STUDY GAP AFFIDAVIT

I __________________________S/D/o ________________________________ R/o

_____________________________________________________________ do hereby solemnly
and state as under:
1 That my above name and address is correct.
2 That I have passed 12th class from H.P./CBSE/ICSE/other___________ Board in the
year ___________with PCM_______% & English________%.
3 That there is a gap of ______ year/s between passing of 12th class and now
seeking admission in the National Institute of Technology, Hamirpur (HP) .
4 That during this gap period I was doing ____________________________.
____________________________________________________________.
5 That during this gap period, I was neither studying anywhere nor passed any other
examination.
6 That I was not involved in any criminal offence whatsoever and I was not punished
for any offence by any Court of law during this gap period.

DEPONENT VERIFICATION
That the above statement is true to the best of my knowledge and belief and
nothing has been concealed there from.
DEPONENT

PROFORMA FOR GAP AFFIDAVIT

AFFIDAVIT
1. I, ___________________________________________ (Name of Candidate), S/o / D/o
____________________________________________________, do hereby solemnly affirm and
state on oath as under :i) That I the deponent have passed 10 + 2 / HSC Examination in the year
____________.
ii) That after passing the aforesaid examination in that year I did not join any
School / College / Institution from __________________ (the date of passing above
examination) till date.
iii) That the Session ___________ to ___________ (mention the Gap period) is the gap
year of the deponent.

2. I, ____________________________________ (name of candidate) do hereby solemnly

affirm that the contents of this affidavit from Paras 1(i) to 1 (iii) are true and correct
to the best of my personal knowledge and belief. I do understand that if the above
affirmation is proved to be false, my admission in this Institute would be cancelled
for which I solely will be responsible

. _____________________ _____________________ Signature of Father

Signature of Candidate Dated: ______________ AIT Merit No _________