RISK CERTIFICATE
This is to certify that Enroll No...…………...……Rank…….….Name………….………….Father’s
Name …………...……….College……………………………..Unit………………………………………to
attend the …..………………being held at ………….………….. from………..……..to ……….………..at
my ownrisk.
Station………………... Signature of applicant
Date…………… Name in block letters and address
PARENT’S CONSENT CERTIFICATE
This is to certify that I have no objection to spare my son/ward No. …………………………………………
Rank……………………………..…..Name………………………………………………………………….
College……………………………………………………..Unit……………………………………………..
To attend the ……………………………………………………….………………….Camp Course being
held at …………………………….from ………………………..to …………………………..…………
Station………….. (Signature of Parent/Guardian)
Date……………… Name and Adress
MEDICAL FITNESS CERTIFICATE
1. This is to certified that I have examined No………………….………Rank…………….…………………..
Name………………………………………...……..Son/Daughter/Ward of …………………………………
College …………………………………………………..Unit……………………………………………….
In accordance with the standard laid down in NCC Act and Rules and found him fit to undergo traning of
sircunous nature in Camp to be held at ……………………………………………………………………….
From ……………………………………………………………….to…………….………………………….
2. I also certify that the above mentioned cadet has been inculated/vaccinated against.
(a) Typhoid (TAB) (b) Tetanus(TT) (c) Tuberculosis(BCG) (d) Hepatitis‘B’
Station ……………… Signature of Medical Officer with Seal
Date………………. Name in block letters and adress
COUNTERSIGNED BY CO UNIT
Station :
Date:
DROWNING CERTIFICATE
Enroll No. ………….………….Rank………….Name……………………………….…….attending camp
…………………….at …….…………….known that there is deep water near the Camp site and that the area
near to the water is out of bound. If I go, there I shall do entirelyat my own risk.
Place……………
Date……………. Signature of the Cadet
PERMISSION ATTESTED BY NCC OFFICER/PRINCIPAL/DIRECTOR
As the father/guardian has given the permission to his son/daughter/ward to attend the above NCC Camp.
I therefore also permit him/her for the same.
Date………………… Counter Signature Sign of ANO
Principal/Director(Seal) Seal
ARRIVAL SLIP
Enroll No. …………………Rank…………..…………..Name………….…………………has been detailed
to attend the …………at ……………………Camp/Course being held at
…………………..from……………….………….to……………………………………….…
Station……………
Date……………. Signature of the CO(Unit)
FORM OF INDEMNITY FOR CADETS
In consideration of my being nominated at my request to undergo all types of traning and also participating
and Camp/Course/Adventure traning activities in/outside NCC and travelling, I under take & agree neither
I nor executor, not administrator will make any claim against any loss or injury to the property or person in
the Service of Govt. of India in respect of any loss or injury to the property or person(including injury
resulting death) which I may suffer or in consequence of my being in traning/participation of any
camp/course/adventure traning activities in/out side NCC and travelling and I understand that no
compensation will be paid by the Govt. of India or any Officer/JCO/OR Armed Force Civilian Mt Drivers
of against any person in the service of the Goverrment of India and in respect of any such loss or injury
(including injury resulting in death) and I agree so as to bind myself executors and administrator to ideminity
the Govt. of India against any claim which may be made by any third party against then or any of them
arising our of any act of default on my part during or conection of said Traning/Course/ Camp/Adventure
traning and journey by road/sea/river and flight.
Witness:-
1. Signature…….. Signature of applicant address and designation
(with date)
Name of block letters.
Address
2. Signature……….
(with date) Counter Signature of Father/Guardian
Name of block letters. Name in block letters
Address Date
Countersigned By CO Unit
