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ANNEXURE IV

Affidavit by
OWNER OF PG/ RENTED ACCOMMODATION WHERE STUDENT INTENDS TO RESIDE

I S/D/O ,
resident of owner of premises situated at
hereby undertake that, student , Reg. No. of <Programme>
of Lovely Professional University, Phagwara, Punjab intends to reside in this premises owned by me and so,
I. I will take all the necessary steps to prevent and prohibit the indulgence of the above said student in any/all of the following acts
and will bring it to the knowledge of the University as well as police authorities if the student is found guilty in my premises of any
disciplinary misconduct including but not limited to the following acts and/or of any act which is prohibited under any law of land or
regulations or by any competent authority as in force from time to time:
(a) Misbehavior, cruelty or physical assault or threat to use physical force, against any person.
(b) Carry of, possession, use of, or threat to use or abetting the use of any prohibited kind of weapons including explosives or
anything which is barred by the law;
(c) Possession, use of or dealing with or abetting the use of any kind of intoxicating material also including drugs or any other
sedative materials;
(d) Indulging in or encouraging violence or any conduct which involves moral turpitude;
(e) Any form of gambling
(f) Any practice-whether verbal or otherwise-derogatory of women;
(g) Any unethical, illegal or immoral act of my tenant including any attempt or abetment of suicide etc.
(h) Ragging/indiscipline/misbehaving/hooliganism etc.
II. I understand that Lovely Professional University Officials can inspect the PG/ Rented Accommodation/ Apartment owned by me at
any time (24x7) and I will provide the full support for the same.
III. I will also provide the copy of acknowledgement receipt through students to Lovely Professional University officials and tenant which
is received against the submission of tenant police verification form to the police authorities or at Saanjh Kendra and FRRO and
other concerned authorities as applicable.


Place : Signature of Deponent

Date:

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been
concealed or misstated therein

Verified at (place ) on this the (day) of month , (year).


Signature of Deponent

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