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AFFIDAVIT BY THE STUDENT

I, MAAZ Son of Mr. IMTIYAZ PATEL, with Admission / Registration / Enrollment Number _____________, having been Admitted to Parul Polytechnic Institute, Limda in MECHANICAL Engineering Branch, have Received a Copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Education Institution, 2009 (hereinafter called the

Regulations) Carefully read and Fully understood the; Provisions contained in the said Regulations.
1. 2. I have, in particular, perused clause 3 of the Regulations and am aware as to what Constitutes ragging. 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. I hereby solemnly aware and undertake that a. b. 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.

3.

4.

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. 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 16th Day of November Month of 2011 Year. _____________________________ _ Signature Deponent Name : Maaz I. Patel of

5.

VERIFICATION
Verified that Contents of this Affidavit are True to the best of my knowledge and no part of the Affidavit is False and nothing has been cancelled or misstated therein. Verified at Bharuch this 16th Day of November Month of 2011 Year. __________________________

Signature of Deponent Solemnly affirmed and Signed in my presence on this 16th Day of November Month of 2011 Year after reading the contents of this Affidavit.

AFFIDAVIT BY PARENT / GUARDIAN

I, IMTIYAZ AHMED PATEL Father of MAAZ IMTIYAZ PATEL (Admission / Registration / Enrollment Number _____________), having been Admitted to Parul Polytechnic Institute, Limda in MECHANICAL Engineering Branch, have Received a Copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Education Institution, 2009 (hereinafter called the Regulations) Carefully read and Fully understood the; Provisions contained in the said Regulations.
1. 2. I have, in particular, perused clause 3 of the Regulations and am aware as to what Constitutes ragging. 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 is found guilty of or abetting ragging, actively or passively or being part of a conspiracy to promote ragging. I hereby solemnly aware 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. 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.

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b.

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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. 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 16th Day of November Month of 2011 Year. _____________________________ _ Signature Deponent Name : I.A. Patel of

5.

VERIFICATION
Verified that Contents of this Affidavit are True to the best of my knowledge and no part of the Affidavit is False and nothing has been cancelled or misstated therein. Verified at Bharuch this 16th Day of November Month of 2011 Year. __________________________ Signature of Deponent Solemnly affirmed and Signed in my presence on this 16th Day of November Month of 2011 Year after reading the contents of this Affidavit.

AFFIDAVIT BY THE STUDENT


I, PATEL MUNTAZIR SHAHID AHMED Son of Mr. PATEL SHAHID AHMED, applying for Admission to, M.B.B.S. Bharati Vidhyapeeth University, Pune am Aware about the Rules & Regulations relating to Curbing Menace of Ragging in Higher Educational Institutions-2010.
1. 2. I am aware as to what Constitutes ragging. I 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. I hereby solemnly avare and undertake that a. b. 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.

3.

4.

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. 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 16th Day of July Month of 2010 Year. ______________________________ Signature of Deponent Name : Patel Muntazir Shahid

5.

Ahmed

VERIFICATION
Verified that Contents of this Affidavit are True to the best of my knowledge and no part of the Affidavit is False and nothing has been cancelled or misstated therein. Verified at Bharuch this 16th Day of July Month of 2010 Year. __________________________ Signature of Deponent Solemnly affirmed and Signed in my presence on this 16th Day of July Month of 2010 Year after reading the contents of this Affidavit.

AFFIDAVIT BY PARENT / GUARDIAN


I, Mr. PATEL SHAHID AHMED Father of PATEL MUNTAZIR SHAHID AHMED, seeking Admission to, M.B.B.S. Bharati Vidhyapeeth University, Pune am Aware about the Rules & Regulations relating to Curbing Menace of Ragging in Higher Educational Institutions-2010.
1. 2. I am aware as to what Constitutes ragging. I am fully aware of the Penal and administrative action that is liable to be taken against My Ward in case He is found guilty of or abetting ragging, actively or passively or being part of a conspiracy to promote ragging. I hereby solemnly avare and undertake that a. b. 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.

3.

4.

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. 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 16th Day of July Month of 2010 Year. ______________________________ Signature of Deponent

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Name : Patel Shahid Ahmed

VERIFICATION
Verified that Contents of this Affidavit are True to the best of my knowledge and no part of the Affidavit is False and nothing has been cancelled or misstated therein. Verified at Bharuch this 16th Day of July Month of 2010 Year. __________________________ Signature of Deponent Solemnly affirmed and Signed in my presence on this 16th Day of July Month of 2010 Year after reading the contents of this Affidavit.

AFFIDAVIT
I, Mr. PATEL MUNTAZIR SHAHID AHMED Son of PATEL SHAHID AHMED, hereby solemnly affirm that the following statements made by me are true to the best of my knowledge and belief.
A) B) C) I am Citizen of India. I have Completed 17 Years of Age on 10-10-2009. I have studied in Class 12th in India and have passed a Qualifying examination in the Subjects of Physics, Chemistry and Biology individually and have obtained 50% (40% Since I belong to SC / ST category) marks together in those Subjects and I have also passed in the Subject of English. I have Studied and understood the rules governing counseling, admission procedure, fee structure and agree to abide by these rules. If admitted to any of the Institutions of the Bharti Vidyapeeth University, I will abide by all its rules and regulations, especially those regarding discipline, attendance, examinations and payment of fees. I understand that failure to comply with the rules and regulations will invite an appropriate disciplinary action from the institutional authorities. I will not involve myself in any action of ragging during the Course of my education in this University. I understand that involvement in ragging is a cognizable offence and it will result in police action and would result into cancellation of my admission to the course.

D) E)

F)

Name of Candidate : PATEL MUNTAZIR SHAHID AHMED Date : 16/07/2010 ____________________________ Place : Bharuch Signature of Candidate

I, PATEL SHAHID AHMED the Father of PATEL MUNTAZIR SHAHID AHMED an applicant for admission to course at Bharati Vidyapeeth University, hereby solemnly affirm that all the above statements made by Son are True to the best of my knowledge and belief. I have read all the rules governing the process of entrance test, counseling, admission and fee structure of CET-2010 and agree with them and will abide by the rules. I will be responsible for the Payment of his fees on time and for his conduct. Name of Parent : PATEL SHAHID AHMED Relationship to Candidate : FATHER Date : 16/07/2010 ____________________________ Address with Phone No. : Parent Address : At. Po. Kalam, Ta. Vagra, Dist. Bharuch Phone No. : 9824273894 Signature of

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