Willingness Certificate

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WILLINGNESS CERTIFICATE 1. I ..son/daughter of .. .

declare that :(a) I fulfil all the eligibility conditions for admission to _____(name of the institute) as laid down in the prospectus. (b) I have passed the qualifying examination in .(Year)

(c) I have read all the rules for admission to ____ (Name of Course) course and only after understanding these rules, I am submitting this declaration. (d) The information given by me in my application is true to the best of my knowledge. (e) I hereby agree to conform to any rule, act and law enforced by __(Institute)/___ (University) and I hereby undertake that as long as I am a student of ____(Institute), I will do nothing either inside or outside the (Institute) that will result in disciplinary action against me under the rules, act and laws of the ____ University/___(Institute). (f) I fully understand that the Management of __(Institute) will have full liberty to expel/rusticate me from the __(Institute) for any infringement of the rules of conduct and discipline prescribed by the University/__(Institute) and the undertaking given above. (g) I undertake and bind myself to pay tuition fee and other charges as laid down in prospectus. I fully understand that the case of fee revision is under the consideration of Management of the__(Institute)/ Fee Regulatory Committee. I also undertake to pay the revised fee and other charges as revised by __(Institute) from time to time and in case of default on my part the Management of the __(Institute) may take action as deemed fit including striking off my name from the rolls of the college. (h) I fully understand that ragging is banned in the College and Hostel and if I indulge in such an act, I shall be subject to laid down punishment. 2. I have read and I certify/accept all of the above clauses. . Signature of the Parent Date : 2010 .. Signature of the Candidate Date : 2010 ACCEPTING AUTHORITY (For office use only) 1. 2. Accepted/Rejected (Mention in Ink in front) : (Signature along with Name & Designation)

If rejected assign reason clearly : 2010

Date :

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