DECLARATION /UNDERTAKING FROM THE STUDENT

I, Mr. /Ms...............................................................................S/o or D/o..............................,………………

..........................................programme, Dept. of ........................... …………………, student of SRMIST,
Kattankulathur –603203, Tamil Nadu permanent resident of ………………………………………………
……………...............................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
Phone No: Father.............................Mother.........................Guardian………...............(Give permanent
home address with telephone no.), do hereby undertake on this the...................(Day),of ..................
(Month). ................ (Year) and state the following:-

1. I am solely responsible for providing any incorrect information supplied in the application form for
registration. I understand that In case any information in this application is found to be false or
incorrect at any time (during or after completion of the course), this shall entail automatic
cancellation of my admission, if granted, cancellation of the degree if awarded, besides rendering
me liable to such action as the University may deem fit.

2. I will present all the original documents at the time of admission along with true attested copies of
mark sheet, transfer certificate, Aadhar Card and other documents as required by the University.

3. I do undertake that if I am unable to present all the documents at the time of admission as stated
at point no.02, I will undertake to submit the same before the time duly prescribed by the
authorities. Failing which I accept the consequence including cancellation of admission.

4. I understand that, attendance is must as per University norms. I also understand, in case my
attendance falls short, for any reason, the competent authority of the Institute may take any
action against me, as per norms.

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5. I, hereby declare that, I will neither join in any coercive agitation/strike for the purpose of forcing
the authorities of the Institute to solve any problem, nor I will participate in any activity which has
a tendency to disturb the peace and tranquility of life of the SRMIST campus and/or its Hostel
premises.

6. I hereby declare that once I join the course, I will not be permitted to discontinue from the course
after the time given for such withdrawal. In case of discontinuation due to unavoidable reasons, I
agree to pay the remaining tuition fee for the entire duration of the course.

7. I hereby declare that I will not post any defamatory remarks about the institution, problems faced
by me or fellow students or any other issues in the social media such as whatsapp, facebook,
instagram, quora or any other websites. If I post any such messages in social media detrimental
to the interests of the institution, I agree to any disciplinary action taken by the institution in this
regard.

8. I hereby declare that I will not involve in any brawl, groupism, threatening fellow students with
prohibited arms, harassment of fellow students particularly girl students inside or outside the
campus. I agree to any disciplinary action taken against me by the institution in this regard.

9. I hereby declare that I will not consume or promote usage of liquor, drugs such as Ganja, Abin
and other Narcotic & Psychotropic substances inside or outside the campus. If I am found to be
guilty of usage or promotion of any of these mentioned above, I agree to any disciplinary action
taken by the Institution.

10. I, hereby declare that, I will not indulge in, or tolerate ragging in any form and I accept to give an
undertaking in the prescribed format of UGC/AICTE as per directions given by the University. I
undertake to face disciplinary action and legal proceedings including expulsion from the
University.

11. I, also declare that, I am not suffering from any serious/contagious ailment and/or any Psychiatric
/ Psychological disorder.

12. I, hereby undertake to inform the Institute, about any changes in information submitted by me, in
the Application Form and any other documents, including change in addresses and phone nos.,
from time to time.

13. I hereby, promise to abide by the admissible rules and regulations concerning discipline,
attendance etc. of the institute and also to follow the code of conduct prescribed for the students
of the Institute, as in force from time to time and subsequent changes/modifications/amendment
made thereto.

a) I agree to pay towards the damage of the College property if any, caused by me.

b) I agree to abide by the proceedings and disciplinary actions taken by the committee
constituted for the purpose; if and when I violate the rules and regulations of the University.

I acknowledge that the Institute has the authority / for taking punitive actions against me for
violation and / or non-compliance of the same.

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14. I, hereby, declare that, the entries made by me in the Application Form are complete and true to
the best of my knowledge and based on records.

15. I, further declare that, my admission may be cancelled, at any stage, if I am found ineligible and / or
the information’s provided by me are found to be incorrect. I have read and understood each point.

Signature of Student
Place: .................................

Date: .................................

DECLARATION BY PARENT/ GUARDIAN

I .................................................................,(Father / Mother / Guardian) of………...………………………….

joined for:........................................ programme, Dept. of ……….……………………………………………….

at……………………………………………………………….,SRMIST do hereby fully endorse the above

undertaking/declaration given by my ward and I will endeavor to ensure my ward to comply with above

stated undertaking in words and spirit.

Signature of Father / Mother / Local Guardian

Place: .................................

Date: .................................