Dr.

Homi BHaBHa State UniverSity, mUmBai

15, Madame Cama Road, Mumbai – 400032
www.hbsu.ac.in
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DECLARATION/UNDERTAKING
FORM
(to be uploaded after the payment of Fees)

I, Mr./Ms. ________________________________________________________________

Mobile number __________ Email ID ______________________ ____

hereby declare that the information submitted in the Admission Form is correct.

I am confirming my admission in _______________________ College for _____________

Course for the Academic Year 2023-24.

I further agree that:

1) I will not confirm my admission to any other college.
2) I will submit all my necessary original documents to the college, whenever required.
3) I am aware that if information in my Admission Form is found to be incorrect and/or if it is
known that I have submitted my original documents to any other college, my admission
stands cancel.

Date: Signature of Student

Place:

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DECLARATION BY
PARENT/GUARDIAN
I, ________________________________________________ (Mother/Father/Guardian)
here by fully endorse the above declaration/undertaking given by my child/ward. I will further
encourage my child/ward to do his/her best to observe the above stated undertaking in letter and
spirit.

Date: Signature of Mother/Father/Guardian

Place: