8/6/23, 9:45 PM Anti Ragging | Ragging in college | Anti Ragging Affidavit
Affidavit Registration Form For Affiliated Colleges
Fields marked with * are compulsory.
Student's Details
First Name *
First Name
Middle Name (optional)
Middle Name
Surname / Last Name *
Surname / Last Name
Mobile Number (+91)*
Mobile Number
Email*
Emaill ID
Gender *
Male
City*
City
State*
Select State
Select Nationality*
Indian
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8/6/23, 9:45 PM Anti Ragging | Ragging in college | Anti Ragging Affidavit
Parent / Guardian Details
Parent / Guardian Name*
Parent/Guardian name
Parent / Guardian Phone Number (+91)*
Parent phone number
Parent / Guardian Email*
Parent/Guardian Email
Parent / Guardian City*
Parent/Guardian City
Parent / Guardian State*
Select State
Parent / Guardian address*
Drag from the bottom right corner to expand
College and Course Details
State in which college is based*
Select State
College Name (Select College State First)*
Select College First And Then Fill The Following As Per The College
Details
College Director's Name *
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8/6/23, 9:45 PM Anti Ragging | Ragging in college | Anti Ragging Affidavit
Dr. Director Name
College Phone Number (+91)*
College Phone Number
College Landline Number (Optional)
College Landline Number
Details Of The Course (UG/PG/Diploma)*
Select
Name of the Course *
Name of the Course
Number of students in your class*
Number of students in your class
Current year of study*
Select
Nearest Police station to your college*
Nearest Police Station
UGC Regulations
I confirm that I have read UGC's regulations on Ragging.(To read, click on the
link ABSTRACT OF UGC REGULATIONS ON RAGGING)
I confirm that I have read the Judgment of the Hon. Supreme Court on prevention
of Ragging.(To read, click on the link SUMMARY OF THE JUDGMENT OF THE
HON. SUPREME COURT )
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8/6/23, 9:45 PM Anti Ragging | Ragging in college | Anti Ragging Affidavit
I promise that I will not indulge in Ragging or any form of violent behaviour.
Neither will I tolerate being ragged or subjected to violence.
I understand that if I am accused of Ragging, the responsibility is on me to prove
that I am not guilty.
I will not remain a spectator to acts of Ragging. I will report the matter
immediately to my Principal/Director and/or to the Anti Ragging Help line at 1800
180 5522 or email to [email protected]
Confidential Survey
Please answer these questions truthfully and honestly because this survey is totally
Confidential, So no part of this survey is going to show anything to your college.
Your college will only know that you have participated in this survey
Were you ever ragged ? *
No Yes
Did you ever rag anybody ? *
No Yes
What is the phone number of National Anti Ragging Help Line *
Does ragging happen in your college ? *
No Mild Severe
WARNING: Please Recheck Your Details (specially Email addresses and Mobile) Before
Submitting the form
I have rechecked the form and confirm that all the details are correct.
Submit Form
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