Affidavit D
AFFIDAVIT BY PARENT/GUARDIAN
I, Mr./Mrs./Ms. ____________________________________________________________…..(full name
of parent/guardian) father/mother/guardian of__________________________________________
(full name of student with admission/registration/enrolment number), who have been admitted
to______________________________________________________ (name of the institution), have
received a copy of the UCC Regulations on Curbing the Menace of Ragging in Higher Educational
Institutions, 2009, (hereinafter called the “Regulations"), have carefully read and fully understood the
provisions contained in the said Regulation. I have, in particular, perused clause 3 of the Regulations and am aware
as to what constitutes ragging. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am
fully aware of the penal and administrative action that is liable to be taken against my ward in case he/she is found
guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. (Refer to
ANNEXURE No. 1)
I hereby solemnly aver and undertake that
a) My ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the
Regulations.
b) 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 Regulations.
I hereby affirm that, if found guilty of ragging, my ward is 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.
I hereby 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 is found to be untrue, the admission of my ward is liable to be cancelled.
Declared this………..day of………..month of…………year.
Signature of deponent
Name:
Address:
Telephone/ Mobile No.:
VERIFICATION
Verified that the contents of this affidavit are true 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
Solemnly affirmed and signed in my presence on this the ( )day of ( )month, ( )year after reading the
contents of this affidavit.
OATH COMMISSIONER