Antiragging Form

Reference Number 4374535
ANTIRAGGING AFFIDAVIT BY THE STUDENT
1. I, Lubnah shabir Shabir Ahmad rather s/o - d/o Mr./Mrs./Ms Shabir Ahmad rather , having
been admitted to STEPHENS INSTITUTE OF PARAMEDICAL SCIENCES 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
ragging.
3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulation 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:-

I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of
the Regulations.
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 ON _______________________
Signature of Deponent
Lubnah shabir Shabir Ahmad rather
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 ______________________
Signature of Deponent ___________________________

Reference Number 4374535
UNDERTAKING BY PARENT/GUARDIAN
1. I, Mr./Mrs./Ms. Shabir Ahmad rather father / mother/guardian of Lubnah shabir Shabir Ahmad
rather having been admitted to STEPHENS INSTITUTE OF PARAMEDICAL SCIENCES , 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
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 my ward in case
he/she is found guilty or abetting ragging, actively or passively, or being part of a conspiracy
to promote ragging.
4. I hereby solemnly aver and undertake that:-

My ward will not indulge in any behavior or act that may be constituted as ragging under
clause 3 of the Regulations.
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 word 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 word 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, I am aware that my admission my word is liable to be cancelled.
DECLARED ON _______________________
Signature of Deponent Address
Shabir Ahmad rather JAMMU AND KASHMIR
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 ______________________
Signature of Deponent ___________________________

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Reference Number 4374535

ANTIRAGGING AFFIDAVIT BY THE STUDENT

4. I hereby solemnly aver and undertake that:-

Lubnah shabir Shabir Ahmad rather

Verified at On ____

Signature of Deponent ___________________________

4. I hereby solemnly aver and undertake that:-

Signature of Deponent Address

Shabir Ahmad rather JAMMU AND KASHMIR

Verified at On ____

Signature of Deponent ___________________________

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