Appendix ‘A’ (Revised 2013)

FORM I
ATTESTED PP
NATIONAL CADET CORPS SIZE COLOR
PHOTO
SENIOR DIVISION/WING ENROLMENT FORM (See Rules 7 and 11of NCC Act, 1948)

1. Name (IN BLOCK

LETTERS)

2. Nationality & Date of

Birth (DD/MM/YYYY)

3. Father’s/Guardian’s Name F I R S T M I D D L E L A S T

4. Mother’s Name F I R S T M I D D L E L A S T

5. Residential Address:
(Landmark, State, Dist,
Taluka, City/Vill,Pin
Code)

6. Mobile No.

7. E-mail Id

8. Blood Group

9. Sex

10. Nearest Railway Station

11. Nearest Police Station

12. Educational Qualifications C L A S S M A R K S

& Marks in (%)

13. Identification Marks

(at least two)

14. Have you ever been

convicted by a criminal
court and if so in which
circumstances and what
was the sentence? Attach
relevant documents
 2
15. Name of School/College
and Stream (Arts/ Science/
Commerce)

16. Willing to be enrolled and Y N

undergo training under the
National Cadet Corps Act
1948

17. NCC unit to be enrolled in

18. Have you ever been Y N

enrolled in NCC earlier? If
yes, Your Enrolment No.

19. Have you been dismissed

from NCC/ the territorial
army/the Indian Armed
Forces; Please provide the
details

20. Next of kin with address

(with relationship)
Telephone NO(O)/(R)
(as applicable)

21. Bankers Detail

(a) Name of Bank
(b) IFSC Code
(c) Branch
(d) Bank Acct No of
Cadet/Parent
(Attach copy)

22. Aadhaar /UID No.

(if allotted)
(Attach copy)

23. PAN Card No. (if allotted)

Place: ____________________

Date: _____________________ ___________________________

(Signature of the applicant)
 3

DECLARATION ON ACCEPTANCE OF ENROLMENT

1. I solemnly declare that the answers I have given to the question in this form are true
and that no part of them is false and that I am willing to fulfil the engagement made.

2. I promise that I will honestly and faithfully serve my country and abide by the Rules &
Regulations of the National Cadet Corps that I will, to the best my ability, attend all parades
and camps as may be required by the Commanding Officer from time to time

3. I further promise that after enrolment, I will have no claim on authorities for any
compensation in the event of injury or death due to accident during training camps, courses,
traveling and while on YEP or any other such NCC events like RDC and IDC. I understand I
have no service liability.

Place: Signature of the applicant

Date: Name:

DECLARATION BY PARENT/GUARDIAN

1. I solemnly declare that the answers I have given to the question in this form are true
and that no part of them is false and that my son/daughter/ward is willing to fulfil the
engagement made.

2. I further promise that after the enrolment my son/daughter/ward, I will have no claim
on authorities for any compensation in the event of injury or death due to accident during
training camps, courses, traveling and while on YEP or any other such NCC events like RDC
and IDC.

Place: Signature parent/Guardian

Date: Name:

NOTE: Rs 15/- to be paid by each cadet as CWS subscription at the time of enrolment
(including the cost of this Enrolment Form)
 4

CERTIFICATE
Certified that the applicant and his parent/guardian understand and agree to the conditions of
enrolment.

Place: Signature of Enrolling Officer

Date of Enrolment: (Unit Seal)

TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

I have examined (Name)____________________________on (date)__________________

and consider him/her fit/ unfit for enrolment as a cadet in the national Cadet Corps.

Place: Signature_________________
Date: Designation (Medical Officer)
Stamp

TO BE USED FOR EXTENSION OF ENROLMENT

(See Rule 13)
A. I agree to extend my enrolment for one year and am willing to fulfil the engagement
made

Place: Signature of applicant

Date:

Confirmed.

Place: Signature of Commanding Officer

Date:

B. I agree to extend the enrolment of my son/daughter/ward for one year and am willing
to fulfil the engagement made.

Place Signature of Parent/Guardian

Date
Confirmed
Place: Signature of Headmaster
Date from which extension starts________________

NOTE: This form will be retained in the College/school in which the unit is located
 Appendix ‘A’ to letter No.19952/DGNCC/CWS dated 05 Feb 91
NOMINATION FORM
FOR MEMBERSHIP OF THE NCC CADETS WELFARE SOCIETY (to be retained at NCC GP, HQ)

SECTION‐I

1. I, Cadet (Name in block letters) _____________________________Son/daughter of

Shri (Name in block letters) ________________________a student of class ____________ of
(Name of College/School ________________________________________________ on my
enrolment with the NCC on Date ____________________________ with(Name of the Unit)
_________________________________________ apply for membership of the NCC Cadets
Welfare Society and hereby subscribe a sum of Rs.15/‐ (Rupees Fifteen only) towards its
membership fee.

2. My Father/Mother/ Guardian’s Occupation is _________________________ and the

annual income of the family from all sources is Rs ________________________ per annum.

3. I understand that I shall be entitled to financial relief as determined by the Governing

Body/Managing Committee of the above Society in the event of partial or permanent
disablement sustained by me while participating in an organized NCC activity. I hereby accept
that the decision of the Governing Body/Managing Committee with regard to the quantum of
relief to be paid to me in the event of my partial permanent disablement will be final binding
on me.

4. I here by the nominate the following person/persons who will receive the financial
assistance, as per the share indicated as determined at the Governing Body/Managing
Committee of the above society, which will be final and binding on the following person(s) in
the event of my death while participating in an organised NCC activity.

SI. Name of the nominee/ Age Relationship Permanent address of the Percentage
No. nominees (in block letters) with the nominee of financial
cadet assistance
payable
1.

2.

(To be filled by the cadet in his own handwriting)

5. My membership in the welfare Society and this Nomination form will be valid only till
such time I remain the cadet in the division or wing of the NCC which I have been enrolled.

Place: (Full Signature of the Cadet)

Date:
 -2-

SECTION-II

Place:

Date: (Signature of PTO/Head of Institution)

SECTION‐III
I am willing to allow my son/daughter/ward (Name) ____________________ to
become a member of the NCC Cadet Welfare Society under the terms & Conditions & rules in
force of the society. I also approved of the nomination made in section (4)

Place: (Full Signature of the Father/Mother/Guardian

with complete address)

Date:

Witness: Witness:

1. _________________________________ 2. _________________________________
(Signature) (Signature)
Full Name & address of official seal Full Name & address of official seal
of the Witness of the Witness

Note: The witness should be the either Gazetted officer/ Head of institution/ Association NCC
Officer/Sarpanch/Village Head.

SECTION‐IV

Received a sum of Rs. 15/‐ (Rupees Fifteen only) as one time subscription and enrolled
as a member of the NCC Cadet Welfare Society during the cadetship in the Junior/Senior
Division Wing.

Place: (Signature of OC Unit with Office Seal)

Date:

SECTION –V
(To be filled in by the NCC Unit)
Date of dispatch of the Nomination Form to Group No ______________________
 APPENDIX ‘B’

Annexure to Form I
(Application for Enrolment)
INDENMITY BOND
To,

The President of India

In consideration of my being nominated either by the NCC authorities or at my own

request as a participant in any NCC camp (which includes Republic Day Camp and
Independence Day Camp in Delhi),Course, Adventure Training(including Army, navy and Air
Force Wing activities, as the case may be) and while traveling(in domestic/international
surface, air and water transport) and attending Youth Exchange Programme(YEP) abroad, I
undertake and agree that neither I, nor my executors or administrators or other legal
representatives will make any claim against the Government or against NCC authorities
including officers, JCO’s/ NCO’s or their equivalents from Navy and Air Force, civilians, MT
drivers or against any other such person in the service of the Government, in respect of any
loss or injury – to the property or person, including injury resulting in death, due to any reasons
whatsoever which I may suffer, while or in consequence of my participation in the above
activities and I understand that no compensation will be paid by the Government or NCC
authorities including officers, JCO’s/NCO’s or their equivalents from Navy and Air Force or
Civilian MT drivers in respect of any such loss or injury and I agree as to bind myself, my
executors and administrators and other legal representatives to indemnify the Government or
NCC authorities including officers, JCOs/NCOs or their equivalent from Navy and Air Force,
civilian MT drivers or any person in the service of Government against any claim which may
be from any third party against them or any of them arising out of any act of default on my part
during or in connection with the said camps, courses, adventure training, traveling and while
on Youth Exchange Programme or any other such NCC activities as may be organized from
time to time within or outside the Union of India.

Signature of Applicant
No
Name
Unit/Group
Witness
1. Signature
Name
Address Signature of Parent/Guardian
Name
Address
2. Signature
Name
Address

Place:
Date:

(NOTE: In case of SD applicant being a minor, Indemnity Bond applicable to Minor will be used)