Sunday, 25 December 2011

TO BE FILLED BY FATHER/GUARDIAN OF THE CANDIDATE

_____________________________son/daughter/wife of __________________________________and   Mother/Father/Guardian of
__________________________________________hereby fully endorse the undertaking given by my son/daughter/ward and
assure that he/she will abide by this undertaking during his/her stay in the College.
i) I also make myself liable to pay Rs. 1,00,000 (one Lac) per year of his/her study in the college in case of any breach of the
above mentioned undertaking by my son/daughter/ward, Mr./ Miss__________________________.
ii) I_______________Father/Mother/Guardian of Mr./Miss_____________________________assure   that my son/daughter/ward
will not indulge in politics of any type and will not be a member of any political party/ organization/students Federation nor will he/
she attend any meeting of such result into his/her expulsion from the college, and that the decision of the Principal in this regard
will be final.
Witness-1 ________________________________
                                       Signature Deponent
                 Signature of the Father/Guardian of the student
Name _________________________________________ Full Name ________________________________________
Father’s Name __________________________________ Father’s Name ____________________________________
Nat. Identity Card No. ____________________________ Nat. Identity Card No. ______________________________
Present Address ________________________________ Present Address ___________________________________
______________________________________________ _________________________________________________
Permanent Address _____________________________ Permanent Address ________________________________
______________________________________________ _________________________________________________
Witness-2______________________________________
(Signature)
Name _________________________________________________________________________________________
Father’s Name __________________________________________________________________________________
Nat. Identity Card No. ____________________________________________________________________________
Present Address ________________________________________________________________________________
Permanent Address _____________________________________________________________________________

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