Appendix ‘H’
NCC GROUP HEADQUARTER
__________________________
WILLINGNESS CERTIFICATE
I, No ______________ Rank _______ Name
__________________________________of ___________________College/School
am ____________________________________Volunteer to participate in IGC
(RDC) to be held at Bhopal From 03 Nov 2025 to 12 Nov 2025.
Signature of NCC Officer Signature of the Cadet
Date: / / 2025 Date: / /2025
CERTIFICATE FROM HEAD OF THE INSTITUTION
1. It is certified that No ______________Rank_______Name
__________________is a Student of ________________________________class
___________& is a Student of _________Year of NCC.
2. This cadet is found suitable for attending the IGC (RDC) being held at
Bhopal
Institution Signature
Seal Date: / / 2025
COUNTER SIGNATURE OF OC UNIT
Place: ___________
Date: / / 2025
Appendix ‘J’
(Refer Para 30)
NCC GROUP HEADQUARTER
__________________________
FORM OF INDEMNITY BOND
In consideration of my being nominated at my request as a participant in
camp course/adventure Trg activities (Like Mountaineering Rock Climbing.
Trekking/Hiking. Cycling and Expeditions) and traveling. I undertake and agree that
neither I nor executor nor administrators will make any claim against the govt of India
or any officer, JCO or Civilian MT driver or against any person in the service of Govt
of India or against any loss or injury to the property or person (including injury
resulting in death), which I may suffer while or in consequence of my having
participation and I understand that no compensation will be paid by Govt of India or
any officer, JCO or Civilian MT Driver in respect of any such loss or injury and I
agree so as to bind my executors and administrator to in indemnity the Govt of
Indian against any claim which may be made by any third party against them or any
act (act) of default on my part during or in connection of said training/camp/any
journey.
Station: ___________ Signature of applicant
Address & Designation
Countersignature of Father
or Guardian with date
Name in Block letters
----------------------------------------
Address-
----------------------------
----------------------------------------
----------------------------------------
Witness:-
1. Signature ---------------------------------
Name -------------------------------------
Address ----------------------------------
2. Signature ---------------------------------
Name ----------------------------------
Address ----------------------------------
COUNTER SIGNATURE OF OC UNIT
Place : _____________
Date : / / 2025
Appendix ‘K’
NCC GROUP HEADQUARTER
__________________________
RISK CERTIFICATE
It is certified that I agree to detail my son/daughter Shri/Kum
___________________________For IGC (RDC)at Bhopal From 03 Nov 2025 to 12
Nov 2025 I/ further declare that my son / daughter will participate in the training
camp at my own risk and no compensation will be paid to me in case of any
accident/injury or loss to property or person. I further declare that in the event of
injury / death due to Accident/drawing. Due to whatever case, NCC Directorate
General, New Delhi, or the staff or other Candidates undergoing training will not be
liable to pay any compensation.
Signature of the Cadet
Signature of Parent/Guardian
Name-__________________
Date: / / 2025
ACCIDENT/DROWNING CERTIFICATE
Name ___________________________ Son/Daughter of ___________________
Address – ___________________________________________________________
Teh- ______________________________Dist- ____________________ wish to
attend the IGC (RDC) Being conducted at Bhopal from 03 Nov 2025 to 12 Nov
2025 at my own risk, in the Event of my sustaining any Injury/death due to
Accident/drowning due to my fault or anyone Else’s fault during the Conduct of
Training/Camp/I gives the Undertaking that I will not be entitled for any compensate
ion.
Signature of Parent / Guardian Signature of Candidate
Date: / / 2025 Date: / / 2025
Signature of the NCC Officer
ATTESTED BY HEAD OF THE INSTITUTION
Date: / / 2025 (Signature and Stamp)
COUNTER SIGNATURE OF OC UNIT
Place: ____________
Date: / / 2025
Appendix ‘L’
NCC GROUP HEADQUARTERS
______________________________
MEDICAL FITNESS, VACCINATION AND INOUCULATION CERTIFICATE
1. Certified that I have examined No._____________________ Rank
_____________Name________________________________Son/Daughter______
___________ of Mr./Mrs._______________________School/College-
________________________as per laid down standards in NCC Act and Rules
1948, Appx ‘A’ and found Him/her fit to Undergo training of strenuous nature of Dte
Combined Annual Trg Camp IGC (RDC) Being held at Bhopal From 03 Nov 2025 to
12 Nov 2025.
2. I also certify that the above mentioned Cadet has been inoculated and is free
from all diseases.
Station: ____________ Signature of Medical Officer
Date : / /2025
Name-------------------------
Designation------------------
(Official Seal)
COUNTER SIGNATURE OF OC UNIT
Place: ______________
Date : / /2025
Appendix ‘M’
NCC GROUP HEADQUARTERS
VERIFICATION ROLL
1. Name : _______________________________________
2. Father’s Name : _______________________________________
3. Date of Birth : _____________________________________
(In Christian era)
4. Cast : _______________________________________
5. Identification Marks : _______________________________________
6. Permanent Home Address : _______________________________________
House No.
Street : _______________________________________
Village : _______________________________________
Post Office : ______________________________________
Teh/Dist : _______________________________________
Nearest Police Station : _______________________________________
7. Present Residential Address : _______________________________________
8. Name of two references : _______________________________________
(Here mention name of two persons 1. ______________________________
Who are preferably Govt. ______________________________
Employees but not your relatives : 2. ______________________________
Who would be able to vouch for ______________________________
Your character if referred to)
(Please also give the full postal address)
I certify that the above particulars are true to the best of my knowledge
Date : / /2025
Signature of the Individual
REMARKS OF THE POLICE OFFICE
Seal of the
Police Station
Date : / /2025
COUNTER SIGNATURE OF OC UNIT
Place: _____________
Date : / /2025
Appendix ‘N’
ARRIVAL REPORT
NOTE:-
(a) Part I will be completed and handed over to the Camp Adjutant by
every detachment Commander on arrival at the camp.
(b) Part II will be completed and handed over to the Camp Adjutant by
every Detachment Commander just before departure from the Camps.
(c) The same form will be used for arrival and departure report by the Det.
1. Name of the Directorate: NCC Directorate MP & CG, Bhopal_
2. Name of the Contingent Commander: ___________________
PART I – ARRIVAL REPORT
3. Strength of the Dte Contingent is as following
OFFICERS ANO GCI PI CIVIL NCC CADETS
STAFF STAFF SD/JD SW/JW
4. Date of arrival at the Camp: 03 Nov 2025 early in the morning.
5. Date and time of first meal taken at the Camp: _____________at ______ Hrs.
Contingent Commander
IGC- RDC 2025