Undertaking Registration form for
Colleges
Fields marked with * are Mandatory.
Student's Details
First Name *
Harshitha
Middle Name (optional)
Middle Name
Surname / Last Name *
Mobile Number (+91)*
9108026755
Email*
harshitha292005@[Link]
Gender *
Female
City*
Banglore
State*
KARNATAKA
Select Nationality*
Indian
Parent / Guardian
Details
Parent / Guardian Name*
Lakshmi
Parent / Guardian Phone Number
(+91)*
8722268548
Parent / Guardian Email*
lakshmil67321@[Link]
Parent / Guardian City*
Bangalore
Parent / Guardian State*
KARNATAKA
Parent / Guardian address*
Krs agrahara Kunigal
College and Course
Details
State in which college is based*
KARNATAKA
College name (Select College state
first)*
Sapthagiri Institute of Medical Sciences and rese
Your College Details
College
C-53296
Code
College
Sapthagiri Institute of Medical Scie
Name
University
U-0240
Code
University
Rajiv Gandhi University of Health S
Name
Select College first and then fill
the following as per the
College details
College Director's Name *
Dr. Director Name
College Phone Number (+91)*
College Phone Number
College Landline Number (Optional)
College Landline Number
Details of the course
(UG/PG/Diploma)*
Under Graduate Diploma
Name of the Course *
Mbbs
Number of students in your class
250
Current year of study*
1
Nearest Police Station to
yourcollege*
Nearest Police Station
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]
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 college.
Your college 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 *
Does ragging happen in your college ? *
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
University Grants Commission (UGC)
Monitoring Agency, Centre for Youth (C4Y)
Ministry of Education (MoE)
Useful links of this website
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
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)