DECLARATION ON ACCEPTANCE FOR ENROLMENT
1. I solemnly declare that the answers I have given to the questions in this form are
true and that no part of them is false, and that I am willing to fulfill the engagement made.
2. I promise that I will honestly and faithfully serve my
country and abide by the Rules & Regulations of the National Cadet Corps and that I will, to
the best of my ability, attend all parades and camps as may be required by the
Commanding Officer from time to time.
3. I, further promise that after enrolment, I will have no claim
on authorities for any compensation in the event of injury or death due to accident during
training camps, courses, traveling and while on YEP or any other such NCC events like
RDC, SNIC/NIC, TSC/VSC/NSC and Adventure Activities.
Place : ____________________
(Signature of the applicant)
Date:
DECLARATION BY PARENT/GUARDIAN
1. I solemnly declare that the answers given in this form are true and that no part of
them is false and that my son/daughter/ward is willing to fulfill the engagement made.
2. I promise that after the enrolment of my son/daughter/ward,
I will have no claim on authorities for any compensation in the event of any injury or death
due to accident during training camps, course, traveling and while on YEP or any other
such NCC events like RDC and IDC.
3. I understand my son/daughter/ward has no service liability.
4. I promise to make good the prorate residual cost of
clothing items issued if my son/ward does not complete two years of NCC training.
Place: __________________________
(Signature of the Parent/Guardian)
Date:
CERTIFICATE
1. Certifiedthattheapplicantunderstandsandagreestotheconditionsofenrolment.
2. Certified that the applicant and his parent/guardian understand and agree to the
condition of enrolment.
Place: _______________________________
Date of Enrolment: (Signature of Enrolling Officer/ANO/CTO)
TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
1. I have examined (Name) on (date) as per medical
standards laid down vide GOI letter No._________________________ dated
(see • below) and consider him/her Fit/Unfit for enrolment as a Cadet in the
National Cadet Corps.
2. His/her blood group is .
Place: Signature
Date : Designation
(Medical Officer)
MCI Registration No.
• No.0162/49/NCCdated19Mar1949[for SD(Army)&(Air)
• No.0162/49/NCCdated19Mar1949[for JD]
• No.0384/50/NCCdated10Mar1950[for SW]
No.0630/52/NCC/1255-B/D(IS&MED)dated29Mar1952[for SD Naval Wing]
CERTIFICATE
1. Certifiedthattheaboveapplicantagreestotheterms/conditionsofEnrolmentvoluntarily.
2. Certified that this school/college/Institution agrees to fulfill the terms and
conditions of engagement of NCC unit under the NCC Act in the
school/college/Institution.
_____________________________
(Signature of Principal/Head of School)
CONFIRMED
Place: __________________________________
Date: (Signature of the OC Unit with office seal)
Annexure to Form I
(Application for enrolment)
INDEMNITYBOND
To
The President of India
In consideration of my being nominated either by the NCC authorities or at my
own request as participant in any NCC Camp (which includes Republic Day camp and
Independence Day camp in Delhi),Course, Adventure Training (including Army, Navy & Air
Wing activities, as the case may be) and while traveling (in domestic/international surface,
air and water transport) and attending Youth Exchange Program abroad, I undertake and
agree that neither I, nor my executors of administrators or other legal representatives will
make any claim against the Government or against NCC authorities including officers,
JCO’s/NCO’s or their equivalents from Navy and Air Force/Civilians, MT Drivers or against
any other such person in the service of the Govt in respect of any loss or injury to the
Property or person, including injury resulting in death, due to any reasons whatsoever
which I may suffer, while or in consequence of my participation in the above activities and I
understand that no compensation will be paid by the Government or NCC authorities
including officers, JCO’s/NCO’s or their equivalents from Navy and Air Force or Civilian MT
Drivers in respect of any such loss or injury and I agree as to bind myself, my executors
and administrators and other legal representative indemnify the Govt or NCC authorities
including Officers JCOs/NCOs or their equivalents from Navy and Air Force Civilians or
any person in the service of Government against any claim which may be from any third
party against them or any of them arising out of any act of default on my part during or in
connection with the said camps, courses, Adventure Training, traveling and while on Youth
Exchange Programme or any other such NCC activities as may be organized from time to
time within or outside the Union of India.
________________
Witness (Signature of Applicant)
(1) Signature Name _____________________
Name Unit/Group
Address
(2) Signature Signature of Parent/Guardian _______
Name Name
Address Address
__________________________ ___________________________
Place:
Date:
(Note: Incase of SD Applicants being a minor, Indemnity Bond applicable to Minor will be
used)
TO BE USED FOR EXTENSION OF ENROLMENT
(See Rule13of NCC Act)
A. I agree to extend the enrolment for one year and am willing to fulfill the engagement
made.
Place:
________________
Date: (Signature of Cadet)
B TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
1. I have examined (Name) ____on (date) as per
medical standard laid down vide GOI letter No. dated (see • below) and
considered him/her Fit/Unfit for enrolment as a Cadet in the National Cadet Corps.
2. His/her blood group is .
Place: Signature
Designation
Date: (Medical Officer)
MCI Registration No.
• No.0162/49/NCCdated19Mar1949[for SD(Army)&(Air)
• No.0162/49/NCCdated19Mar1949[for JD]
• No.0384/50/NCCdated10Mar1950[for SW]
• No.0630/52/NCC/1255-B/D(IS&MED)dated29Mar1952[for SD Naval Wing]
AGREED
C. I agree to further extension of one year for enrolment into II nd year.
Place:
Date:
___________________________
(Signature of Enrolling Officer/ANO/CTO)
CONFIRMED
__________________________
(Signature of Commanding Officer)
Note: This form will be filled in duplicate under the supervision of the Commanding
Officer. Photo will be pasted only on original and duplicate. Original form will be maintained
at the Unit, while the duplicate will be forwarded to Gp HQ.
Appendix‘C’(Revised2013)
NOMITANTIONFORM
FOR MEMBERSHIP OF THE CADETS WELFARE SOCIETY
(To be retained at NCC Group HQ)
Section – I
1. I, Cadet (name in block letters) son/daughter of Shri
(name in block letters) a student of class ____of
(name of college/school) on my enrolment with the
NCC on (date) with(name of the unit) , apply for
membership of the NCC Cadets Welfare Society and here by subscribe a sum Rs (Rupees
only) towards its
membership fee.
2. My father/Mother/Guardian’s occupation is and the
annual income of my family from all sources is Rs Per annum.
3. I understand that I shall be entitled to financial relief as determined by the Governing
Body/Managing Committee of the above society in the event of partial or permanent
disablement sustained by me while participating in an organized NCC activity. I hereby
accept that the decision of the Governing Body/Managing Committee with regard to the
quantum of relief to be paid to me in the event of my partial/permanent disablement will be
final and binding on me.
4. I hereby nominate the following person/persons who will receive financial assistance as
per the share indicated and as determined by the Governing Body/Managing Committee of
the above Society, which will be final and binding on the following person(s) in the event of
my death while participating the an organized NCC activity:-
Percentage of
Name of the Relationship Permanent
financial
S No Nominee’s with address of the
Assistance
(In Block Letters) Age the cadet nominee
payable
(To be filled by the cadet in own hand writing)
Section II
1. My membership in the Welfare Society and this Nomination Form will be valid only till
such time I remain a cadet in the Division or Wing of the NCC to which I have been enrolled.
Place: _____________________
Date : (Full Signature of the Cadet)
Place: ____________________________
Date: (Signature of PTO/Head of Institution)
Section III
I am willing to allow my son/daughter/ward (name) __________________ to become a
member of the NCC Cadets Welfare Society under the terms & conditions and rules in force
of the Society. I also approve of the nomination made in Section I (4).
_______________________________
Place: (Full signature of Father/Mother/Guardian)
Date: Complete Address
Witness Witness
1. Signature 2. Signature _______
_______________________________ _______________________________
_______________________________ _______________________________
(Full Name and address or office seal of the witness)
Note: The witnesses should be either gazette officer, head of Institution/NCC Part time Officer/
Sarpanch/ Village Head.
Section IV
Received a sum of Rs_____ (Rupees ______________________________only) as one time
subscription and enrolled as a member of the NCC Cadets Welfare Society during the
cadetship in the Junior/Senior Division/Wing.
Place:
______________________________
Date: (Signature of the OC Unit with office seal)
Section V
(To be filled in by the NCC Unit)
Date of dispatch of the Nomination Form to NCC Group HQ
.
FORM I
NATIONALCADETCORPS
SENIOR DIVISION / WING ENROLMENT FORM (SeeRules7and11ofNCCAct,1948) ATTESTED
1. Name PP SIZE
(INBLOCKLETTERS) COLORPHOTO
2. Nationality & Date of Birth
(DD/MM/YYYY)
3. Father’s/guardian’s Name
4. Mother’s Name
5. Residential Address
(Landmark, State, Dist
Taluk, City/Vill, Pin Code)
6 .Mobile No.
7 e-mail id
8. Blood Group
9. Sex
10. Nearest Railway Station
11. Nearest Police Station
12. Educational qualifications & Marks in (%) C L A S S - M A R K S -
13. Identification Marks (at least two)
14. Have you ever been convicted by a
criminal court & if so in What circumstances
and what Was the sentence? Attach
relevant documents.
15. Name of School/College and
Stream (Arts/Science/ Commerce)
16. Willing to be enrolled and undergo Y N
training under the
NationalCadetCorpsAct,1948
17. NCC Unit to be enrolled in
Y N
18. Have you been enrolled in NCC
earlier. If yes, Your Enrolment No.
19. Have you been dismissed from
NCC/the Territorial Army/the Indian Armed
Forces; Please Provide details:-
20. Next of Kin with address (with
relationship)Telephone No. (O)/(R) (as
applicable)
21. Banker’s detail/IFSC Code:
22. Bank Acct No of Cadet/Parent
23. Aadhar /UID No.(If allotted)
24. PAN Card No.(If allotted)
Place : Kolkata-32
____________________
Date : (Signature of the applicant)