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A N TI 11AG G I N_G-U NQ E·nTA l< I NG ·BY PA rH:NT/G UA R O I A N

1,= :--:--SH.....:..: V-=G:.O::.:P..-;A;...:;L,:; PATE;;L


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1al11er/mo1hcr/cuardi an of AYUSH PATEL
w1lh C?nrollmenl No.
C> dmllt t?d for 1he ::------------- - ----- f•rocrammc
8.;.,,.;.;_;...e.;:...c.;;:_h: --
tn the Oepu1mcnt of . ELECTRONLCS ENGINEERING
I hereby accepl lh<> t I hcive r eceived ;i copy or the UGC Reculalions on Curbmc lht? Menace or
rarrnlne in Hight?r (ducCltional lnstit vhons, 7009 (Hcrcin<lfler called lhc rcaulations), c;ir efully rc
C>d and fully undt?rstood t he provisions conti'lincd in lhe snld Reculations
2. f have, in particular, perused Claus 3 of \ he rccul;:i\ions ;ind am RWiHe ii IO Whilt COnSllt UICS raee1nc.
3. I have aho. in particular, perusc.d cl;iuse 7 and clause 9.J of the reeuli>tio11s :rnd I arn lullv awMc of t
ht: penal and adrninislrflliv. aclionI.hat is h1> blc t o be t aken acainst rny war d in c;ise hc/!ihe rs found
nuilty for abe111nc 1acc1nr.. actively or passively,or beine parl of a conspiracy lo promo l e racc1t1e.
4 I hereby olemnly aver and undertake t hal my "1ard will nol indulcc In any behaviour or Cl 1ha1 may be
constilulcd as rar,cinc under .clause 3 of the reculalions. my \#Jard will nol parlicrpa e in or abel or
propagate th'rough a ny ac t or $'.Ommission or omission that may be constitulcd as raec1ng under clause
3'of lhe rcculal ons
S. I hereby affirm that, if my ward is found guilty cfr ragging, he/she is liable for punishmcnl accordinr, to
clause 9 l of the resulations. withoul prejudice t o any ot her criminal achon lhal mav be t aken
acainsl me under any pnal law or any law for t he t me being in force.
6. I hereby declare lhal my ward have not been expelled or debarred from admission in any institution in
the countr \' on account·of beine found guilty of abetting ragging,actively or passively,or beinn pa n
of a conspirac\' to promote rcerng; and further affirm thal, in case the declaralion 1s found 10 be
unt rue,I am aware thal the admission of my wa rd is liable to be cancelled

Declared on: -------=-----.,------------------------


Signat ure of the Deponent : .....,!.. _ __ _

Nt1me of t he Deponent :-.:....-----------.....:...-:-----------------

/\ddress of 1he Deponenl: --------------------------

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I
VCR tr-ICATION

verif ed t hat t he contents of t his undertaking a're true to the best or my knowledr,e and no part or it
is f alse and not hinc has been concealed or misrepresented t herein

ver ified at ------------------- on _ _ _

5ir,rrn \ urc of t he Ocponent =----------------------


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AN1 I R AG.G I N G UNDf HT/\ l<ING 13Y TH L ST U D E f\J T


l _ YUSH PATEL_ .
I,,
with enrollment No.
ad1nit1cd for the ----L.A:.:: .U--
tn \ht' Ocpa1 1mcnt of ELECTRONICS ENG.INEERING
Ihcrch\ ;iccept t llal I havc rccelvc>d a copy or t he UGC Rer,ula11ons on Curblnr, the Menace of r;inr:inr, In
1

H1ahcr (duc;iuonal Instit utions, 7009 (llcrclrrnfter ct1llcd t he: r culations), Cflrc fully rc<>tl and fully
I

11nderstoocf the provisions COIHainacl In lh<? st1fcf Reculations.


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2. Ih;ivc, in pClrticul;ir,pcrscd clause 3.or the reculations and am awar.c! ns to what constitutes
raccinc
3. I h;ive also, in particular, perused clase 7 and clause 9.l of the rccltlations and I am fully aware of the
pC?nal and admin1s1r;1tivC? ac tion that Is lral>le to l>c taken aeainst me? in case I i>m f ound r.ulhy
for abettinc r;icglnc, actwely or r>assivelv,or belnB part of a conspiracy t o promote racclnc.
II . I hC?reb\' solemnlv aver and undertake that I will not ind';'ICe in any behaviour or ac t that may be
constituted as ragging under clause 3 of t he regulations . Iwill not participate in or abe t or
propaeate throuch any acl of commission or omission that may be const11uted as ragging under
clause 3 or the regulations.
5. Ihereby af11r m thal, if found cuifly of racgrng. Iacn fial>le for r>unlshment according t o clause 9.lof 1he
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regulal ons, wHhout prejudice t o ""Y other crimJnal aclion that may be 1aken against me under any
penal law or any law for t he time bcjng 1n force.
6. I he?reb\' declare t hat I hav nol bccn expelled or debarred f rom adrn1ss1on in any lnst1t ut1on In
tile count ry on account or L>cinc found cuilly or ab(?t11nn ragcine. awvely or passively, or bclna part
of ii consprracy 10 promote ragging, and further affirm t hat, 1n case the decla rat on is found t o be
unt rue, I am aware that my admission is lrablc to be cancelled

Declared on : ---------------
Signal ure of the Ocponcmt
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•ae of tile Deponent = ---- ------------ -------------
-i •
VCR lff CATION

Verified that the·conte_n1s of 1his undertak lnc ar e t rue to the best of my knowledce and no part or ii is
( alse and not hinc ·has bC?en -concef' led or misr<:presenled therein. · .

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:.:1
, VC?ri hed at ------------------- on , _

Sicna t urc of tile Deponent =- -- --


MADHYA PRADESH )ertal No.. . .--- t; U 4 b t5 4 /
nue -!!!J.L --11 O1 A
* Dk<o Q
rH ;cRt
No 1.4..P"5

G ! ·
0 "1 Of +·

UNDERTAKING BY Hostel RESIDENTS


I. AYUSH PATEL S/O SHIV GOPA L PATEL \ ith enrolment NO
admitted for the B.Tech
Programme in the Department or ELECTRONICS ENGINEERING _ 1
herehy accept that as a hosteller at HTS Gwaliar. the room no ha
been allotted to me inHOSTELNo 07 I hereb> accept that IIhav\!
rccn
provided J Jostcl I accom modation for th\! current semester only and I wi11 vncutc the
room at die end of the semester \\ith all my belongings if I fail to do so 1\._ ill be
re ponsible for the pa)mcnt of a fine and di iplinary action as decided hy
J Iostcl/lnsti tute administration I understand thct hostel accommodation i pro
ided only for first year students so second year onwards I Y.ill hnve to stay
outside the institute premises

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