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Anti-Ragging Registration for Institutes

The document is an Undertaking Registration form for Standalone Institutions, requiring mandatory details from students and their parents or guardians. It includes sections for personal information, institution and course details, UGC regulations on ragging, and a confidential survey regarding ragging experiences. Students must confirm the accuracy of their information before submission.

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narpatjeengar
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10 views3 pages

Anti-Ragging Registration for Institutes

The document is an Undertaking Registration form for Standalone Institutions, requiring mandatory details from students and their parents or guardians. It includes sections for personal information, institution and course details, UGC regulations on ragging, and a confidential survey regarding ragging experiences. Students must confirm the accuracy of their information before submission.

Uploaded by

narpatjeengar
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Undertaking Registration form for Standalone Institutions

Fields marked with * are Mandatory.

Student's Details
First Name * Middle Name (optional)

Surname / Last Name * Mobile Number (+91)*

Email*

Gender * City* State*


Select State

Select Nationality*
Indian

Parent / Guardian Details

Parent / Guardian Name* Parent / Guardian Phone Number (+91)*

Parent / Guardian Email* Parent / Guardian City*

Parent / Guardian State*


Select State

Parent / Guardian address*

Institution and Course Details


State in which Institute is based*
Select State

Institution name (Select Institution state first)*

Your Institute Details

College Code S-12099

College Name GOVERNM

Select Institute first and then fill the following as per the Institute details

Instituion Director's Name *


Instituion Phone Number (+91)* Instituion Landline Number (Optional)

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


Select
Name of the Course *

Number of students in your class

Current year of study*


Select

Nearest Police Station to yourInstitute*

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.

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