ANNEXURE 1

AFFIDAVIT BY THE STUDENT

Mr./Mrs./Ms

. . . . . . . . . . .

...

. . .. . . . . . . . . .

.:

of

student with admission/registration/

having been admitted to

(name ofthe institution), have received a copy of the UGC Regulations on Curbing the Menace of Rag8ing in Higher Educational

lnstitutions, 2009, (hereinafter called the "Regulations") carefully read and fully undeRtood the provisions contained in the said
ReSulations.

2)
3)

I have,
I

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

have also, in particular, perused clause 7 and clause 9.1

ofthe Regulation and am fully aware of the penal and administrative

action that is liable to be taken against me in case I am found Suilty of or abetting ragging, actively or passively, or being
part of a conspiracy to promote ragging.

4)

I hereby solemnly aver and undertake

(a)
(b)

that

will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations.

will not participate in or abet or propagate throu8h

any act of commission or omission

that may be constituted as

ragging under clause 3 of the Regulations.

5)

hereby affirm tha! if found guilty of ragging, I am liable for punishment according to clause 9.1 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 being in
force.

6)

I hereby declare

that I have not been expelled or debarred from admission in any institution 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.

Verified that he contents ofthis affidavit are true to the best of my knowledge and no part ofthe 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.

OAIH COMMISSIONER / ADVOCATE

AND

OTARY PUBUC

ANNEXURE II

,.,,.

mother/ Euardian

,,"1:'J,:1y[

i:J::

of

:l::};f ,::H"']:" -,.,,

enrolment number), have been admitted to (name ofthe institution), have received
Curbing the Menace of Ragging in Higher Educational

lnstitutiont 2009, (hereinafter

a copy

ofthe

UGC Regulations

on

called the "Regulations"), carefully

read and fully understood the provisions contained in the said Regulations,

2)
3)

I have,
I

in particulal perused clause 3 ofthe Regulations and am aware asto what constitutes ragging.

have also, in particular, perused clause 7 and clause 9.1

ofthe Regulations and am fully aware of the penal and administrative

action that is liable to be taken against my ward in case he/she isfound guilty oforabetting ragging, actively or passively, or
bei ng part of a conspi racy to promote ragging.

4)
a)
b)

I hereby solemnly aver and undertake

that

My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 ofthe Regulations.
My ward will not particlpate in or abet or propagate through any act of commission or omission that may be constituted
asra8ging under clause 3 of the Regulations.

5)

hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1ofthe Regulations,

without preiudice to any other criminal action that may be tAken agalnst my ward under any penal law or any law for the
time being in force.

6)

I hereby declare

that my ward has not been expelled or debarred from admission in any institution 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, the admission of my 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 ofthis affidavit are true to the best of my knowledge and no part ofthe affidavit is false and nothing
has been concealed or misstated

therein.

verified at ............................ (place) on this the............................ (day), of ................... (month),......-..-............... (year).

...

(year) after

reading the contents of this affidavit.

OATH COMMISSIO ER

ADVOCATE

A'{D NOTARY PUBUC