POLICEVERIFICATIONREPORTINRESPECTOFNCCCADETSTOBEDETAILEDFOR

AITSC-2023,ATNEWDELHI–FROM19SEPTO30SEP2023

Unit :

Cadet’sName&Rank :

Father’s/GuardianName : DateofBirthofCadet :

PresentResidentialAddress :

PermanentResidentialAddress :

InstitutioninwhichStudying :

SignatureofNCCCadet :

Date :

SignatureofCommandingOfficer
 POLICEVERIFICATIONREPORT(TobeobtainedfromthePoliceStnconcerned)It

iscertifiedthatThiru/Selvi Son/Daughterof

Shri/Smt residentof studyingin

hasnotcomeacrossany adverseremarksinourrecordsforthpastyears.

Date: SignatureofPoliceOfficial

Seal NameofPoliceStation
 ALLINDIATHALSAINIKCAMP–2023 IDENTITYCARD

ThisCardisvalidonlyfrom19Sep2023to30Sep2023

RegtNo :

Rank : Name:

College/School:

NCCUnit :

NCCDirectorate:TN,P&AN

(SignatureofCadet)
LTI
(LeftThumbImpression)

Signatureofthe
Dateofissue: Issuingauthority

OfficeSeal 3”

4”
Passport Size
Photo

Height: Cm ColourofEyes:

Visibleidentificationmarks:
 Appx‘E’
(ReferstoPara9(f) ofAITSCAJI-2022)

THALSAINIKCAMP(GIRLS)–2022DELHICANTT
MEDICALFITNESSCERTIFICATE

1. CertifiedthatIhaveexaminedNo…………………….Rank… Name ……………………………… daughter/ward of

Shri ……………………………… of
…………………………………institutionand……………………….UnitinaccordancewiththestandardsinNCCAct
andRulesandfoundhim/herfittoundergotrainingofstrenuousnatureofAllIndiaThalSainikCamp
(Boys)beingconductedfrom14Septo25Sep2022.

2. IalsocertifythattheabovementionedOffr/Cadethasbeeninoculated/vaccinatedagainst:-

(a) Typhoid(TAB)
(b) Tetanus(TT)
(c) Tuberculosis(BCG)
(d) Hepatitis‘B’

Note:-

1. Ser2(d)isapplicableforcadetsproceedingonYEPonly.
2. Strikeoutsameifnotapplicable.

Station: SignatureofMedicalOfficer
Date: (NameinBlockletterswith
DesignationandSeal)
Appx‘F’
(ReferstoPara9(g) ofAITSCAJI-2022)

THALSAINIKCAMP(GIRLS)–2022DELHICANTT
RISKCERTIFICATE

ThisistocertifythatI…………………..…………………………………………
Rank……………….Name……………………………D/OShri/Smt School/College
…………………………………………Unit……………………..……
agreeatmyownaccordtoattendtheAllIndiaThalSainikCamp(Girls)-2022wef14Septo25
Sep2022atDGNCCCampArea,GarrisonParadeGround,DelhiCanttatmyownrisk.

……………………………….
(SignatureofCadet)
 COUNTERSIGNEDBYTHEAPPLICANT’SPARENT/GUARDIAN

Signature……………………….

RelationwithCadet…………….

NameinBlockLetters…………..

Address…………………………. ……………………………………

ATTESTEDBYTHEPRINCIPAL/HEADOFTHEINSTITUTION

Station: …………………………………
(Principal/HeadofInstitution)
Dated:
COUNTERSIGNATUREOFOCUNIT

Station:
Dated:
Appx‘G’
(ReferstoPara9(h) ofAITSCAJI-2022)

THALSAINIKCAMP(GIRLS)–2022DELHICANTT
INDEMNITYBOND

InconsiderationmybeingnominatedatmyrequesttoparticipateinAllIndiaTSC
(Boys)CamptobeheldatDGNCCCampAreaDelhiCanttfrom14Septo25Sep2022and
whiletraveling,IundertakeandagreethatneitherInorexecutornoradministratorwillmake
anyclaimagainsttheGovtofIndiaoragainstanyOfficer,JCOs/NCOs/Civilians/Mechanical
TransportDriversoragainstanyotherpersonintheserviceoftheGovtofIndiainrespectof
lossandinjurytothepropertyorpersonincludinginjuryresultingindeath,whichImaysuffer
whileorinconsequenceofmybeingparticipatingandIunderstandthatnocompensationwill
bepaidbytheGovtofIndiaoranyOfficerJCOs/NCOsofGOI,Civilian/MechanicalTransport
(MT)DriverandinrespectofanysuchlossorinjuryandIagreesoastobindmyself,
executorsandadministratortoindemnifytheGovtofIndiaandpersonintheserviceofGovt
ofIndiaagainstanyclaimwhichmaybeanythirdpartyagainstthemoranyofthemarising
outofanyactofdefaultonmypartduringorincontextofthesaidtrainingandjourney.

TheGovtofIndiahasagreedtobearthestampdutyonhisdocument.

(SignatureoftheApplicant)
Address……………………. ………………………………
 Signedinthepresenceof

1. Signature……………………………… Signature…………………. Name&Address………………………

(Father/Guardianwithdate)
………………………………………….. Designation…………………

2. Signature……………………………. NameinBlockLetter………...
Name&Address……………………
Address………………………………

COUNTERSIGNEDBYOC

Station:
Dated:
THALSAINIKCAMP(GIRLS)–2022DELHICANTT
CADETSSECURITYCERTIFICATE

“Physicalcheckofthekitsofcadetsdetailedtoattendthecamphasbeencarriedoutbyme
beforedeparturetoensurethatcadetsdonotcarryweaponsoritemsthatmaycauseinjurytoothers”

UNITCOSIGNATURE

Place : Date :

CONTINGENTCDRSIGNATURE

Place : Date :