Camp Documents

FORM OF INDEMNITY
No ___________________ Rank ___________________ Name _________________

In consideration of my being nominated either by the NCC authorities or at my own request
as a participant in any NCC camp (which includes) ATC/CATC, Republic Day Camp and
Independence Day Camp in Delhi), Thal Sainik Camp, SSB Course, Adventure Training (including
Army, Navy & Air Wing activities, as the case may be) and while traveling (in domestic/international
surface, air and water transport) and attending Youth Exchange Programmes abroad, I undertake
and agree that neither I, nor my executors or administrators or other legal representatives will
make any claim against the Government or against NCC authorities including officers JCO’s /
NCO’s or their equivalents from Navy and Air Forces, civilian MT drivers or against any other such
person in the service of Government, in respect of any loss or injury to the property or person
including injury resulting in death, due to any reasons, whatsoever which I may suffer, while or in
consequence of my participation in the above activities and I understand that no compensation of
my participation in the above activities and I understand that no compensation will be paid by the
Government or NCC authorities including officers, JCO’s / NCO’s or their equivalents from Navy
and Air Force, civilian MT drivers or any person in the service or Government against any claim
which may be from any third party against them or any of them arising out of any act of default on
my part during or in connection with said camps, courses, adventure training, traveling 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.
Signed by the applicant in .

Signature of ______________________
applicant / Cadet
Presence of Witness Name _________________________

1) Sig________________________ Address __________________________
Name : _____________________ ___________________________________
Address _____________________ Counter Signature of Parent Guardian:
______________________
2) Sig : ________________________ Name _____________________________

Name Address ____________________________
Address : _________________ ________________________
_____________________ ________________________________
Signature of Coy/Troop Cdr
___________________________
Signature of Head of the Institution
(With Stamp)
COUNTER SIGNED BY CO
MEDICAL FITNESS CERTIFICATE
1. Certified that I have examined No. _________________ Rank CDT Name:
_________________ daughter/ward of Shri _____________________________ of
__________________________________ Institution) and _________________ Unit in
accordance with the standards in NCC Act and Rules and found him fit to undergo training of
Strenuous nature of ___________________ being conducted from _____________ To
________________________.
2. I also certify that the above mentioned officers/cadets has been inoculated/ vaccinated
against:-
(a) Typhoid (TAB)
(b) Tetanus (TT)
(c) Tuberculosis (BCG)
(d) Hepatitis ‘B’
Note :-
1. Ser 2 (d) is applicable for cadets proceedings on YEP only.

2. Strike out same if not applicable.
Station: Signature of Medical Offr

Name in Block letter with
Dated: Designation and seal
RISK / VOLUNTEER CERTIFICATE
1. This is to certify that, I No ___________________ Rank _________ Name _________
_________________ of Institution _____________________ Unit 5 (O) BN NCC, SAMBALPUR
volunteer to attend the _____________ (name of the camp) from ________________ to
_____________________ at my own risk.
Station: Sambalpur
Dated: Signature of Applicant
TO BE ATTESTED BY PRINCIPAL/HEADMASTER
College/School with office seal
Signature of Principal/Headmaster
COUNTER SIGNED BY CO UNIT
Station: Sambalpur
Dated:
PARENT’S / GUARDIAN’S CONSENT CERTIFICATE
1. This is to certify that I have no objection to spare my son, Regt No.__________________
Rank _____________ Name _______________ to attend the __________________________
(name of camp) held at ____________________________ from ___________________ To
____________________.
Station: Sambalpur
Dated: Signature of Parent/Guardian
(Name in Block letter with Designation and Seal)
TO BE ATTESTED BY PRINCIPAL/HEADMASTER
Station:
Dated: Signature of Principal/Headmaster
COUNTER SIGNED BY CO UNIT
DROWNING / ACCIDENT CERTIFICATE

1. I know that there is deep water at the campsite, enroot and the area of the water is
out of bound. If I go there, I shall do so at my own risk.
2. I have been explained the orders regarding precautions to be taken against

drowning/accident and have understood them. I have been told not to go near deep water
in the vicinity by the in charge. If I go to any of these out of bound area, I shall do so at my
own risk.
Name of unit : ____________________________
Name of Group HQ : NCC GP HQ, _____________________
Name of NCC Dte : NCC DTE (O), Bhubaneswar
Sl.No.1 Regt No. ___________________ Rank _______________ Name __________________
Signature
3. Certified that I have explained the orders regarding precautions to be taken against
drowning/accident.
Station:
Dated Signature of CO Unit
ATTESTED BY PRINCIPAL/HEADMASTER
Certified that the above named Cadet is on the College/School and can be spared for
____________________________________________________.
Station:
Dated:

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FORM OF INDEMNITY

No _________ Rank _ Name _________

Signed by the applicant in .

Presence of Witness Name _________________________

2) Sig : Name _____

1. Ser 2 (d) is applicable for cadets proceedings on YEP only.

Station: Signature of Medical Offr

Dated: Signature of Applicant

College/School with office seal

COUNTER SIGNED BY CO UNIT

DROWNING / ACCIDENT CERTIFICATE

2. I have been explained the orders regarding precautions to be taken against

Sl.No.1 Regt No. ___________ Rank _ Name ____________

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