B.S.

ABDUR RAHMAN UNIVERSITY, VANDALUR, CHENNAI 600 048

Joint Declaration by the Parent / Guardian and the Applicant I hereby solemnly and sincerely affirm
1. That the statements made and information furnished in my sons / daughters / ards application as also in all the enclosures thereto submitted by him / her are true. !hould it ho"e#er be found that any information furnished therein is untrue in material particulars. I realise that I am liable to criminal prosecution and I also agree to the forfeiture of his/her seat in the institution. That my son / daughter / ard "ould confirm strictly to all the rules and regulations in force no" or "hich may be introduced in the %ni#ersity hereafter and that I realise that breach of discipline and rules on my son s / daughters / "ards part "ould entail summary forfeiture of his / her seat in the %ni#ersity That I am a"are that if my son / daughter / "ard does not put in a minimum of '( percent attendance during the year in theory) dra"ing and practical classes separately) my son / daughter / "ard "ill not be sent up for the %ni#ersity *+amination. That I am a"are that the curriculum for the #arious courses is not rigid and that my son / daughter / "ard "ill follo" the syllabi for the #arious courses in force at the time of his/her admission and that any re#ision or modification made in the syllabi during the course of his / her study in the institution "ill be binding on him / her. That I am a"are that if my son / daughter / "ard does not get minimum of (- percent of mar.s in the day to day #aluation of his / her "or. and progress he / she "ill not be sent up for the %ni#ersity *+amination. That in the case of my son / daughter / "ard progress in studies is uniformly poor in the institution his / her studies are liable to be terminated by the issue of Transfer 0ertificate. That in the case of my son / daughter / "ard becomes a son / daughter / "ard becomes a scholarship holder or comes to en1oy educational concessions li.e half2fees) or full fees) etc. and does not sho" special progress the scholarships or educational concessions are liable to be cancelled and that if my sons / daughters / "ards conduct and character are not good these "ill be cancelled summarily. That my son / daughter / "ard is a"ard that breach of discipline and rules or bad conduct in e+tra curricular acti#ities "ill also entail summary forfeiture of seat in the institution) in addition to such other proceedings that may be ta.en against him/her. That I am a"are that if my son / daughter/ "ard is admitted into the hostel he/she "ill strictly abide by the rules and regulations in force in the hostel and that any breach of discipline or rules or any unruly conduct or undesirable acti#ities "ill be summarily dealt "ith by forfeiture of seat both in the hostel and the %ni#ersity in addition to such proceedings that may be ta.en against him/her. That in case the 5ualifications possessed by my son / daughter / "ard is not recogni6ed by the 7.!.Abdur 8ahman %ni#ersity for admission to the M.TECH. Course. of 9y son / daughter / "ard "ill discontinue the course forth"ith. e are a"are of the la" of ragging as "ell as the punishments and that if my son / daughter/ "ard is found guilty of ragging he / she is liable to be punished appropriately. That "e "ill abide by the punishments meted out to my son / daughter / "ard in case he/she is found guilty of ragging.
That "e are a"are that the %ni#ersity is a 0o2educational institution and that my !on / Daughter / ard "ill beha#e themsel#es properly and "ill not indulge in any se+ual harassment. In case they got themsel#es in#ol#ed in any such acts) they shall be liable for se#ere punishment including dismissal from %ni#ersity and :ostel. That "e are a"are that indulging in copying or other malpractices in the 0ontinuous Assessment Tests / *nd2 !emester *+amination / !ubstitute *+amination / Practical *+amination of the %ni#ersity "ill be dealt "ith se#erely including the punishment of permanently debarring from "riting the e+amination of the %ni#ersity

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NAME OF THE STUDENT BRANCH ( DATE;

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CERTIFICATE OF )HYSICAL FITNESS

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Personal mar.s of identification; 1 <<<<<<<<<<<<<<<<<<<<<<< $<<<<<<<<<<<<<<<<<<<<<<<. I do hereby certify that I ha#e e+amined the abo#e candidate for admission to <<<<<<<<<<<<<<<<<<<<<<<<<programme in the 7.!. Abdur 8ahman %ni#ersity and cannot disco#er that the candidate has any disease) constitutional defect or bodily infirmity e+cept that <<<<<<<<<<<<<<<<.. I do not consider this as a dis5ualification for undergoing the abo#e programme. <<<<<.. years. The candidate has been #accinated. D#$e Place; S !"#$ure o% $&e Me' 6#1 O%% 6er The candidates age according to o"n statement is <<<<<. @ears and by appearance