Form I
National cadet Corps Senior Division / Wing Enrolment Form
(See Rules 7 and 11)
APPLICATIONS FOR ENROLMENT
1. What is your Name? (in block letters) ----------------------------------------------------------------
2. What is your Parent/guardian’s name and address? ----------------------------------------------------------------
----------------------------------------------------------------
[Link]. - ---------------------------------------------------------------
3. Are you a citizen of India, or a subject of Nepal? Yes
4. What is your village, Tehsil or Taluka & District? ----------------------------------------------------------------
----------------------------------------------------------------
----------------------------------------------------------------
5. Sex and Blood Group ---------------------------------------------------------------
6. Nearest police station ? ---------------------------------------------------------------
7. What is your Post Office? . ---------------------------------------------------------------
8. What is your Railway Station? ---------------------------------------------------------------
9. What is your educational qualification? -------------------------------------------------------------
10. What is your age & Date of birth? ---------------------------------------------------------------
11. Have you ever been convicted by a criminal
court & if so in what circumstances & what No
was the Sentence? --------------------------------------------------------------
12. In which college are your now studying? S.N. Arts, D.J.M. Commere and B.N. Sarda Science
College (Autonomous), Sangamner
13. Are you willing to be enrolled under the Yes
National Cadet Corps Act,1948? ---------------------------------------------------------------
14. In which unit do you desire to be enrolled? 57 Mah Bn NCC Ahmednagar
15. Are you willing to under go service training
as Specified in the Act & the rules made
there under? YES
16. Are you willing to serve in the National
Cadet Corps until discharged as provided YES
in the act? ---------------------------------------------------------------
17. Have you ever previously applied for
enrolment Under the act, & if so with NO
what result? ---------------------------------------------------------------
18. Have been dismissed from the National
Cadet corps, the Territorial Army or the Indian NO
Armed Forces? ---------------------------------------------------------------
19. Next of kin with address (with relationship)
Telephone No. (O)/(R) (as applicable) ----------------------------------------------------------------
----------------------------------------------------------------
[Link] Name and IFSC Code ----------------------------------------------------------------
[Link] A/C no. -----------------------------------------------------------------
22. Adhar Card No ----------------------------------------------------------------
23. Pan Card No. ----------------------------------------------------------------
Place :
Date:
Signature of Applicant
Note: These are not included in Form I of NCC Act & Rules.
DECLARATION ON ACCEPTANCE FOR ENROLMENT
1. I solemnly declare that the answers I have given to the questions in this form are true and that no
part of them is false, and that I am willing to fulfill the engagement made.
2. I__________________________________ promise that I will honestly and faithfully serve my
country and abide by the rules and Regulation on the National Cadet Corps that I will, to the best of
my ability.
3. I___________________________________further promise that after enrolment, I will have no
claim on authorities for any compensation in the event of injury due to accident during training
camps, courses, traveling and while on YEP or any other such NCC events like RDC and IDC. I
understand I have no service liability.
Place : -----------------------------------
Date: Signature of Applicant
DECLATATION BY PARENT/GUARDIAN
1. I solemnly declare that the answer given in this form are true and that no part of them is false, and
that my son/daughter / Wars is willing to fulfill the engagement made.
2. I ---------------------------------------------- promise that after enrolment of my son/daughter/ward, I
will have no claim on authorities for any compensation in the event of any injury or death due to
accident during training camps, courses, traveling and while on YPE or any other such NCC events
like RDC and IDC.
Place : -----------------------------------
Date: Signature of Applicant
CERTIFICATE
Certified that the applicant and his parent /guardian understand and agree to the conditions of
enrolment.
Place : -----------------------------------
Date: Signature of Applicant
(Unit Seal)
TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
I have examined (Name)-------------------------------------------------------------------on (date) and
consider him/her fit /until for enrolment as a cadet in the National Cadet Corps.
Place : Signature---------------------------------
Date: Designation ---------------------------
(Medical Officer)
TO BE USED FOR EXTENSION OF ENROLMENT
(See Rules 13)
A. I agree to extend my enrolment for one year and am willing to fulfill the engagement made.
Place : -----------------------------------
Date: Signature of Applicant
Confirmed.
Place : -----------------------------------
Date of Enrolment : Signature of Commanding Officer
B. I agree to extend the enrolment of any son / daughter / ward for one year an am willing to fulfill the
engagement made.
Place : -----------------------------------
Date: Signature of Parent / Guardian
Confirmed.
Place : -----------------------------------
Date from which Extension Starts: Signature of Principal
Note: This form will be retained in the school in which the until is located.
Form of Indemnity Bond
To,
The President of India,
In consideration of the President of India (here inter referenced to as the
Government) having at my request agreed to carry me us a passenger any service transport
belonging to the Government and being in charge of an Office, JCO OR Civilian MT Driver
of the Indian Army, I Undertake and agree that neither I nor my officer, JCO OF Civilian
MT Driver of the Indian Army of against any person in service of the Government for or in
respect of any loss, damage or injury property Or my being so carried. I also agree that no
compensation except as otherwise admissible under any status Or statutory or other rules
applicable to me will be paid by the Government, or by any officer JCO or Civilian MT
Driver of the Indian Army for or in respect of any such loss, damage or injury. I also agree
as to bind myself, my heirs executors and administrators to indemnity and keep indemnified
and save harmless the Government and any officer, JCO or Civilian MT Driver of the
Indian army or any person in the service of the Government against any claim or demand
which may be made by any third party against them arising out of my act, commission or
default on my part in connection which such journeys. The Government has agreed to
bear the stamp duty on this document.
Signature by the applicant
No
Name
Unit/Group
Witness
1 Signature Signature of Parent/Guardian
Name Name
Address Address
2 Signature
Name
Address
Place :
Date :
Appendix ‘A’ to DG NCC No.
19952/DG/NCC/CWS Dated 28 Feb 2000
NOMINATION FORM
FOR MEMBERSHIP OF THE NCC CADETS WELFARE SOCIETY
(TO BE RETAINED AT NCC GROUP HEADQUATERS)
SECTION-I
1. I, Cadet (name in block Letters) -----------------------------------------Son / Daughter of Shri (name in
block Letters) --------------------------------------------------a student of class -------------------of (Name
of College / School) ----------------------------------------------------------- on my enrolment with the
NCC on (Date) -------------------------------------------------with (Name of the unit)
-------------------------------Apply for membership of the National Cadet Crops cadets welfare
society and hereby subscribe a sum of Rs. 4/ (Rupees Four Only) towards its membership fee.
2. my father /Mother/Guardian’s occupation is ----------------------------and the annual income of my
family from all sources is Rs. ----------------------per annum.
3. I understand that I shall be entitled to financial assistance as determined by the Governing
Body/Managing committee of the above Society in the event of partial or permanent / partial
disablement sustained by me while participating in an organized NC activity. I hereby accept that
the decision of the Governing Body/Managing Committee with regard to the quantum of assistance
to be paid to me in the event of permanent/partial disablement will be final and binding on me.
4. I herby nominate the following person (S) who will receive financial assistance, as determined by
the Governing Body/Managing Committee of the above society, which will be final and binding on
the following person(s) in the event on my death while participating in an organized NCC activity:-
Srl. Name of Nominee/ Age Relationship Permanent Percentage of
No. Nominees with the Address of the Financial
(In Block Letters) cadet Nominee Assistance Payable
(To be filled by the Cadet in this own handwriting)
--------------------------------------------------------------------------------------------------------------------------------
5. My membership in the Welfare society and this Nomination Form will be valid only till such time I
remain a cadet in the Division or Wing of the NCC to which I have been enrolled.
Date: (Full Signature of the Cadet)
Place:
SECTION-II
Place : -----------------------------------
Date: (Signature of PTO/Head of Institution)
-----------------------------------------------------------------------------------------------------------
SECTION-III
I am willing to allow my son/daughter/ward Name -------------------------------------------to become a
member of the National Cadet Corps Cadet Welfare Society under the term & conditions and the rules in
force of the Society. I also approve the nomination (s) made in Section 1 (4).
Place : -----------------------------------
Date: (Full Signature of the Father/Mother/Guardian)
Witness Witness
1.--------------------------------- 2.---------------------------------------
(Signature) (Signature)
Full Name & Address of Office Seal of the Witness Full Name & Address of Office Seal of the Witness
Note:- The witnesses should be either gazetted officer/head of institution / Associated NCC Officer / Sarpanch / Village Head.
SECTION-IV
Received a sum of Rs. 4/- (Rupees four only) as one time subscription and enrolled as a member of the
National Cadet Corps Welfare Society During the Cadetship in the Junior/ Senior Division /Wing.
Date:
Place: (Signature of the OC Unit with Official Seal)
SECTION-V
(To be filled by the NCC until)
Date of dispatch of the Nomination form to Group HQ---------------------------------------------------------------
