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TEN
RUPEES
510 Rs.10
INDIA
ww.AW
INDIA NON JUDICIAL
5LbLBT6 HHTS TAMIL NADU 52AA 993726
EB
TVL Rs. 10 M M. VELMURU AN
-jetofeit.
V.MANIKANDAN
Regm Ne: 22000 v. MANIKANDAN B.com..L
05.2025 ADVOCATE/ NOTAY
oroll. No: Me.1603/2007
SOVT
T, O FI N . , Bcuthogai Street, V
Trunelvei District-27 00.
Cell: 93667 14804
5. I declare that I am seeking provisional admission due to not completion of examination or
of result of final
final semester/year of qualifying degree/certificate or non-declaration
stated above.
of the examination as on date of admission, as
6. further declare thatqualifying
semester/year I will submit the result of qualifying degree/certificate as stated
at respective NIPER,
above, before the commencement of Final Semester examination
and full fees deposited by
me
otherwise my provisional admission shall be cancelled
shall be forfeited and no claim will be made by mne.
& provisional admission
7. Thatl have carefully gone through the rules regarding eligibility on
admission has been granted, solely
at NIPER and fully understand that the provisional
of my securing at
failure to submit appropriate proof
my request and in the event of my for admission to
marks/ pcentage/CGPA in qualifying examination
east qualifying under any condition
before the
pnVXM...... .(Name of the Course) at NIPER admission shall be cancelled with
commencement of first semester examination, my
forfeiture of all the fees I have paid.
successful
NIPER a fellowship is given to all
8. Thave a knowledge that as per the norms of
candidates who have granted admission in M.S. (Pharm.)/M.Pharm./
M.Tech. (Pharm.) /
I understand till date I do not
PhD programe through NIPER JEE 2020 counseling.
the NIPER JEE 2020 norms. I would
submit my result of qualifying examination as per
date I will not claim any fellowship from
not be eligible for fellowship and further till that
the NIPER.
axgen
Deponent
Verification
That I above named deponent verify that the facts presented under point no. 1 to 7 of
this undertaking/affidavit are true & correct to the best of my knowledge & belief and
nothing material has been concealed. Isolemnly affirm that I shall always abide by this
undertaking. Verify on this ! . day of S.T. 2020 Verified at PRLAYAM koTA UNEvELI
Debogen
V. MA
-ANDAN B.com,B..
NOTARY
Mo: Ms.1603/2007
93667 146
NO
Palaya
TAR
V.MANTIKANDAN
Regn No: 22000
GOVT INDI
piry Dale 4.05.202
T. OF