UNDERTAKING BY INSTITUTION

(Required one copy of each students)

I ___________________________ undertake that I will be responsible for the conduct of

____________________________of University/Institute of __________________during the
stay at PAC Kamra. Moreover, the institution will not hold PAC Kamra responsible for any
unforeseen incident arising out of present security environment prevalent in the country in
general and PAC Kamra in particular.

Signature ___________________
Name________________________
Designation __________________
Official Stamp _________________
Date: ____________

(OFFICIAL STAMP)