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SECTIONS Pref tia 2000 { od oh ETE ofS Date: SO//.2022 ie Cones vers (Signature of PTO/Head oft Place: woo: Cy yh Prot. SM. sri vasta veer SchOOl OF log Lgovernsheegey cy SECTION-II seer Re a | am willing to allow my son/daughter/ward (Name) to become a member of the National Cadet Corps Cadet Welfare Society under the terms & conditions and the rules in force of the Society. | also approve the nomination(s) made in Section | (4). Date: 50-11-22. PST uTgd Place: Cy ey A (Full Signature of the Father/Mother/Guardian) Witness Witness S GVA GUPTA (Signature) Py, 4 BN.0, NCC PIOK SP Srivastava, ‘CENTRAL UNIVERSITY OF SCUTH BIHAR, GAYA School of law & yuvernie, cus r Full Name & addr Full Name & Address or Office Seal of the Witness Office Seal ofttt cs fer ae sayri Btat Note: - The withiéss Béeither gazetted officer/head of institution /Associated NCC Officer/Sarpanch/Village Head. SECTION-IV Received a sum of Rs. 4/- (Rupees four only) as one time subscription & enrolled as a member of the National Cadist Corps Welfare Society during the Cadetship in the Junior/Senior DivisionWing. Date: Place: (Signature of the OC Unit with Official Seal) SECTION-V (To be filled by the NCC unit) Date of despatch of the Nominat.on form to Group HQ .... isto"

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