1. technology and computing
2. computer certification

GOVERNMENT MEDICAL COLLEGE & HOSPITAL
SECTOR 32, CHANDIGARH
Telephone: 0172-2601023-24
JOINT PROSPECTUS FOR ADMISSION TO
B.Sc. (MEDICAL LABORATORY TECHNOLOGY),
B.Sc. MEDICAL TECHNOLOGY (X-RAY),
B.Sc. MEDICAL TECHNOLOGY
(ANAESTHESIA & OPERATION THEATRE
TECHNIQUES)
BACHELOR OF CLINICAL OPTOMETRY
(B. Optom.)
B.Sc. (NURSING)
AND
PRE HOSPITAL TRAUMA TECHNICIAN COURSE
SESSION 2015-16
GMCH-Website: gmch.gov.in
Rs 300/- (General Category)
Rs. 250/- (SC Category)
INDEX
S. No.
Page No.
1.
Admission Schedule
1-2
2.
B.Sc. (Medical Laboratory Technology)
3-4
3.
B.Sc. Medical Technology (X-ray)
5-6
4.
B.Sc. Medical Technology (Anaesthesia & Operation Theatre
7-8
Techniques)
5.
Bachelor of Clinical Optometry (B.Optom.)
6.
B.Sc. (Nursing)
7.
Pre Hospital Trauma Technician (PHTTC) Course
8.
Scheme of Examination
9.
General INSTRUCTIONS OF EXAMINATIONS
10.
Appendix- I: Specimen of Declaration Form
11.
Appendix- II: Specimen of undertaking regarding anti-
9-10
11-12
13
14-15
16
17- 18
19
ragging
12.
Appendix- III: Specimen of undertaking from students
availing hostel facilities
20
1
ADMISSION
SCHEDULE
FOR
B.Sc.
(MEDICAL
LABORATORY
TECHNOLOGY), B.Sc. MEDICAL TECHNOLOGY (X-RAY), B.Sc. MEDICAL
TECHNOLOGY (ANAESTHESIA & OPERATION THEATRE TECHNIQUES),
BACHELOR OF CLINICAL OPTOMETRY (B.OPTOM.), B.Sc. NURSING AND
PRE-HOSPITAL TRAUMA TRAINING COURSE (PHTTC), SESSION 20152016
Date of availability of Prospectus
05.06.15 to 23.06.15
upto 5.00 PM
Last date for receipt of applications
25.06.15 upto 5.00 PM
Display of lists of eligible candidates for Entrance Test
10.07.15 after 2.00 PM
Date of Entrance/Aptitude Test
16.07.15 at 10.30 AM
Declaration of Result & Display of Merit list
21.07.15 after 2.00 PM
Date of Counseling:
i.
ii.
(B.Sc. Nursing)
29.07.15 at 10.00 AM
(B.Sc. MLT, X-ray, Anaesthesia, B. Optom & PHTTC)
30.07.15 at 10.00 AM
Date of start of session
01.08.15
Note: The candidate desired to apply for has to deposit Rs. 300/- (GC) & Rs.
250 (SC) or its multiple depending upon the number of courses applied.
Last date of submitting/reaching the printout of application submitted
online along with relevant documents either personally or by registered
post/courier is 25.06.2015 by 5.00 pm in Diary & Despatch Section,
Room no. 228 A, Level II, D Block, GMCH 32, Chandigarh.
NOTE REGARDING RAGGING“RAGGING IN ANY FORM INSIDE OR OUTSIDE THE CAMPUS IS
STRICTLY PROHIBITED. IN CASE ANYBODY IS FOUND INDULDGING IN
RAGGING, STRICT ACTION WILL BE TAKEN AS PER LAWS AGAINST HIM/
HER.”
2
ADMISSION TO B.Sc. (MEDICAL LABORATORY TECHNOLOGY), B.Sc.
MEDICAL TECHNOLOGY (X-RAY) &
B.Sc. MEDICAL TECHNOLOGY
(ANAESTHESIA & OPERATION THEATRE TECHNIQUES), BACHELOR OF
CLINICAL OPTOMETRY (B.OPTOM.), B.Sc. (NURSING) AND PHTT
COURSES SESSION 2015-2016
Selection of candidates for admission to the three years graduation
course for B.Sc. (Medical Lab Technology), B.Sc. Medical Technology (XRay), B.Sc. Medical Technology (Anaesthesia & Operation Techniques), 4
years degree of Bachelor of Clinical Optometry (B.Optom.), 4 years degree
course of B.Sc. (Nursing) and 9 months PHTTC for the year 2015-2016 in
the Government Medical College, Chandigarh shall be made as under
NOTE:

The course is open to Indian Nationals.

Age: Minimum 17 years as on 31.12.2015

The candidates applying for UT Pool (85%) must have passed their
10+2 (Medical) or equivalent examination from the Institute situated
in Chandigarh and as approved by Union Territory, Administration,
Chandigarh.

Candidates desirous of applying for more than one course are not
required to submit separate application but multiple courses can be
chosen in one form only.

The candidate should clearly specify the category against which
he/she wishes to apply (General/SC/In-service).

The course will be taught in English medium only.

In Service candidates should get their study leave of two years & leave
of the kind due sanctioned for pursuing the course. (Not applicable for
B.Sc. Nursing)
3
I B.Sc. MEDICAL LAB TECHNOLOGY COURSE (3 years Course):
A. Distribution of seats:
Categories
i)
No. of seats *
U.T Chandigarh Pool (85% seats)
10
General
08
Scheduled caste
01
In service employees of UT Health & Medical
01
Education and Research
ii) General Pool (Other states 15% seats)
02
Total
12
* Seats remaining vacant in any of the reserve categories shall be
filled from the eligible General Category candidates in accordance
with prevailing rules on this subject.
4
B. Eligibility Criteria:
Admission to the Bachelor of Science (Medical Lab Technology) degree
course shall be open to:
1.
A person who has passed 10+2 examination in Medical group in
the subjects of Physics, Chemistry, Biology
and English
individually both in Theory as well as practical & must have
obtained a minimum of 50% marks taken together in Physics,
Chemistry & Biology (PCB)
conducted by a recognized
Board/Council/University.
OR
A person who has passed 10+2 vocational course (Medical Lab
Technology) in their respective elective subjects & English
individually both in theory as well as practical & must have
obtained 50% marks in the aggregate of the 3 elective subjects
conducted by a recognized Board/Council/University.
OR
A person who has passed Part–I of B.Sc. medical recognized by
Panjab University.
OR
A person holding qualification of 3 yrs. Diploma in MLT
(equivalent to 10+2) & must have obtained aggregate of
minimum 50% marks & passed all the subjects individually
from any recognized Board/Council/University shall also be
eligible.
Note:
1.
In respect of candidate belonging to SC the marks obtained as
stated above will be 40% instead of 50% for general category.
2.
A person in regular employment shall also be eligible as inservice candidate provided he/she fulfills any of the above
categories of qualification and is in regular employment with UT
Health / Medical Education and Research and has completed
experience of five or more years as technologist in U.T Health /
Medical
Education
and
Research
submission of NOC from the employer.
Department
subject
to
5
II
B.Sc. MEDICAL TECHNOLOGY (X-RAY) COURSE (3 years
Course):
A. Distribution of seats:
Categories
i)
No. of seats *
U.T Chandigarh Pool (85% seats)
10
General
08
Scheduled caste
01
In service employees of UT Health & Medical
01
Education and Research
ii)
General Pool (Other states 15% seats)
02
12
Total
* Seats remaining vacant in any of the reserve categories shall be
filled from the eligible General Category candidates in accordance
with prevailing rules on this subject.
6
B. Eligibility Criteria:
Admission to the B.Sc. Medical Technology (X-RAY) degree course shall be open to:
1.
A person who has passed 10+2 examination in Medical group in the
subjects of Physics, Chemistry, Biology
and English individually
both in Theory as well as practical & must have obtained a minimum
of 50% marks taken together in Physics, Chemistry & Biology (PCB)
conducted by a recognized Board/Council/University.
OR
A person who passed 10+2 vocational course (X-Ray Techniques) in
all the vocational course subjects of Radiation Physics, Radiography-I
General, Radiography-II Special, Biology & English individually both
in theory as well as in practical & must have obtained 50% aggregate
marks in the 3 vocational subjects and Biology conducted by a
recognized Board/Council/University”.
OR
A person who has passed Part –I of B.Sc medical recognized by Panjab
University.
OR
A person holding qualification of diploma in Radiography/X-ray
Techniques must have obtained aggregate of minimum 50% marks &
passed
all
the
subjects
individually
from
any
recognized
Board/Council/University shall also be eligible provided he/she
joined diploma course after passing 10+2 examination with Science
(physics, chemistry and biology) subjects.
Note:
1.
In respect of candidate belonging to SC the marks obtained as stated
above will be 40% instead of 50% for general category.
2.
A person in regular employment shall also be eligible as in-service
candidate provided he/she fulfills any of the above categories of
qualification and is in regular employment with UT Health/Medical
Education and Research and has completed experience of five or more
years as Technician/Dark Room Assistant in U.T Health / Medical
Education and Research Department subject to submission of NOC
from the employer.
7
III
B.Sc. MEDICAL TECHNOLOGY (Anaesthesia and Operation
Theatre Techniques) COURSE (3 years Course):
A. Distribution of seats:
Categories
i)
No. of seats *
U.T Chandigarh Pool (85% seats)
14
General
10
Scheduled caste
02
In service employees of UT Health & Medical
02
Education and Research
ii)
General Pool (Other states 15% seats)
02
Total
16
* Seats remaining vacant in any of the reserve categories shall be
filled from the eligible General Category candidates in accordance
with prevailing rules on this subject.
8
B. Eligibility Criteria:
Admission to the B.Sc. Medical Technology (Anaesthesia & Operation
Theatre Techniques) degree course shall be open to:
1.
A person who has passed 10+2 examination in Medical group in
the subjects of Physics, Chemistry, Biology
and English
individually both in Theory as well as practical & must have
obtained a minimum of 50% marks taken together in Physics,
Chemistry & Biology (PCB)
conducted by a recognized
Board/Council/University.
OR
A person who has passed Part –I of B.Sc. medical recognized by
Panjab University.
OR
A person holding qualification of diploma Anaesthesia &
Operation Theatre Techniques (2 or 3 years) must have obtained
aggregate of minimum 50% marks and passed all the subjects
individually from any recognized Board/Council/University
shall also be eligible provided he/she joined diploma course
after passing 10+2 exam with science (physics, chemistry &
biology).
Note:
1.
In respect of candidate belonging to SC the marks obtained as
stated above will be 40% instead of 50% for general category.
2.
A person in regular employment shall also be eligible as inservice candidate provided he/she fulfills any of the above
categories of qualification and is in regular employment with UT
Health / Medical Education and Research and has completed
experience of five or more years as Anaesthesia Technician or
Operation Theatre Assistant in U.T Health / Medical Education
and Research Department subject to submission of NOC from the
employer.
9
IV
BACHELOR OF CLINICAL OPTOMETRY (B.OPTOM.) (4 years
Course):
A.
Distribution of seats:
Categories
No. of seats*
General
02
Scheduled caste
01
In service candidate
01
Total
04
* Seats remaining vacant in any of the reserve categories shall be
filled from the eligible General Category candidates in accordance
with prevailing rules on this subject.
10
B. Eligibility Criteria:
Admission to the Bachelor of Clinical Optometry (B.Optom.) degree course shall be
open to:
1.
A person who has passed 10+2 examination in Medical group in the
subjects of Physics, Chemistry, Biology
and English individually
both in Theory as well as practical & must have obtained a minimum
of 50% marks taken together in Physics, Chemistry & Biology (PCB)
conducted by a recognized Board/Council/University.
OR
A person who has passed 10+2 Vocational Course (Ophthalmic
Technique)
in
their
respective
elective
subjects
and
English
individually both in theory as well as practical and must have
obtained 50% marks in the aggregate of the three elective subjects
conducted by recognized Board/Council / University.
OR
A person who has passed Part –I of B.Sc medical recognized by Panjab
University.
OR
A person holding qualification of diploma in Ophthalmic Techniques
(2 or 3 years) must have obtained aggregate of minimum 50% marks
and passed all the subjects individually from
any recognized
Board/Council/University shall also be eligible provided he/she
joined diploma course after passing 10+2 exam with science (physics,
chemistry & biology).
Note:
In respect of candidate belonging to SC the marks obtained as stated
above will be 40% instead of 50% for general category.
2.
A person in regular employment shall also be eligible as in-service
candidate provided he/she fulfills any of the above categories of
qualification and is in regular employment with UT Health / Medical
Education and Research and has completed experience of five or more
years as Optometrist/Ophthalmic Assistant in U.T Health / Medical
Education and Research Department subject to submission of NOC
from the employer.
11
V
B.Sc. Nursing Degree Course (4 years):
A.
Distribution of seats:
Categories
i)
ii)
No. of seats *
U.T Chandigarh Pool (85% seats)
30
General
25
Scheduled caste
05
General Pool (Other states 15% seats)
05
General
04
Scheduled caste
01
Total
35
* Seats remaining vacant in any of the reserve categories shall be
filled from the eligible General Category candidates in accordance
with prevailing rules on this subject.
12
B. Eligibility Criteria:
Admission to the B.Sc. (Nursing) degree course shall be open to:
1.
A person who has passed 10+2 examination in Medical group in
the subjects of Physics, Chemistry, Biology and English
individually both in Theory as well as practical & must have
obtained a minimum of 50% marks taken together in Physics,
Chemistry & Biology (PCB)
conducted by a recognized
Board/Council/University
OR
Note:
1.
In respect of candidate belonging to SC the marks obtained as
stated above will be 40% instead of 50% for general category.
2.
All admissions to B.Sc Nursing course shall be provisional and
subject to the approval of Panjab University, Punjab Nurses
Registration Council and Indian Nursing Council.
13
VI
PRE HOSPITAL TRAUMA TECHNICIAN COURSE (PHTTC) (9
MONTHS CERTIFICATE COURSE)
A.
B.
Distribution of seats
Categories
No. of seats
General
17
Scheduled caste
03
Total Seats
20
Eligibility Criteria:
Admission to the Pre-Hospital Trauma Technician (PHTTC) course shall
be open to:1. A person who has passed 10+2 examination in Science group with
50% marks with Physics, Chemistry, Biology and English as subjects
conducted by a recognized Board/Council/University.
2. The admissible age limit for the said course as on 31.12.2015 should
be between 17 years to 25 years.
14
III. SCHEME OF EXAMINATION:
Scheme of examination shall be as under

For the selection of the candidate of all categories to the course,
candidate
has
to
qualify
Aptitude/Entrance
Test
to
be
conducted by the Government Medical College, Chandigarh.

Merit will be prepared by on the basis of the marks obtained in
the Aptitude/Entrance Test.
Pattern of the entrance examination (MCQs based) will be as under:A.
FOR 10+2 (MEDICAL GROUP i.e. Physics, Chemistry & Biology)
PASSED CANDIDATE (FOR ALL STREAMS OF COURSES) & FOR
B.Sc. (Nursing)
The theory paper will consist of objective type question in the following
subjects:i.
Chemistry
25 questions
25 marks
ii.
Physics
25 questions
25 marks
iii
Biology
25 questions
25 marks
iv.
General English
15 questions
15 marks
v.
Gen. Knowledge/Current Affairs 10 questions
10 marks
The standard of theory paper will be 10+2 (MEDICAL GROUP)
B.
(a)
FOR 10+2 (VOCATIONAL STREAM) PASSED CANDIDATES &
DIPLOMA IN RESPECTIVE DISCIPLINE PASSED CANDIDATES
For B.Sc. (Medical Laboratory Technology)
The theory paper will consist of objective type questions in the
following subjects:
i.
Anatomy and Physiology
25 questions
25 marks
ii.
Biology & Chemistry
25 questions
25 marks
iii
Lab Techniques
25 questions
(Microbiology, Biochemistry,
Haematolory & Histopathology)
25 marks
iv.
General English
15 marks
v.
Gen. Knowledge/Current Affairs 10 questions
15 questions
10 marks
15
(b)
For B.Sc. Medical Technology (X-Ray)
The theory paper will consist of objective type questions in the
following subjects:i.
Anatomy and Physiology
25 questions
25 marks
ii.
Radiation Physics & Biology
25 questions
25 marks
iii.
Radiographic Techniques
25 questions
25 marks
iv.
General English
15 questions
15 marks
v.
Gen. Knowledge/Current Affairs 10 questions
(c)
For Bachelor of Clinical Optometry (B.Optom.)
10 marks
The theory paper will consist of objective type question in the following
subject:
i.
Biology-Ophthalmic
25 questions
25 marks
ii.
Optics
25 questions
25 marks
iii.
Ophthalmic Techniques
25 questions
25 marks
iv.
General English
15 questions
15 marks
v.
Gen. Knowledge/Current Affairs10 questions
10 marks
For all the courses, the duration of the entrance paper will be of
two hours.
There will be no negative marking.
16
GENERAL INSTRUCTIONS OF EXAMINATION/ADMISSION:
1.
The examination will be held on 16.07.15 at 10.30 AM at
Government Medical College, Auditorium, Block O, Sector- 32,
Chandigarh.
Candidates are required to bring their own clip
boards and blue ball point pen.
2.
No candidate will be allowed to leave the examination hall till
the examination formalities are completed.
3.
Candidate
must
carefully
read
the
“Instructions
to
the
candidate” given on the question paper.
4.
Separate merit list would be prepared for General Category,
Scheduled caste and In-service candidates which will be
displayed on GMCH website on 21.07.2015 after 2.00PM.
5.
Qualifying
marks
for
eligible
candidates
appearing
in
entrance test:
General Category:
50%
In-service Candidate:
50%
Scheduled caste:
40%
6. Candidates should have obtained at least 50% marks (Gen.
Category) & 40% (SC) in the entrance test, to be eligible for
counseling.
7.
A candidate absent at the time of counseling will not be
considered for the admission.
8.
If total marks obtained are same by more than one candidate,
candidate senior in age will be considered.
9.
The selected candidate will have to undergo medical fitness test
& only those candidates who are found medically fit by the
constituted Medical Board will be admitted to the course.
10.
Fee structure of All B.Sc. and B. Optom course is approx.
Rs.9500/- (Gen Category) & Rs. 9000/- (SC Category) per
annum.
11.
Fee for the PHTTC course is Rs. 1000/- approx.
APPENDIX - I
Specimen of declaration to be given on Non-judicial Stamp Paper
minimum of Rs. 3 (attested by an Executive Magistrate/Notary Public)
I………………………………………..son/daughter of Sh………………………….…
& Smt……………………………………..resident of…………………………………...
………………………………………………………………………………do hereby
solemnly affirm and declare as under :
1. If admitted to B.Sc course, I agree to abide by the discipline of the college, to
avail myself of all opportunities of academic instructions and to appear in all
the college tests whenever required to do so by the college authorities. I
understand that the duration of course of instruction for the degree of B.Sc.
2. If I, directly or indirectly, take part in any movement to create any kind of
disturbance during my attendance in the aforesaid course in the
college/hospital or to hold or address a meeting in the college/hospital or for
participating in any other activity which, in the opinion of the Director
Principal/Medical Superintendent/Asstt.
Registrar will undermine the
college/hospital discipline or indulge in taking alcohol, my name shall be
removed from the rolls of the college or I shall be fined/rusticated/expelled
from the college as decided by the college authorities. I agree that the
decision of the college authorities in such matters shall be final.
3. If the college authorities find, on the basis of my results in the college
examinations or my failure to take such examinations that I am not a fit
candidate to be promoted to the next higher class or to appear in a
professional examination, I agree to my being detained in the same class or
from appearing in the professional examination.
4. If admitted to the college, I agree that my admission can be cancelled if I
have submitted incorrect or incomplete information to the college
authorities. I agree that in such case any fees paid shall not be refunded to
me.
5. I understand that the day and time of declaration of selection will be notified
on the notice board outside the Director Principal's office on the day of final
selections.
6. I understand that the full fee to be paid by me on being admitted to the
course is as per the Prospectus, that fee is payable either by cash or bank
demand draft in the name of "Director Principal, Government Medical
College, Chandigarh" and that personal cheques will not be accepted.
7. I agree to pay all dues regularly as notified by the college from time to time and
on dates fixed for the purpose and understand that fees/ dues once paid are
not refundable. I agree that any outstanding dues against me when I leave the
college, shall be adjusted by the authorities concerned from my security
deposit. I understand that after the final selection is made, the list of selected
candidates, along with the waiting list candidates will be displayed on the
notice board of the Government Medical College, Chandigarh and that no other
notification of such results will be issued. I understand that the successful
candidate wishing to claim the offered seat must deposit the first full
installment of the fees on the same day after the selection, otherwise the offer
8.
9.
10.
11.
12.
13.
will be withdrawn and the seat will be offered to the next candidate in the
waiting list in order of merit.
I understand that my admission will be cancelled if it is proved at any time that
I have got admission in this college by submitting forged marks/ statement.
I confirm that I have not been disqualified by any University/Board. I also
understand that the decision of the Admission Committee will be final and that
my admission will be subject to approval by the Panjab University, Chandigarh.
I understand that if all the certificates submitted by me are not approved by
the authorities concerned, my admission will be cancelled.
I understand that I will be permitted to take the First Professional B. Sc
examination 12 months after the date of my admission.
It is understood that after selection, all my original certificates shall be retained
by the college and the same will be released after the B. Sc Course including
one-year compulsory rotating internship.
I further undertake that in case I am selected for admission in the said course
in any other Medical College and do not withdraw my admission form from
Govt. Medical College, Chandigarh my admission to Govt. Medical College,
Chandigarh would automatically stand cancelled and the fee paid by me shall
stand forfeited as per directions of college authorities issued from time to time.
I have read the above statement and agree to it.
Dated: _____________________
Place ______________________
_____________________________
Signature of applicant
Dated:_____________________
Place ______________________
______________________________
Signature of Parents/Guardian
Name of Parents/Guardian:______________________
Address:- ________________
_________________________
________________________
Attested by an Executive Magistrate/Notary Public
NOTE: To be read & signed by the Applicant/Parent/Guardian
APPENDIX-II
UNDERTAKING FROM STUDENTS AS PER THE PROVISIONS OF ANTIRAGGING VERDICT BY THE HON’BLE SUPREME COURT
UNDERTAKING
I, Mr./Ms.______________________________ S/d/o Sh. _________________________,
& Smt. __________________________ having Roll No. ______ a student of
Batch/Semester ____________
That I hereby undertake that:01.
That I have read and understood the directives of the Hon’ble Supreme
Court of India on anti-ragging and measures proposed to be taken in the
above references.
02.
That I understand the meaning of Ragging and know that the ragging in
any form is a punishable offence and the same is banned by the Court of
Law.
03.
That I undertake to face disciplinary action/legal proceedings including
expulsion from Hostel/Institute if the above statement is found to be
untrue or concealed at any stage in future.
04.
That I shall not resort to ragging of juniors in any form at any place
(College or Hostel) and shall abide by rules/laws prescribed by the Court
of law, Govt. of India, and the Institute authorities for the purpose time to
time.
If it is found that I am not obeying the rules and regulation of the
Institute and found indulging in ragging, I am liable to be published as per
directives of the Apex Court and rules & regulation of the Institute.
Name of the Student_________________
Signature _________________________
Date_____________________________
(To be filled in & signed by the parent/guardian of the student)
I
declare
that
if
(Name
of
student)
______________________________________________ who is my (relation with the
student) ____________________ is punished due to his/her involvement in
ragging or violation of disciplinary rules, I shall have no objection to it.
Name of the Parent/Guardian _________________
Signature _________________________
Date_____________________________
Note:- This undertaking may be given in English or Vernacular language.
APPENDIX-III
UNDERTAKING FROM STUDENTS AVAILING HOSTEL FACILITY
UNDERTAKING
I,
Mr.
Ms./
______________________________
S/d/o
Sh.
__________________________, having Roll No. ______ a student of Batch/Semester
____________ have been allotted Room No. _________ of Boys/Girls/Interns
Hostel of GMCH, Chandigarh for session ___________.
That I hereby undertake that:01.
That I have read and understood the directives of the Hon’ble Supreme
Court of India on anti-ragging and measures proposed to be taken in the
above references.
02.
That I understand the meaning of Ragging and know that the ragging in
any form is a punishable offence and the same is banned by the Court of
Law.
03.
That I undertake to face disciplinary action/legal proceedings including
expulsion from Hostel/Institute if the above statement is found to be
untrue or concealed at any stage in future.
04.
That I shall not resort to ragging in any form at any place (College or
Hostel) and shall abide by rules/laws prescribed by the Court of law,
Govt. of India, and the Institute authorities for the purpose time to time.
If it is found that I am not obeying the rules and regulation of the
Institute and found indulging in ragging, I am liable to be published as per
directives of the Apex Court and rules & regulation of the Institute.
Name of the Student_________________
Signature _________________________
Date_____________________________
(To be filled in & signed by the parent/guardian of the student)
I
declare
that
if
(Name
of
student)
______________________________________________ who is my (relation with the
student) ____________________ is punished due to his/her involvement in
ragging or violation of disciplinary rules, I shall have no objection to it.
Name of the Parent/Guardian _________________
Signature _________________________
Date_____________________________
Note:- This undertaking may be given in English or Vernacular language