PROFORMA FOR UNDERTAIKNG IN THE FORM OF AFFIDAVIT(ON NON- JUDICIAL

STAMP PAPERS OF RS.100/-)

UNDERTAKING

I, . ………………………………………………………………………………………. S/o /

D/o…………………………………………………………………, bearing UG NEET 2019 Rank No

………………………….. and Hall Ticket No.………………………… give undertaking as below,

in connection with my claim under Area Status (Study certificates) , Caste Category ,EWS

Certificate etc. for admission into MBBS / BDS Courses for the Academic Year 2019-20 in

Colleges under KNR University of Health Sciences.

I am aware that the relevant certificate (s) is / are found to be not genuine at a later date,

I forego the seat allotted in my favour. Further I agree that I abide the Rules and Regulations of

KNR University of Health Sciences and I am liable for criminal prosecution, as may be deemed

fit.

I also hereby undertake that I shall not enter into legal litigation, if the seat allotted to me

is cancelled, for the above reasons.

Signature of the Parent Signature of the Candidate

Aadhar No.

Name:
Aadhar No.
Address :

Place: .

Date: