JUNGU

TEN
RUPEES

10 Rs.10
INDIA
INDIA NON JUDICIAL wA wwww
5LblobTG HiHI TAMIL NADU
Rs. 10/
52AA 993725
EB

. VELMIRUGAN
R 29AUG 2020 SAMP VENDOR, LNo.2/2003
(UNDERTAKING/AFFIDAVIT) 2, Thirtupugal Stree'
Before Chaiman NIPER JEE- 2020 PALAYAMKOTTAI.
,ML NADU
EUGEINE ASHWIN RAJ S Son of LOURDU ANTONY SANTHANI R/o 54/65 RS
Colgay Ambasamudram Tirunelveli District, Tamilnadu-627401. NIPER JEE
2020 Applicatior Number NO05079 seeking admission in Masters Program at
NIPER hereby solemnly affirm under oath and gives undertaking that:-
1. My above rmentioned name and address is true and correct.
2 I have a knowledge, that for admission in
any course at NIPER, a physical
verificetionvalidation of all the original certificates/documents is mandatory, but
due to outbreak of pandemic (COVID-19) the NIPER-JEE 2020
Committee has
granted time for the physical verification/ validation of certificates/documents for
admission
3. I have a krowledge, that my admission is subject to the submission and
verification of following certificates within the given time limit of ten
physical
from the seat allotment of 3rd round of counselling, as notified
working days
by
the NIPER-JEE
Committee 2020- a. Date of Birth Certificate
b. Mark sheet of last attended examination/ qualifying examination.
Certificate claiming reservation under category, SC/ST/OBC/EWS/PH
O ldDther documents mentioned in the information brochure of NIPER JEE 2020
N Palayam

V.MANIKANDAN V. MANIKANDAN B B.
Regn Bo: 20 ADVOCATE / NOTAY
GDate
VT. O
IND .0520
roll. No: Ms.1603/
.T, Bttuthogai Street,
Thrunelel Distriet
Cell:93667 14804
7
 4. I understand, that till the time I submit above-mentioned certificates for physica
verification/validation, my admission shall be treated as provisional admission.
5. 1 declare, that in case am unable to submit above mentioned
certificates/documents for physical verification/validation within the time limit that
is notified by the NIPER-JEE 2020, 1 shall not claim any equity on accountof
admission against the allotted seat. I also state that I am well aware of the fact
that my admission is completely subject to the physical verification/validation of
to be cancelled & all the
my original certificates otherwise my admission is liable

6.
fees deposited by me shall be forfeit
Iam agree, that if any falsified records are detected at any stage of admission or

duringthe course of study & even after I pass out my course, my admission to the
course shall be liable to be cancelled or the degree awarded by the NIPER shall
be taken back, further, I will be debarred from attending any course at NIPER for
the next 05 (Five) years and in addition a criminal case under relevant section(s)
of law in force may be initiated against me
7. I undertake, that I shall abide by the Rules & Regulatiens of the NIPER. I also
hereby undertake that I shall accept the decision of the NIPER-JEE Committee
2020 as final if the seat allotted to me is taken back or if my admission is
cancelled due to submission of incorrect certificates/non submission of
certificates within the duration of time allotted as above, to furnish the same.

Deonent
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 knowiedge
&belief and nothing material has been concealed. I solemnly affirm that I shall
always abide by this undertaking/affidavit.

Verify on this 4. day ofSk 2020.

. PALA
Verified at
YRMRO(IAL), IRNEL VELI
.egun
.Depofent

oalayBmto

AR V. MANIKANDAN B.com.B.L
ADVOCATE/NOTARY
. MANIKANDANE Croll. No: Ms.1603/2007
6a.T, EttuthogaiStreet, Vannar etba,
Regn No: 2200 nrunelveli District 2 7 0 3 .

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Dale INDI
05.2025
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Cell: 93667 1460