antiraggingaffidavitform.doc
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ANTI-RAGGING MEASURES: SUBMISSION OF AFFIDAVIT BY THE STUDENTS /
PARENT / GUARDIAN
Dear Parents/Guardian/Student,
You are fully aware of the orders of the Government and of Hon'ble Supreme Court
on the Anti!a""in" measures# As per the latest poli$y all students and
parent/"uardians are re%uired to submit an affidavit before a student is allowedre"istration in the &niversity# he format of Affidavits $an be downloadin" from
below "iven lin(s www#)e$(u(as#or"#inand to be submitted on a *on+udi$ial paper
of !s#-/ duly attested by the oath $ommissioner#
All parents/"uardian/students may download the same and "et them duly attested
by the .ath $ommissioner and brin" it on the day of students re"istration# 0indly
note, that there are two Affidavits as Anne1ure2 3 22# he Anne1ure2 is to be si"ned
by the student and Anne1ure22 shall be si"ned by the parent / "uardian#
In case a student does not submit the same he/she shall not be allowed to
proceed with the registration.
2t is further, re%uested that this information be passed amon"st friends#
4est wishes,
Director
http://www.jeckukas.org.in/http://www.jeckukas.org.in/ -
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ANNEXURE AFFIDAVIT
BY THESTUDENT
I,________________________( full name of student with university roll number /registration/enrolment
number) s/o - d/o Mr./Mrs./Ms ________________________________(full name of parents),having been admitted to ___________________________________ (name of the institution) have
received a copy of the I!"# regulations on !urbing the menace of $agging in %igher #ducational
Institutions, &'', (hereinafter called the $egulations*) carefully read and fully understood the
provisions contained in the said $egulations.
&) I have, in particular, perused clause + of the $egulations and am aware as to what
constitutesragging.
+) I have also, in particular, perused clause and clause . of the $egulation and am fully
aware of the penal and administrative action that is liable to be taen against me in case I am
found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to
promote ragging.
) I hereby solemnly aver and undertae that
a) I will not indulge in any behavior or act that may be constituted as ragging under clause +
ofthe $egulations.
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 + of the $egulations.
0) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to
clause . of the $egulations, without pre1udice to any other criminal action that may be
taenagainst me under any penal law or any law for the time being in force.
2) I hereby declare that I have not been e3pelled or debarred from admission in any
institution in the country on account of being found guilty of, abetting or being part of aconspiracy to promote, ragging4 and further affirm that, in case the declaration is found to
be untrue, I amaware that my admission is liable to be cancelled.
Declaredthis_ ________dayof _____mothof___ ______ year
Si!at"re of St"det
Name
V E R I F I # A TI $ N
5erified that the contents of this affidavit are true to the best of my nowledge and no part of the
affidavit is false and nothing has been concealed or misstated therein.
5erified at ___ (place)on this the _________ (day)of (month)______(year)
Si!at"re of St"det
6olemnly affirmed and signed in my presence on this the _____ (day)of (month)____(year)
after reading the contents of this affidavit.
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$ATH #$%%ISSI$NER
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ANNEXURE II AFFIDAVIT
BY &ARENT'(UARDIAN
I, Mr./Mrs./Ms._ __________ ______ ___________ (full name of parent/guardian)
father/mother/guardian of __________________ _____ ___ __ (full name of student with university
roll number /registration/enrolment number), having been admitted to_________________ (name of
the institution)have received a copy of the I!"# regulations on !urbing the menace of $agging in
%igher #ducational Institutions, &'', (hereinafter called the $egulations*) carefully read and fully
understood the provisions contained in the said $egulations.
&) I have, in particular, perused clause + of the $egulations and am aware as to whatconstitutesragging.
+) I have also, in particular, perused clause and clause . of the $egulations and am fully
aware of the penal and administrative action that is liable to be taen against my ward in
case he/she is found guilty or abetting ragging, actively or passively, or being part of a
conspiracy topromote ragging.
) I hereby solemnly aver and undertae that
a) My ward will not indulge in any behavior or act that may be constituted as
ragging under clause + of the $egulations.
b) My ward will not participate in or abet or propagate through any act of commission or
omission that may be constituted as ragging under clause + of the $egulations.
0) I hereby affirm that, if found guilty of ragging, my word is liable for punishment
according to clause . of the $egulations, without pre1udice to any other criminal action
that may be taen against my ward under any penal law or any law for the time being in
force.
2) I hereby declare that my word has not been e3pelled 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, ragging4 and further affirm that, in case the declaration is
foundto be untrue, I am aware that my admission my word is liable to be cancelled.
Declaredthis_ ________dayof _____mothof___ ______ year
Si!at"re of &aret'("ardia
Name)
Address)
Tele*hoe'%o+ile No)
V E R I F I # A TI $ N
5erified that the contents of this affidavit are true to the best of my nowledge and no part of the
affidavit is false and nothing has been concealed or misstated therein.5erified at ___ (place)on this the _________ (day)of (month)______(year)
Si!at"re of &aret'("ardia
6olemnly affirmed and signed in my presence on this the _____ (day)of (month)____(year)
after reading the contents of this affidavit.
$ATH #$%%ISSI$NER