(To be typed in Rs 50/- Non- Judicial Stamp Paper as per State Rules)

AFFIDAVIT BY THE STUDENT

I, ( full Name of student with admission / registration/enrolment number
S/O d/o Mr. / Mrs. / Ms ,having been
admitted to (name of the institution ,
have received a copy of the UGC Regulations on curbing the menace of Ragging in Higher Educational
Institutions, 2009 (herein after called the “Regulations”) carefully read and fully understood the provisions
contained in the said Regulations.

2. I have, in particular, peruse clause 3 of the Regulations and am aware as to what constitutes ragging.

3. I have also, in particular, perused claused clause 7 and clause 8.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against me in case I am found guilty of or abetting
ragging, actively or passively, or being part o a conspiracy to promote ragging.

4. I hereby solemnly aver and undertake that

a) I will not indulge in any behaviour or act that may be constituted as
ragging under clause 3 of the Regulations.
b) I will not participate in or abet or propagate through any act of commission or omission that
may be constituted as ragging under clause 3 of the Regulations.
5. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 8.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any penal
law or any law for the time for the time being in force.
6. I hereby declare that my ward has not been expelled or debarred from admission in any institution in
the country on account of being found guilty of, abetting or being part of a conspiracy to promote,
ragging; and further affirm that, in case the declaration is found to be untrue, I am aware that my
admission is liable to be cancelled.
Declared this day of month of year.

Signature of deponent

Name:
VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false
and nothing has been concealed or misstated therein.

Verified at (Place) on this the (Days) of (month) (Year).

Signature of deponent

Solemnly affirmed and signed in my presence on this the (Days) of (month) (year)
after reading the contents of this affidavit.

OATHCOMMISSIONER

Note:All he affidavits/ indemnities(on stamp paper) have to be submitted only at the time of reporting for
classes (not when appearing for the Entrance Exam)
 (To be typed in Rs 50/- Non- Judicial Stamp Paper as per State
Rules) AFFIDAVIT BY PARENTS/GUARDIAN
I, Mr ,/Mrs./MS, ,(full name of the
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 copy of the UGC Regulations on curbing the
Menace of Ragging in Higher Educational Institutions , 2009, (hereinafter called the “Regulations”), carefully
read and fully understood the provisions contained in the said Regulations.

2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.

1) I have also, in particular, perused clause 7 and clause 8.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against my ward in case he/she is found guilty
of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.

2) I hereby solemnly aver and undertake that

a) My ward will not indulge in any behavior or act that may be constituted as ragging under clauses 3 of
the Regulations.

b) My ward will not participate in or abet or propagate through any act or commission or omission that
may be constituted as ragging under clause 3 of the regulations.

3) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 8.1
of the Regulations, without prejudice to any other criminal action that may be taken against my ward
under any penal law or any law for the time being in force.

4) I hereby declare that my ward has not been expelled or debarred from admission in any institution in
the country on account on being found guilty of, abetting or being part of a conspiracy to promote,
ragging; and further affirm that ,in case the declaration is found to be untrue, the admission of ward is
liable to be cancelled.

Declared this day of month of year.

Signature of deponent

Name:

Address:
Telephone / Mobile No.
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.

Verified at (place) on this the (day) of (month), (year)

Signature of deponent

Solemnly affirmed and signed in my presence on this the (day) of (month), (year)
after reading the contents of this affidavit
OATH COMMISSIONER

Note: All the affidavits/ indemnities (on stamp paper) have to be submitted only at the time of reporting for
classes (not when appearing for the Entrance Exam)
 (To be typed in Rs 50/- Non- Judicial Stamp Paper as per State Rules)

TO:

THE REGISTRAR
AMET UNIVERSITY

SIR,

INDEMNITY FOR PERSONAL SAFETY

This is to state that I,

.
Son of
,
have joined the (Course Name), on my own accord and I am aware of his personal safety aspects to be
maintained whilst under training. I agree to abide with the rules of the AMET University and will keep myself
updated with any alterations to rules in the future during the tenure of my training.

In particular I assume all risk and expenses towards personal injury, loss of life, hospital, medical,
repatriation expenses, loss or damage to property or any other loss or damage whatsoever and howsoever
caused.

I confirm that I shall maintain strict discipline and adhere to all safety procedures during my stay at the university,
an at any other location I may be sent to for further training, for the course.

I also confirm that I will not enter the swimming pool without permission and supervision. I will not hold
AMET University or any staf thereof responsible for any injury that I may suffer due to any breach of this
undertaking

Further I expressly agree that the AMET University, or ay other organization involved in the training shall not be
held responsible not withstanding any express or implied condition or warranty to the contrary, statutory or
otherwise.

I declare that I have given all the medical details and I will not hold the university responsible for any hidden/
undisclosed medical reports.

(SIGNATURE OF CANDIDATE) (SIGNATURE OF PARENT/GUARDIAN)

NAME: ……………………………… NAME:

……………………………………….

Date: ………………………………… RELATIONSHIP:

……………………………

(To be typed and signed by you and your parent/guardian)

Note:All he affidavits/ indemnities(on stamp paper) have to be submitted only at the time of reporting for
classes (not when appearing for the Entrance Exam)
 (To be typed in Rs 50/- Non-Judicial Stamp paper as per State Rules)

AFFIDAVIT BY THE STUDENT

This is to state that, I son of have joined the (Course Name).

I hereby solemnly aver and undertake that documents submitted by me are Genuine, in case the undertaking is
found to be untrue, the Admission of ward is liable to be cancelled and Candidate will be De-barred from the
University and can precede Criminal action that may be taken against ward.

Declared this day of month of Year

Signature of deponent
Name:

Verification

Verified that the contents of this affidavit are true to be the best of my knowledge and no part of the affidavit is
false and nothing has been concealed are misstated therein.

Verified at _ place on this the (day) of (month), (Year)

Solemnly affirmed and signed in my presence on this the (day) of (month), (Year) after reading the contents of
this affidavit.

OATH COMMISSIONER