Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

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A�davit Registration Form For A�liated

Colleges
Fields marked with * are compulsory.

Student's Details
First Name *

Aditi

Middle Name (optional)

Mukeshbhai

Surname / Last Name *

Mehta

Mobile Number (+91)*

1234567890

Email*

aditimehta@[Link]

Gender *
Female

City*

Ahmedabad 

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Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

State*
GUJARAT


Select Nationality*
Indian

Parent / Guardian Details

Parent / Guardian Name*

Mukesh Mehta

Parent / Guardian Phone Number (+91)*

1234567890

Parent / Guardian Email*

mukeshmehta@[Link]

Parent / Guardian City*

Ahmedabad

Parent / Guardian State*

GUJARAT

Parent / Guardian address*

5, Akshat Apartment, Near Electricity House, Lal Darwaja,,

Ahmedabad 380001

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Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

College and Course Details


State in which college is based*
GUJARAT

College Name (Select College State First)*

Smt. Laxmiben & Chimanlal Mehta Arts College (C-5802)

Your College Details

College
C-5802
Code
College
Smt. Laxmiben & Chimanlal Mehta Arts College
Name
University
U-0136
Code
University
Gujarat University Ahmedabad
Name

Select College First And Then Fill The Following

As Per The College Details

College Director's Name *

Dr. B. C. Panchal

College Phone Number (+91)*

0792550438

College Landline Number (Optional)

College Landline Number

Details Of The Course (UG/PG/Diploma)*

Under Graduate Degree


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Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

Name of the Course *

B.A. 

Number of students in your class

179

Current year of study*

1

Nearest Police station to your college*

Karanj Police Station

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

I con�rm 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.


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Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

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 Help line at 1800 180 5522
or email to helpline@[Link]

Con�dential Survey
Please answer these questions truthfully and honestly
because this survey is totally Con�dential, 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 Help

Line *

18001805522

Does ragging happen in your college ? *

No Mild Severe

WARNING: Please Recheck Your Details (specially Email

addresses and Mobile) Before Submitting the form
I have rechecked the form and con�rm that all the details
are correct.


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Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

 Submit Form

Useful Links

 University Grants Commission (UGC)

 Monitoring Agency, Centre for Youth (C4Y)

 Ministry of Education (MoE)

Useful Links Of This Website

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

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Anti Ragging | Ragging in college | Anti Ragging Affidavit [Link]

 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)

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