Regtl.
No: ________________ Rank: _____ Name: ____________________________
School: _____________________ Name of Camp: _____________________________
INDEMNITY BOND
In consideration of my being nominated at my request as a participant in any NCC
camp/Courses/Advance training activities and travelling. I undertake and agree that neither
I nor executors or administrators or other representatives will make any claim against the
Government of India or against an Officers, JCO/NCOs or their equivalent form Navy or Air
Forces Civilians, MT drivers or against any other personnel in the service of the Govt. In
respect of any loss or injury to any the property or personnel, including injury resulting in
death which I may suffer while or in consequences of my participation and I understand that
no compensation will be paid by the Govt. of India or any Officers, JCOs/NCOs or their
equivalent from Navy or Air Forces, Civilians, MT drivers in respect of any loss or injury so
as to bind myself, executors and administration to indemnify the Govt. of India, any Officers,
JCOs/NCOs or their equivalent form Navy and Air Forces, civilians, MT Drivers or any
personnel in the service of the Govt. against any claim which may be any third party against
them or any of them existing out of act of default on my part during or in connection of said
training/ company journey.
Signature of the applicant Signature of Parent/Guardian
Witness ____________________ Name: __________________
Rank & Name___________________ Address: ________________
________________________
COUNTERSIGNATURE BY THE PRINCIPAL/HEADMASTER WITH SEAL
MEDICAL FITNESS CERTIFICATE
1. Certified that I have examined No. ____________________ Rank _________ Name
______________ School ____________________ Unit ______________________ Group
__________________ in accordance with the standards laid down in NCC Act & Rules and
found him/ her fit to attend / undergo _______________________________________ at
_________________________ From __________________ to ________________.
2. I also certify that the above-mentioned Officer/Cadet has been
inoculated/vaccinated.
Place: Signature of the Medical Officer with Seal
Date: Name in Block Letters: ________________
VOLUNTER/ RISK CERTIFICATE
It is to certify that I, No. ____________________ Rank ___________ Name
__________________ School ______________ Unit _______________________
volunteer to attend/take part in _________________________________________ to be
held at ______________________ From ______________ to __________ at my own risk.
Signature of Applicant Signature of Parent/Guardian
Attested by Principal/Headmaster Countersigned by CO Unit
ACCIDENT/DROWNING CERTIFICATE
Name & Type of Camp ___________________________________________ Location
_________________________________ From ____________ to _______________ Regt
No. ___________________ Rank ___________ Name __________________ am aware of
the fact that all wells/ponds/lake/rivers, near the camp site are placed OUT OF BOUNDS
during the period of camp. If I go there, I shall do so entirely at my own risk.
Place:
Date: Signature of Cadet
CONSENT BY PARENTS/GUARDIAN
1. I, Shri/Smt. _______________________consent and allow my son/daughter/ward
No. _________________ Rank __________ Name ____________ School ____________
Unit _____________________ to participate in ___________________________________
at __________________________ From ________________ to ____________________.
2. I Shri/Smt __________________ further promise that, I will have no claim on
authorities for any compensation in the event of injury or death due to COVID-19/accident
during the ___________________________________.
Place: Signature of Parent/ Guardian
Date: Father’s Name & Address:
____________________________
____________________________
COUNTERSIGNATURE BY THE PRINCIPAL/HEADMASTER WITH SEAL
