DECLARATION FORM TO BE SUBMITTED ON – LINE & PRINT OUT TO BE SIGNED BY THE

STUDENT & PARENT AND TO BE SUBMITTED TO PROGRAMME LEADER / HOI AT THE

INSTITUTION AT THE TIME OF JOINING THE PROGRAMME OF THE UNIVERSITY

DECLARATION
I _________________________________Son / Daughter of ____________________ hereby affirm and state
that I have gone through the extracts from Regulations on attendance, scheme of evaluation, passing criteria,
discipline among students in examinations, discipline in university, scholarships and hostel regulations etc.
published as students handbook on Amizone.

These Regulations were explained to me during the orientation programme and I was given enough
opportunity to clarify my doubts (if any) about these Regulations.

I am aware that these Regulations are binding on me.

I certify that I have understood these Regulations and I undertake to abide by these Regulations.

I shall be responsible and will be liable for appropriate action against me if I do not fulfill the academic and
other requirements as specified in my Programme curriculum.

The Amity University and the Institute will not be held responsible for not informing me about the same.

Signature of the Student: _______________________________________

Name of the Institution: ________________________________________

Programme:__________________________________________________

Enrolment Number: ___________________________________________

Address: ____________________________________________________

____________________________________________________________

Phone Number: ___________________ Mobile: _____________________

E – Mail ID: __________________________________________________

Signature of Parent: ____________________________________________

Name of Parent: _______________________________________________

Address of Parent: _____________________________________________

____________________________________________________________

Contact Number of Parent: ______________________________________

Date: _________________________