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9
(Each Affidavit on Rs. 10- Non Judicial Stamp Paper Duly
Attessted by Notary/Oath Commissioner )
ANNEXURE I
AEIDAVIT BY THE STUDENT
be (full name of student with admission/registration/enrolment number)
slo d/o. Mir, /Mis, /Ms. = —— having
been admitted to" (name of the institution) —__, have
received a copy of the UCG Regulations’ on Curbing the Menace of Regging in
Higher Educational Institutions, 2009 (hereinafter called the “Regulation")
carefully read and fully understood the provisions contained in the said regulations.
Thave, in particular, perused clause 3 of the Reguiations and am aware as to what
constitutes raging.
Thave also, in particular, perused clause 7 and 9.1 of the Regulations and am fully
aware of the penal and administrative action that is liable to be taken against me in
case I am found guilty of or abetting ragging, actively or passively, or being part of
a conspiracy to promote ragging.
Thereby 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.
6) Twill not participate in or abet or propagate through any act of commission
or omission that may be constituted as ragging under clause 3 of the
Regulation
I hereby affirm that, if found guilty of ragging, I am liable for punishment
according to clause 9.1 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.
Thereby 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 affirm that, in ease the declaration
is found to be untrue, I am aware that my admission is liable to be cancelled.
Declared this “aay of.
month of _____ Year.
Signature of deponest
‘Name:
VERIFICATION
Verified that the contents of this affidavit are truc 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)
Signature of deponent
‘Name:
Solemnly affirmed and signed in my presence on this the _(dav)_of (Month), (Year) _
after reading the contents of this affidavit.
OATH COMMISSIONERANNEXURE Di
AFEIDAVIT BY PATENT/GUARDIAN
name of par ‘/guardian) & father/mother/guardian n of, ~ (Gall nae of student with
admission/reeistratjon/enrolment oumber) ____having been admitted
tq_____([Link] the institution) ; have received a copy of the UCG
Regulations on Curbing the Menace of Ragging in Higher Educational Institutions,
2009 (hereinafter called the "Regulation") carefully read and fully understood the
provisions contained in the said regulations.
2) Thave, in particular, perused clause 3 of the Regulations and am aware as to what
constitutes raging.
3) _Thave also, in particuisr, perused clause 7 and 9.1 of the Regulations and am folly
aware of the penal and administrative action that is liable to be taken against me in
case I am found guilty of ot abeiting ragging, actively or passively, or being part of
a conspiracy to promote ragging.
4) Thereby solemnly aver and undertake that
8) My ward will not indulge in any behaviour or act that may be constituted
as ragging under clause 3 of the Regulations.
>) _My ward will not participate in or abet or propagate through any act of
commission or omission that may be constituted as ragging under clause 3
of the Regulation
3) Thereby affirm that, if found guilty of ragging, my ward liable for punishment
according to clause 9.1 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) Thereby 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 ig found to be untrue, I am aware that my admission is liable to be
cancelled,
day of.
Declared this. month of Year,
| ee
Signature of deponent
Name:
Address:
Telephone/Mobile No.:
VERIFICATION
‘Verified that the contents of this affidavit are true to the best of may knowledge and no
part of the affidavit is false and nothing has been concealed or misstated therein.
‘Verified at_(Place) on this the __(dav)_of (Month) , (Year)
Signature of deponent
Name
Solemnly affirmed and signed in my presence on this the _ (day) of (Month), (Year) _
after readinig the contents ofthis affidavit.
ATR COMMISation,
rtakine/Dee!
E
Slo or Dio Shii..
hare by declare that:-
‘The facts given by me in the admission form are true to the best of my knowledge. I declare that I ha
riot concealed any fact which is important to be disclosed by a bonafied student of t
University/College/Institution. J understand that concealment of facts is punishable at any point of time.
gree to abide by the rules and regulations of the University/College/Institution applicable from time
time and will not indulge in any activity which brings disrepute to my College/institute and Universit
also declare thet I will not pursue for appearing in University examination if my attendance falls bel
75%.
J understand that raging as defined by the authorities like Hon'ble Supreme Court/ Hioa’ble High Co
Central Govt/State Govt/UGC/University etc, is a punishable offence. I am fully aware of
consequences of my indulgence in any sort of ragging and hence I will not involve myself in any ac
Tagging on and off campus of the University/College/Institution.
1 also understand, in case, T am found guilty of any such activity, narrated in the foregoing points, 1
bbe liable for punishment which may be to the extent of my expulsion/rustication from
‘University/College/institution including initiation of lege! criminal proceedings against me.
Signature of the Student
‘Name of Student
Father's Name
Course of Study
‘Year of Admission
The above named Candidate is Son/Daughter/Daughter-in-law/Son-in-law/Wife/Ward 0
undersigned. The undersigned as parent/guardian owes whole responsibility to the above decla:
signed by the above named student. In case, the above named student is found guilty of any unk
activity/rageing done by him/her, the undersigned has no objection if’ he/she
blacklisted/debarred/expelled/rusticated and/or any legal criminal proceeding is initiated against hi
by the State/University/College/Institution at any stage during his/her course of study.
As parent/guardian, the undersigned himself/herself will be agreeable to any punitive action
against the above named student by the State/University/College/Institution as per statutory provisio
‘Signature of Parent/Guardian
Name of Parent/Guardian
Relation with the Student
Date
Place