UNDERTAKING

(To be executed on non judicial stamp paper of denomination Rs. 100/- or above)

1. Upon my request, the Bhabha Atomic Research Centre, Government of India, have kindly
agreed to afford me training facilities in (branch/faculty/discipline) -------------------------- at
their ______________________________Division/Plant.
The duration of the training course is proposed to be from dated __________________
to __________________.

2. I hereby undertake that I shall, during the period of training with BARC, abide by the terms
and conditions as hereinafter appearing that

a) I shall at all times, conform to the rules and regulations of the Research Centre as may be
prescribed from time to time
b) I shall at all times observe the health safety precautions including wearing of
uniforms/film badges as may be prescribed for entry into the plant/place of work.
c) I shall be liable to make good any loss or damage to the property of BARC caused due to
my carelessness or negligence during the course of my training.
d) In the event of an accident, causing injury/disablement to me or my death during the
period of my training BARC or any of its employees will not be liable to pay any medical
expenses or compensation and that no claim either or my or on my behalf by
dependents/heirs/clients will lie against BARC or any of its employees.

3. I, _____________________________________ son/daughter of _______________________
student of ______________ year/semester in _____________________ (subject) at
____________________________________college/institution and residing at
____________________________________ have read The Indian Atomic Energy Act,
1962 and agree to abide by their provision. Further, I hereby solemnly declare that I shall
not directly communicate or cause to be revealed, to any person or persons any information
which has come or may come into my possession in the course of my training with BARC
except with the written permission from the competent authority of BARC.

Date :

Place : Signature of
The trainee :________________________________

Witness 1) : ________________________________
(Signature)
________________________________
Name & Address)
________________________________

Date : ________________________________

Witness 2) : ________________________________
(Signature)
Signature on Behalf of the ________________________________
Name & Address)
President of India ________________________________




Head, Human Resource Development Division
Date : _____________________________
DEED OF UNDERTAKING (To be executed on plain paper)

In consideration of my being allowed by _________________________________at
my request to undergo project training as part of my education curriculum at
___________________________for________________course,I______________________
____________________s/o_______________________________resident of____________
________________ __________________________________ undertake and agree that
neither I nor my executors or administrators will make any claim against the Government of
India against any injury or loss arising out of any willful act of commission or omission on
my part during the said training and I understand that no compensation will be paid by the
Government of India in respect of such injury or loss.

I further agree so as to bind myself, my executors and administrators to indemnify
the Government of India against any claim which may be made against them for any injury
or loss suffered by a third party due to any willful act of commission or omission on my
part.

The Government has agreed to bear the stamp duty on this document.


Signature: ____________________________

Signed this ____________________day of ______________20____

In Presence of:

1. Signature : ___________________________________
Name (in block letters)______________________________________
Address___________________________________________________

2. Signature : ___________________________________
Name (in block letters)______________________________________
Address___________________________________________________


Countersignature of Parent




GAZETTED OFFICERS CERTIFICATE


This is to CERTIFIED that *Dr/Shri/Smt/Kum _________________________________________
son/daughter/wife of Shri _______________________________________________________
residing at__________________________________________________________________
is personally known to me for last ______years. To the best of my knowledge and belief he/she
bears a good moral character and has no antecedents which would render
him / her unsuitable to enter BARC (Bhabha Atomic Research Centre) premises, which is a
prohibited area.

Place:_______________

___________________________________
Date :_______________ Signature with Official seal
(Government Gazetted Officer only)







DECLARATION
1. Upon my request, the Bhabha Atomic Research Centre (BARC) Government of India, have
kindly agreed to issue Temporary Entry Pass (TEP) to visit BARC premises for
____________________ during the periodfrom dated _____________ to _____________.

2. I hereby undertake that, during the visit to BARC, I shall abide by the Terms and
Conditions as hereinafter appearing that

e) I shall at all times, conform to the rules and regulations of the Research Centre as may be
prescribed form time to time
f) I shall at all times observe the health safety precautions as may be prescribed for entry into
the plant/place of work.
g) I shall be liable for any loss or damage to the property of BARC caused due to my
carelessness or negligence.
h) In the event of an accident, causing injury/disablement to me or my death, BARC or any of
its employees will not be liable to pay any medical expenses or compensation and no claim
either on my or on my behalf by dependents/heirs/clients will lie against BARC or any of its
employees.

3. I agree that, neither I nor my executors or administrators will make any claim against the
Government of India against any injury or loss arising out of any willful act of commission
or omission on my part during the said visit and I understand that no compensation will be
paid by the Government of India in respect of such injury or loss.

4. I further agree so as to bind myself, my executors and administrators to indemnify the
Government of India against any claim which may be made against them for any injury or
loss suffered by a third party due to any willful act of commission or omission on my part.

5. I, _____________________________________ resident of ________________________
________________________________________________________________________

Hereby solemnly declare that I shall not directly communicate or cause to be revealed, to
any person or persons any information which has come or may come into my possession
during the visit except with the written permission from the competent authority of BARC.


Date : Place:

Signature of applicant:_______________________________


Witness 1) : _____________________________ Witness 2) : ___________________________
(Signature) (Signature)
_____________________________ ___________________________
(Name & Address) (Name & Address)
_____________________________ ___________________________


Date : _________________ Date: _______________


Chief Administrative Officer (P)
Personnel Division
BARC, Trombay
Mumbai 85.


Check List
1. Acceptance Letter from BARC
2. Bio-data Form
a. Photo Attested by college authority with stamp
b. Certificate Attested by college authority with stamp
3. Undertaking/Declaration duly signed by
a. Student
b. Two witnesses other than blood relation
4. Deed of undertaking signed by
a. Student
b. Two witnesses other than blood relation
c. Parent
5. Duly completed Information Sheet signed by college authority with seal
6. Character Certificate from Gazetted Officer other than from college.
7. Zerox of College Identity Card attested by College Authori ty with seal.

Please Note : Applicant(s)/ representative may drop the set of documents, stapled together &
placed in envelope, in the box kept for this purpose at the Training School Premises near the B
wing entrance
1. Applicants who have applied in a group should also submit forms in a group.
2. Intimation letter(s) will be issued between 10:30 to 12:00 hrs. only on Mondays
(for applications dropped from Tuesday to Friday of the previous week) and on
Tuesdays (for applications dropped from Saturday to Monday).


Signature of Students