Anti Ragging Affidavit
ANNEXURE I
AFFIDAVIT BY THE STUDENT
I, Mr./Ms ___________________________________ Enrolment No _____________of class (Program)________
Branch _________________________ Year _________ Dept _______________________
s/o d/o Mr./Ms. ____________________________________________ , having been admitted to Indian Institute of
Technology Mandi, have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions, 2009, (hereinafter called the “Regulations”) carefully read and fully understood the
provisions contained in the said Regulations.
1. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
2. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal
and administrative action that is liable to be taken against me in case I am found guilty of or abetting
ragging, actively or passively, or being part of a conspiracy to promote ragging.
3. I hereby solemnly aver and undertake that
a) I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the
Regulations.
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 3 of the Regulations.
4. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any penal
law or any law for the time being in force.
5. I hereby declare that I have not been expelled 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, ragging; and further
affirm that, in case the declaration is found to be untrue, I am aware that my admission is liable to be
cancelled.
Declared this ___ day of ____________ month of ______ year
Signature of Student
Name:
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false
and nothing has been concealed or misstated therein.
Verified at ……….…… on this ___ day of ____________ month of ______ year
Signature of Student
Solemnly affirmed and signed in my presence on this ___ day of ____________ month of ______ year
after reading the contents of this affidavit.
Signature of Parent
ANNEXURE II
AFFIDAVIT BY PARENT/GUARDIAN
I, Mr./Ms ___________________________________ Enrolment No _____________of class (Program)________
Branch _________________________ Year _________ Dept _______________________
s/o d/o Mr./Ms. ____________________________________________ , having been admitted to Indian Institute of
Technology Mandi, have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions, 2009, (hereinafter called the “Regulations”), carefully read and fully understood the
provisions contained in the said Regulations.
1. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
2. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal
and administrative action that is liable to be taken against my ward in case he/she is found guilty of or
abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.
3. I hereby solemnly aver and undertake that
a) My ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of
the Regulations.
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 3 of the Regulations.
4. I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against my ward under any
penal law or any law for the time being in force.
5. I hereby declare that my ward has not been expelled 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, ragging; and
further affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be
cancelled.
Declared on this ___ day of ____________ month of ______ year
Signature of Parent
VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false
and nothing has been concealed or misstated therein.
Verified at………………… on this ___ day of ____________ month of ______ year
Signature of Parent
Solemnly affirmed and signed in my presence on this ___ day of ____________ month of ______ year
after reading the contents of this affidavit.
OATH COMMISSIONER
IIT Mandi Undertaking
UNDERTAKING
I, hereby declare that when I am out of IIT Mandi campus, on my own, then I will take full responsibility for
my own actions and my safety. If some unforeseen accident happens to me, then I will not hold IIT- Mandi
responsible for it. In addition, I agree to intimate the Institute about my travel beyond Mandi town on each
occasion I undertake such travel.
Name:
Enrollment Number:
Signature:
INDIAN INSTITUTE OF TECHNOLOGY MANDI
Enrolment No. ……………………………….
UNDERTAKINGS
1. Undertaking regarding awareness of medical facilities at IIT Mandi
I ………………………………………………………………………………………………..parent/guardian of
Mr./Ms.………………………………………………………………………………………to be admitted to ……….………….
degree programme at IIT Mandi in ………………………..branch, year 20……….., hereby submit the
following undertaking in respect of my ward.
I am aware of the following facts:
i) The panel of Doctors identified by IIT Mandi may not be adequate for treatment of
any patient with chronic or serious ailment.
ii) It is the responsibility of the guardians to take their wards for outside treatment.
iii) In case of emergency, I hereby authorize the panel of doctors identified by IIT Mandi
to take decisions in connection with medicine/surgical treatment in the best interest
of my son/daughter/ward.
Despite the best efforts on the part of IIT Mandi if anything untoward happens to my ward, I
shall not hold the Institute accountable for the same and will not seek any financial help or
compensation for the same.
Verification: -
I, the above named parent do further declare that the contents of my undertaking are true to
the best of my knowledge and belief and no part of the same is either wrong or false and
nothing is being concealed.
Verified at ………………………..on this……………day of……………………
Date: Counter signature of parent/guardian
The parent/guardian signed in my presence
Faculty advisor/Supervisor
1
2. Undertaking by the student for not using motor driven vehicles:
I ……………………………………………………………………………….son/daughter/ward of Mr. / Ms.
…………………………………………………………………………………………. hereby undertake that I will not drive
any motor driven vehicle inside the institute premises during my stay at IIT Mandi. If at any stage
I am found to violate the above undertaking, my hostel seat will stand automatically cancelled
without assigning any reasons.
Verification: -
I, the above named student do further declare that the contents of my undertaking are true to
the best of my knowledge and belief and no part of the same is either wrong or false and
nothing is being concealed.
Verified at ………………………on this…………day of……………………
Date: Signature of the student
Counter signature of parent/guardian
The parent/guardian and student signed in my presence
Faculty advisor
2
3. Undertaking for not indulging in any kind of
ragging and indecent behavior towards juniors/fellow student
I, …………………………………………….………………………………………………..son/daughter/ward of Mr. /Ms.
…………………………………………………………..…………………………. hereby undertake that I will not indulge
in any act of ragging towards my junior students or indecent behavior or passing indecent SMS,
email etc. to fellow students during my entire stay at IIT Mandi. I am aware that ragging is a
criminal offence. Also, I am aware of the fact that if at any stage I am found to violate the above
undertaking the IIT Mandi authorities may take suitable action that may include filing a police
complaint and expelling me from the Institute.
Verification: -
I, the above named student do further declare that the contents of my affidavit are true to the
best of my knowledge and belief and no part of the same is either wrong or false and nothing
is being concealed.
Verified at ……………………………on this…………day of……………………
Date: Signature of the student
Counter signature of parent/guardian
The parent/guardian and student signed in my presence
Faculty advisor
3
4. Undertaking by the student for not playing in water body areas
I …………………………………………….………………………………………………..son/daughter/ward of Mr. /Ms.
…………………………………………………………..…………………………. hereby undertake that I will not play in
any water body area without prior permission from the Institute. If I am found to violate the
above undertaking and if anything untoward happened to me, I/my parents/guardians shall not
hold the Institute accountable for the same and will not seek any compensation for the same and
IIT Mandi may take suitable action that includes expelling me from the hostel without assigning
any reason.
Verification: -
I, the above named student do further declare that the contents of my affidavit are true to the
best of my knowledge and belief and no part of the same is either wrong or false and nothing
is being concealed.
Verified at ……………………………on this…………day of……………………
Date: Signature of the student
Counter signature of parent/guardian
The parent/guardian and student signed in my presence
Faculty advisor
4
5. Undertaking by the student to abide by Code of Conduct of IIT Mandi
I …………………………………………….………………………………………………..son/daughter/ward of Mr./Ms.
…………………………………………………………..…………………………. have read and understood the Students
code of conduct of IIT Mandi. I accept and agree to wholeheartedly abide by the same in letter
and spirit.
In case I am found to violate any of the provisions in the code of conduct, I will accept the
punishment awarded by the Institute authorities including expulsion.
Verification: -
I, the above named student do further declare that the contents of my affidavit are true to the
best of my knowledge and belief and no part of the same is either wrong or false and nothing
is being concealed.
Verified at ……………………………on this…………day of……………………
Date: Signature of the student
Counter signature of parent/guardian
The parent/guardian and student signed in my presence
Faculty advisor
5
6. Undertaking by the student to abide by Hostel Code of Conduct of IIT Mandi
I …………………………………………….……………………………………………….. son/daughter/ward of
…………………………………………….……………………………………………….. have read and understood the
Students Hostel rules of IIT Mandi, especially points related to not indulging in intoxication like
smoking/drinking/and use of drugs and going on un-authorized treks from the Institute campus.
I accept and agree to wholeheartedly abide by the same in letter and spirit. In case I am found to
violate any of the Hostel rules, I will accept the punishment decided by Institute authorities
including expulsion.
Verification: -
I, the above named student do further declare that the contents of my affidavit are true to the
best of my knowledge and belief and no part of the same is either wrong or false and nothing
is being concealed.
Verified at ……………………………on this…………day of……………………
Date: Signature of the student
Counter signature of parent/guardian
The parent/guardian and student signed in my presence
Faculty advisor
