Afadivit for MPH prgoram

Undertaking/Agreement
I, Mr./Miss __________________________S/D/W/o _________________________ resident of

______________________________________________________________________ do her by solemnly undertake to abide
by the following
I. That I have read the prospectus of KMU Institute of Public Health & Social Sciences IPH&SS and hereby agree to
conform to all provisions of the statutes and rules as may hereafter be framed by the appropriate authorities.
II. That the information furnished and document attached with the application form are correct and I fully understand
that at any time during/after the course of study if it is found that any information is incorrect or any documents
produced at the time of admission are false, which would have rendered me ineligible for admission under the
rules, my name shall immediately be struck off from the institute roll.
III. That I shall, in case my name is struck off under clause (ii) above, not been titled to claim refund of any fee paid
by me.
IV. That I shall, have minimum attendance of 75 percent, diligently apply myself to acquire and develop the skill
necessary for the practice and advancement of my study in order to qualify for examination and I will not be
promoted to the next contact session unless I have cleared all the assignments and papers.
V. That hostel accommodation will be provided subject to availability, in case of non- availability of hostel
accommodation, I will not ask for any accommodation.
VI. That I will not indulge in politics of any type and will not be a member of any political party/ organization /
students Federation and holding a gathering, meeting or taking out procession in any part of Campus. I understand
that my failure to observe this clause of undertaking would result in cancellation of my admission/expulsion from
the Institute, and that the decision of the authorities concerned will be final.
VII. That I shall never use violence, threat of violence and pressure in any dispute with others, all means, and methods
shall only be logic, persuasion, petition, appeal, revision, review, and other legal and peaceful method for
settlement of differences and disputes.
VIII. That in any dispute with students, teachers, and employees of the institute I shall accept the judgment of the
committee constituted by the principal/director for decision of settlement of the wrong doers.
IX. Further, I do hereby solemnly undertake to refrain from:-
a. Doing anything which may cause injury or insult to director, teacher/facilitator, officers and other staff of
institution.
b. Holding a gathering, meeting, and taking out procession in any part of Campus other than are as specified for the
purpose.
c. All kinds of unfair means in examination.
d. Allowing or abetting the entry to the premises of the Institute of expelled students, antisocial elements, or others
whose presence in the Campus could cause conflict amongst the students.
e. Bringing into the Campus, consuming or encouraging consumption of alcoholic products, drugs and narcotics and
including in acts of moral turpitude.
f. Bringing or keeping any type of weapons within the University/ Institute premises.
g. Using or occupying any room or part of any building of the Institution without lawful authority.
h. Damaging any University/Institute property including building, equipment, and vehicles etc. in any manner.
i. Indulging in any violent or any other unsuitable activities even outside the Institute, which may bring bad name
to the Institute.
j. From all such acts and deeds as might bring disgrace and bad name to the Institute.
X. In case I am reported to be guilty/ involved in any of the aforesaid activities during my stay in the
Institute/university, the Institute authorities can rusticate me from the Institute temporarily or expel me
permanently. I will not try to create law and order situation or instigate the students of the Institute or of any
other institution against the action taken by the institute and furthermore I will not go to any Court of Law in this
regard. In case of my expulsion from the Institute I shall pay KMU as liquidated damages at the rate of Rs.200,000
(Two Lacs) per year of my study in the Institute.
XI. If it is reported that I have not honored the decision of the Institute authorities as described above, I shall be liable
to pay Rs.3,00,000/-(Three Lacs) per year of my study in the Institute as damages to the Khyber Medical University.
XII. In case there is any dispute between me on one hand and the facilitators/administration of the Institute on the
other hand regarding my involvement in a disciplinary or political matter or regarding the imposition of any penalty
or damages on me, the matter shall be referred to the HOD/Director, as the sole arbitrator and his/her decision in
such capacity shall be final and shall not be challenged in any court of law.
XIII. I will abide by the decision of the Institute Authorities, in case I am found guilty of in discipline, defamation,
disrespect of the Staff and other anti-institutional activities.
XIV. I understand that if it is found that I was not entitled for admission according to the KMU Admission policy at any
stage of MPH Program or if it is found that I was not entitled for admission in preference to the other candidates
who applied for admission, my admission will stand canceled.
XV. I solemnly declare that I am not enrolled/will not be enrolled in any other Ph.D, M.Phil, Master Program, FCPS or
MCPS at any other institution/university during my MPH Program. In that case my admission will be considered as
cancelled.
XVI. I solemnly declare that I will provide migration certificate up to the due date fixed by the institute.
XVII. I solemnly declare that I will provide any other documents/requirements required by the institute at any stage.
XVIII. I solemnly declare that I will complete my MPH during two years, failing which I will pay extra fee as per KMU
policy.
a. 25% of the current tuition fee who need one semester
b. 50 % of the current fee for two semesters
c. 75% of the current tuition fee for third semester
d. 100 % of the current tuition fee for four or three more semesters
Student Signature
Signature Witness-1 Signature Witness-2
Full Name: Full Name:
Father’s Name: Father’s Name:
CNIC No. CNIC No.

Permanent address: Permanent address:

Afadivit for MPH prgoram

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Afadivit for MPH prgoram

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Undertaking/Agreement

I, Mr./Miss __S/D/W/o _ resident of

Signature Witness-1 Signature Witness-2

Full Name: Full Name:

Father’s Name: Father’s Name:

CNIC No. CNIC No.

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