Undertaking by Students/Parents

I, Mr./Ms._______________________________________________________________, Enrollment No.

/I. D. No._________________ am studying in B. E. _________________Semester will fulfill the
following requirements:
1. My class attendance will be more than 75% in all the theory and practical subjects of all semesters,
failing which the college management may detain me from appearing in the GTU examination.
2. In case my attendance is less than 75%, I may be detained in appearing in the GTU examination.
3. I will attend all the classes regularly throughout the year. In case of medical reasons or other
unavoidable circumstances, I will submit the leave application along with supporting documents to
my HOD within 2 days of rejoining my classes.
4. I will not use such words or language with any student which embraces him/her.
5. Mobile phones are prohibited in college campus. If I will found with mobile then college have right to
punish me and put fine on me of Rs. 500/-.
6. I will maintain discipline inside and outside campus. Also, I will advise to junior students to maintain
discipline.
7. I will not indulge in or initiate bunking classes.
8. I have fully understood the rules and regulations of this institute and promise to abide by the same.
9. If I remain absent continuously for 15 days, my parents will have to meet the concerned
HOD/Principal.

I have gone through carefully the terms of the above undertaking and understand that following of these
terms are for my/his/her own benefit and improvement. I also understand that if I/he/she fails to comply
with these terms, I/he/she will be liable to suitable action as per college/university rules. I undertake that
he/she will strictly follow the above terms.

Signature of Parent: _____________________

Signature of Student:________________________

Date: _________________

Date: _________________

Place: _________________

Place: _________________

STUDENT PERSONAL INFORMATION FORM

(To be executed on appropriate non-judicial stamp paper & attested by a Notary Public)

Students details
Name:
Gender:
Enrollment No./ID No.:
Department:
Course:
Semester:
Academic Year:
Date of Birth
Contact Address:

A student is required to
affix within the space
his/her passport size
photograph

Permanent Address:

E-mail ID:
Contact no.:

Parent details
Name of Father:
Contact address
(Residence):
Occupation:
Mobile no.:
Landline no.:
E-mail ID:
Office address:

Office Contact no.:

DECLARATION: We hereby declare that the information provided in this sheet is correct and valid to the best of our
knowledge. We promise that if there is any change in the above information, i.e., change in address/contact

No./ E-mail ID, etc., it will be our responsibility to inform the institute. If we do not inform the institute
regarding change in information, then whatever financial or academic loss or any other loss may occur, we
and only we will be held responsible for the same. In any case, institute will not be held responsible for the
same.

Signature of Parents: _____________________

Signature of Student: ________________________

Date: _________________

Date: _________________

Place: _________________

Place: _________________