Form No.
5 (a+b): (Affidavit) Anti Ragging
AFFIDAVIT BY THE STUDENT
I…………………………………………………………………………………………………
….
…………………………………………….. (full name of student with admission/ registration/
enrolment number) s/o, d/o Mr./Mrs./Ms. ………………………………….., having admitted
to …………………………………………………………………………………….. (Name of
the course), residing in room no. ……………………hostel name …………… 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.
2- I have, in particular, perused clause 3 of the Regulations and am aware as to what
constitutes ragging.
3- 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.
4- 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.
5- I hereby affirm that, if found guilty of ragging, I am liable for punishment according to
clause 8.1 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.
6- 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 deponent
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 ………. (Place)……….. (Day)………… of ……… (Month)………. (Year)
……………………..
Signature of Deponent
Solemnly affirmed and signed in my presence on this …………… (Day) of …………….
(Month) …………… (Year) after reading the contents of this affidavit.
NOTARY PUBLIC/ OATH COMMISSIONER
(Affidavit on the stamp paper of `10/- and should be notarized)
Form No. 5b: (Affidavit) Anti Ragging
AFFIDAVIT BY PARENT/GUARDIAN
I, Mr. /Mrs. /Ms. …………………………………................. (Full name of parent/guardian)
father/mother/guardian of ………………………………………………. (Full name of student
with admission/registration/enrolment number), having been admitted to
………………………………………………………………………… (Name of course),
residing in room no. ……………….. Hostel name …………… have received a copy or the
UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009,
(hereinafter called the said “Regulations”.), carefully read and fully understood the provisions
contained in the said Regulations.
2- I have, in particular, perused clause 3 of the Regulations and am aware as to what
constitutes ragging.
3- I have also, in particular, perused clause7 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, l or being part of a conspiracy
to promote ragging.
4- I hereby solemnly aver and undertake that
a- My ward will not indulge in any behavior 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.
5- I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according
to clause 8.1 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.
6- 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 this ………….. Day of ……………… month of …………………
year.……………….
Signature of deponent
Name Address Telephone/Mobile
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 ………………. (Place) on this ……………… (Day) of …………………. (Month),
………………. Year.
………………………
Signature of deponent
Solemnly affirmed and signed in my presence on this …………….. (Day) of ……………
(Month), (year) after reading the contents of this affidavit.
NOTARY PUBLIC/ OATH COMMISSIONER
(Affidavit on the stamp paper of `10/- and should be notarized)
