CAMP FORM
............................CAMP AT ...................................... FROM ..................to ........................
Regimental No, Rank and Name of Cadet :
Mobile No :
Father’s name, mobile No :
College / School and contact No of ANO :
Unit /GP : 50 Assam Air Sqn NCC/Gp HQ Guwahati
1. Volunteer and Risk Certificate. It is hereby certified that I am a volunteer and am
willing to attend the camp / activity at the location and for the duration given above, to be
conducted by the NCC Unit mentioned above at my own risk.
2. Drowning/Accident Certificate. I have been instructed and am aware that all water
bodies including ponds and wells in the camp area or in places near the camp site or
enroute to the camp site are OUT OF BOUNDS and I am forbidden to go near any such
water bodies. If I do so, it shall be at my sole risk and shall be liable for disciplinary action as
the Camp Commandant deems appropriate. I have been explained regarding the
precautions to be taken against drowning accidents and have understood them.
3. Indemnity Bond.
To, The President of India
In consideration of my being nominated either by the NCC authorities or at my own request
as a participant in any NCC camp / activity (which may include Republic Day Camp or any
other camp / activity in India or abroad), Course, Adventure Training (including Army, Navy
and Air Wing activities, as the case may be) and while travelling (in domestic/international
surface, air and water transport) and attending Youth Exchange Programmes abroad, I
undertake and agree that neither I, nor my heirs, executors, administrators or other legal
representatives will make any claim against the Government or against NCC authorities
including Officers, JCOs, NCOs or their equivalents from Navy and Air Force, Civilians, MT
drivers or against any other such person in the service of the Government, in respect of any
loss or injury to property or person, including injury resulting in death, due to any reason
whatsoever which I may suffer, while or in consequence of my participation in the above
activities and I understand that no compensation will be paid by the Government or NCC
authorities including Officers, JCOs, NCOs or their equivalents from Navy and Air Force or
Civilians or MT drivers in respect of any such loss or injury or death and I agree to bind
myself, my heirs, executors, administrators and other legal representatives to indemnify the
Government or NCC authorities including Officers, JCOs/NCOs or their equivalents from
Navy and Air Force, Civilians or MT drivers or any person in the service of Government
against any claim which may be from any third party against them arising out of any act or
default on my part during or in connection with the said camps, courses, adventure training,
travelling and while on Youth Exchange Programme or any other such NCC activities as
may be organized from time to time within or outside the Union of India.
Dated this ____________ day of _______ (month) 20___ at ________________(place).
Sign of Cadet ______________
Sign of Witness 1_____________ Address _______________________________________
Sign of Witness 2 _____________ Address_______________________________________
4. Non possession of lethal weapon It is hereby certified that I am not in the
possession of any lethal weapon and not carrying any lethal weapon to the camp.
Date: (Signature of Applicant)
5. Parent’s/ Guardian’s Consent. I, _____________________________(name),
resident of ________________________________________________________________
(address), being the father / mother / guardian of the cadet whose particulars are given
overleaf, do hereby give my consent to my son / daughter / ward to participate in NCC
camps / activities (including adventure training, adventure activities and Youth Exchange
Programmes) that may be conducted in India or abroad and for his / her travel by domestic
or international surface, air or water transport, in the event of his / her being detailed for such
camp / activity at his / her own request or on being so nominated by the NCC authorities. I
also agree to all terms and conditions of the NCC organization that relate to participation of
cadets in NCC camps and activities.
Sign of Parent ______________________________ Mobile No: ________________
6. Attestation by Principal / Head Master of the Institution. Certified that the above
named Cadet is a bonafide student of my College/School studying in class_____________ .
He / She has been found fit to attend the NCC camp / activity and can be spared for the
duration of such camp / activity.
Date: Date:
(Signature of ANO with Stamp) (Sign of Principal with stamp)
7. Medical Fitness Certificate. Certified that I have examined the cadet whose details
have been given overleaf, in accordance with the standards laid down in NCC Rules and I
have found him / her FIT to undergo the NCC Camp / activity. I also certify that the Cadet
has been inoculated properly and is free from infectious diseases including Chicken Pox.
Blood Gp
Place :
Date: (Signature and stamp of Medical Officer)
Counter signed by CO Unit
