ANNEXURE I
AFFIDAVIT BY THE STUDENT
I,V.SHANMUKHI MANI I.D.No. _____________________
S/o D/o Mr. / Mrs. Ms.V.SRI KRISHNA VENKATA SURYA SUBBARAO, having been
admitted to Agricultural College, Bapatla 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 I 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 behaviour 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 9.1 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:
Address:
Telephone/Mobile No:
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 ___________ on this the _____of ____, ________
Signature of deponent
Solemnly affirmed and signed in my presence on this the _____of _______, __________ after
reading the contents of this affidavit.
OATH COMMISSIONER
* Note 1): It is mandatory to submit this affidavit in the above format, if you desire to
register for the forthcoming academic session.
2): Notary with Rs.100/- Non Judicial Stamp Paper
ANNEXURE II
AFFIDAVIT BY PARENT / GUARDIAN
I, Mr./ Mrs. Ms. V.SRI KRISHNA VENKATA SURYA SUBBARAO (full name of
parent/guardian) father/mother/guardian of, V.SHANMUKHI MANI (full name of student with
I.D.No. _________ having been admitted to Agricultural College, Bapatla, 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 raging.
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 my ward in case
he/she is 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) 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 9.1 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 No:
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 ___________ on this the _____of ____, ________
Signature of deponent
Solemnly affirmed and signed in my presence on this the _____of _______, __________ after
reading the contents of this affidavit.
OATH COMMISSIONER
* Note 1): It is mandatory to submit this affidavit in the above format, if you desire to
register for the forthcoming academic session.
2): Notary with Rs.100/- Non Judicial Stamp Paper
