Affidavit Registration Form For Universities
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*
Email ID
Gender *
Male
City*
City
State*
Select State
Select Nationality*
Indian
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
University and Course Details
State in which University is based*
Select State
University Name (Select University State First)*
Select University First And Then Fill The Following
As Per The University Details
University Director/Vice Chancellor *
Dr. Director/Vice Chancellor Name
University Phone Number (+91)*
University Phone Number
University Landline Number (Optional)
University 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 University*
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 )
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 helpline@[Link]
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 University.
Your University 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 University ? *
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
Useful Links
University Grants Commission (UGC)
Centre for Youth (C4Y)
Monitoring Agency,
Ministry of Education (MoE)
Useful Links Of This Website
Verify Your Affidavit
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Admin Login
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Frequently Asked Questions
Information Packs
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Contacts
University Grants Commission (UGC)
Anti Ragging Cell
6, Benito Juarez Marg
South Campus, South Moti Bagh
New Delhi - 110021
National Anti-Ragging Helpline
Phone No -: 1800-180-5522
Email -: helpline@[Link]
Monitoring Agency
Centre for Youth (C4Y)
New Delhi - 110068
Phone No -: 91-11416 19005
Email -: antiragging@[Link]
This website is designed and maintained by the Monitoring Agency, Centre for
Youth (C4Y)
