Application For Enrolment: Form No. - 1 National Cadet Corps Senior Division/ Wing Enrolment Form (See Rule 7 and 11)

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Form No.

-1
National Cadet Corps Senior Division/ Wing Enrolment Form
(See Rule 7 and 11)

APPLICATION FOR ENROLMENT


1. What is your Name ? 1..
(in block capitals)
2. What is your Parents/Guardians Name 2...
and Address? Address.
..
..
3. Are you Citizen of India, or a subject 3
of Nepal?
4. What is your village, Tehsil or Taluka 4
and District? Tehsil or Taluka...
District..
Pincode.
5. What is your Post Office 5

6. What is your Railway Station 6

7. What is your Educational Qualification 7

8. What is your age & date of Birth? 8

9. Have you ever been convicted by a 9


Criminal court and if so in what
circumstances and what was the sentence?
10. In which institute are you now studying? 10Dr B R Ambedkar National Institute of
Technology Jalandhar.
11. Are you willing to be enrolled under the 11.
National Cadet Corps Act 1948?
12. In which unit do you desire to be enrolled? 12.

13.Are you willing to undergo service training 13.


as specified in act and the rules made
there under?

14. Are you willing to serve in the National 14..


Cadet Corps until discharge as provided
in the Act?

15. Have you ever previously applied for 15...


enrolment under the Act and if so with
what result ?
(2)

16. Have you been dismissed from the 16


National Cadet Corps, the Territorial
Army or the Indian Armed Force

17. Next of Kin with address 17..


(With relationship) ..
Telephone No (O)/(R) as applicable ..

Place: ..
Date: Signature of The Applicant

DECLARATION ON ACCEPTANCE FOR 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 fulfill the engagement them.

2. I . .Promise that I will honestly and faithfully serve


my country and abide by the Rules and Regulations of the National Cadet Corps that
I will do not best of my ability 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


to claim on authorities for any compensation in the event of injury or death due
to accident during training camps, travelling and white YEP or any other such
NCC events like RDC and IDC. I understand, I have no service liability.

Place: .

Date: Signature of The Applicant


( 3)

DECLARATION BY PARENTS /GUARDIAN

1. I Solemnly declare that answer given in this form are true and that no part
of them is false and that my son / daughter / ward is willing to fulfill the
engagement them.

2. I.. promise that after enrolment of 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 travelling
and while YEP or any other such NCC events like RDC and IDC.

Place:
Date: Signature of Parents/Guardian

CERTIFICATE

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

..
Signature of Enrolment Officer

Place: NIT Jalandhar

Date of Enrolment
(Unit Seal)
(4)

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)

TO BE USED FOR EXTENSION OF ENROLMENT


See Rule 3

A.I agree to extend my employment for one year and am willing to fulfill the engagement
them.

Place: ..
Date: Signature of The Applicant

Confirmed

Place:
Date: Signature of Commanding Officer

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

Place: .
Date: Signature of Parents/Guardian

Confirmed ...
Signature of Head of Institute

Date from which extension starts ..

NOTE: This for will he retained in the institute in which the unit is located.

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