is designed and maintained by the Monitoring Agency, Centre for
Youth (C4Y)

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