Affidavit

AFFIDAVIT OF Mr. / Ms. _______________________________________________________

I, _________________________________________________________________________

S/O _____________________________ aged about _____________years and residing at

___________________________________________________________________________

___________________ do hereby solemnly affirm and sincerely state as follows:

1. I have been admitted to MSC. NURSING Course in Pioneer Nursing College Aajwa road Vadodara for
the academic year ........... to ..........

2. I declare that , I am the full time student of the said college and I am not working in any GOVT.&
Private organisations in any capicity. If the above declaration is find to be false, I shall be liable for
cancellation of admission and discharge from the course besides consequences legal action.

PLACE :- Deponent

DATE :-

PRINCIPAL'S ENDORSEMENT

I, Mr.sanjay dixit PRICIPAL PIONEER NURSING COLLEGE Ajwa road Vadodara Gujarat do hereby declare
that above stated information by the student is true and correct and I take full responsibility for the
above mentioned information.