Anda di halaman 1dari 4

ANNEXURE I DRAFT AFFIDAVIT BY THE STUDENT I, ___________________________________________________(full name of student with 1) admission/registration/enrolment number) s/o d/o Mr./Mrs./Ms.

___________________________________________ , having been admitted to (name of the institution) , have received a cop of the !I"#$ read and full understood the provisions %egulations on "urbing the Menace of %agging in &igher $ducational Institutions, '((), (hereinafter called the *%egulations+) carefull contained in the said %egulations. ') I have, in particular, perused clause , of the %egulations and am aware as to what constitutes ragging. ,) I have also, in particular, perused clause - and clause ).1 of the %egulations and am full aware of the penal and administrative action that is liable to be ta.en against me in case I am found guilt of or abetting ragging, activel or passivel , or being part of a conspirac to promote ragging. /) I hereb solemnl aver and underta.e that a) I will not indulge in an behaviour or act that ma be constituted as ragging under clause , of the %egulations. b) I will not participate in or abet or propagate through an act of commission or omission that ma be constituted as ragging under clause , of the %egulations. 0) I hereb affirm that, if found guilt of ragging, I am liable for punishment according to clause ).1 of the %egulations, without pre1udice to an other criminal action that ma be ta.en against me under an penal law or an law for the time being in force. 2) I hereb declare that I have not been e3pelled or debarred from admission in an

institution in the countr on account of being found guilt of, abetting or being part of a conspirac to promote, ragging4 and further affirm that, in case the declaration is found to be untrue, I am aware that m admission is liable to be cancelled. 5eclared this ___________da of _____________ month of ______________ ear. ________________ 6ignature of deponent 7ame8 !ddress8 #elephone/Mobile 7o8

VERIFICATION 9erified that the contents of this affidavit are true to the best of m .nowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. 9erified at ___________(place) on this the _______(da ) of______ (month) _____ ( ear) . __________________ 6ignature of deponent

6olemnl affirmed and signed in m presence on this the _________________ (da ) of _____________ (month) __________ ( ear ) after reading the contents of this affidavit.

:!#& ":MMI66I:7$%

ANNEXURE II

DRAFT 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) , having been admitted to ________________________(name of the institution) , have received a cop of the !I"#$ %egulations on "urbing the menace of %agging in &igher $ducational Institutions, '((), (hereinafter called the *%egulations+), carefull contained in the said %egulations. ') I have, in particular, perused clause , of the %egulations and am aware as to what constitutes ragging. ,) I have also, in particular, perused clause - and clause ).1 of the %egulations and am full aware of the penal and administrative action that is liable to be ta.en against m ward in case he/she is found guilt of or abetting ragging, activel or passivel , or being part of a conspirac to promote ragging. /) I hereb solemnl aver and underta.e that a) M ward will not indulge in an behaviour or act that ma be constituted as ragging under clause , of the %egulations. b) M ward will not participate in or abet or propagate through an act of commission or omission that ma be constituted as ragging under clause , of the %egulations. 0) I hereb affirm that, if found guilt of ragging, m ward is liable for punishment according to clause ).1 of the %egulations, without pre1udice to an other criminal action that ma be ta.en against m ward under an penal law or an law for the time being in force. 2) I hereb declare that m ward has not been e3pelled or debarred from admission in an institution in the countr on account of being found guilt of, abetting or being part of a conspirac to promote, ragging4 and further affirm that, in case the declaration is found to be untrue, the admission of m ward is liable to be cancelled. 5eclared this ______________da of __________ month of ______ ear. _________________ 6ignature of deponent 7ame8 !ddress8 #elephone/ Mobile 7o8 VERIFICATION read and full understood the provisions

9erified that the contents of this affidavit are true to the best of m .nowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. 9erified at ___________(place) on this the _______(da ) of______ (month) _____ ( ear) . __________________ 6ignature of deponent

6olemnl affirmed and signed in m presence on this the _________________ (da ) of _____________ (month) __________ ( ear ) after reading the contents of this affidavit.

:!#& ":MMI66I:7$%