•
ANNEXURE I
AFFIDAVIT BY THE STUDENT
\-lr,, 1,:_ ~, (full name of student with admission/registration/enrolment number) s/o d/o Mr./[Link].
i;t~~r1~~1U'So) 5/o ~f.{~aving been admitted to (name of ~he.
H. tution) , h?vereceived a copy of the UGC Regulations on Curbing the Menace of Ragging in
igher Educational Institutions 2009 (hereinalter called the "Regulations'') carefutly read and fully,
~r,cieiStood th~ provisions contained in the said Regulations. 2) I have, in particular, pe'.used clause 3
f th e Regulat1o~s and am aware as to what constitutes ragging. 3) I h~ve also, in part1cul~r, per~sed
clau~e and clause 9.1 of the Regulations and am fully .aware of the penar and administrative action
th
at _is liable to ?e taken against me in case I am found guilty of or abetting ragging, actively or
::tvely, or being part of a conspiracy to promote ragging. 4) I hereby solemnly aver and undertake
a) I will ,not indulge in any behaviour or act that may be constituted ~s ragging under
clause 3 of the Regulations. •
b) I will not participate ln or abet or propagate through any act of commission or omission
that may be constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1
of the Regulations, without· prejudice to any other criminal action that may be taken against me under
a~y penal law or any law for the time being in force. 6) I hereby declare that I have 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
decla_ration is found to be untrue, I am aware that my admission is tiable to be cancelted.
Declared this iday of .u~¾lbln month of ~d'Lj year.
•
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 ('pface) on this the (day) of (month) , (year) .
Signature of deponent
Solemnly affirmed and signed in my presence on this the of (month) , (year ) after
reading the contents of this affidavit. •
OATH COMMISSIONER
'
ANNEXURE
AFFIDAVIT BY PARENT11
/GUARDIA N
~a:-/M'r(./Ms. _A, R)J N
ad ~~guardian) fath l D 6 :/ t \:sAU
s er/mother/guardian of I?;, (full
h mis ,on(reglstration/
enrolment number) , ha
, (fu\l na me of student with \-1 n?me of ~.(P"1
. E~~e received a .co~y vtng been adm\tted to _( .0l)d~ t)_~~ crra
of the UGC Regulations na m e of the institJ\io
dcatlonal lnst,tutmns, on Curbing the Menace n),, S~WO>l.L
st00 20 09, (hereinafter called of Ra gging in Higher
t~r d :h~ provisions conta the "R egulations'') carefully rea
ined in the said Regulat d and fu\\y
1 e Re gu \[Link] and art} aware as ion s. 2) I ha~e, in particula
~;au~e and cl~use 9.1 to what constitutes ragg r, perused clause 3
of the Regu\ations and \ng. 3) I have a\so, in pa
a
15
am fu\\y aware of the pe rticu\ar, perused
liable to ~e taken again na l and
ctively or passively, or st my ward in case he/she ad mi nistrative action
underta being part of a conspir \s found guilty of or abett
ke that acy to promote ragging ing ragging,
. 4) 1 hereby solemnly av
a) My ward will not ind er and
ulge \n any behavlour or
under c\ause 3 of the act that may be constitu
Regu\ations. ted as ragging
b) My ward w\l\ not pa
rticipate in or abet or pr
omission opagate through
5) I hereby affirm that that may be constituted as ragg\ng under c\aus any act of commiss\on or
\ng, my ward is \iab\e fo e 3 of the Regu\ations.
, \f found guilty of ragg
clause 9.1 of the Regu r punishment accord\ng
lations, without prejudic to
against my ward unde e to any other criminal
r any penal law or any action that may be taken
my ward has not been law for the time being
expelled or debarred fro in force. 6) l hereby de
account of being foun m adm\ssion \n any \nsti c\are that
d guilty of, abetting or tution in the country on
further affirm that, in be ing part of a conspiracy
case the dedarat\on \s to promote, ragging; an
be cancelled. found to be untrue, the d
admission of my ward is
\\ab\e to
Dedared th is ~ day of
\c~ ~
,S ~ }w i month ofl
i.::,'),}J y e a ~ \
/\.~
S1gnature of depone
Name:~ t v \ tJ or; tL nt tH l ,, 1 t .. i \\
f-A
Address:'1 'l.35 ~O W "\ dYl \.J w t>-N"'
Cioo) '
Telephone/ Mob\\e No
.:C\C).\\~Q~qq~
VERIFICATION
~:i~a~~tti~a~~~= .
(day) of (month} , (y ;~
ear) . :;~P~;~)a~n°:h~~~he
Signature of deponent
Solemnly affirmed and
signed in m~ presence
reading the contents of on this the (Q2Y} of (m
\his affidavit. ~nth) •(yea;) after
,
• OATH COMMISSIONER