Appx

(Refer to para 3 of DGNCC letter No.

8088/Revised Form/NCC HQ/Plg dated 05 Apr 2021)

APPLICATION FORM FOR RAISING OF SENIOR DIVISION

NCC SUB UNIT/JUNIOR WING TROOP
(................... WING)

1. (a) Name of Institution : ………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

(b) Funded by : Central Govt / State Govt Aided / Self Financing

2. Department of Education under whom : ………………………………………………………………………

Functioning.
3. Number of NCC Units/Coys/Troops (If any) : ………………………………………………………………………
already functioning in the institution.
4. Name of NCC unit to whom affiliated : ………………………………………………………………………
(If applicable)
5. Nearest NCC unit/Sub unit (If known) : ………………………………………………………………………

6. Number of NCC Unit/Coys/Troops desired : ………………………………………………………………………

to be raised/allocated (and its cadet strength)

7. Total number of students in the college/School –

FOR SENIOR DIVISION BOYS GIRLS TOTAL

10+1/Ist Year ………….. ……….…. ……………

10+2/IInd Year ………….. ……….…. ……………

IIIrd Year ………….. ……….…. ……………

TOTAL ………….. ……….…. ……………

FOR JUNIOR DIVISION BOYS GIRLS TOTAL

8th Class ………….. ……….…. ……………

9th Class ………….. ……….…. ……………

10th Class ………….. ……….…. ……………

TOTAL ………….. ……….…. ……………

8. Name(s) of lectures(s), Teacher(s) : ………………………………………………………………………

recommended for pre-commissioned
Training in case NCC Unit/Coy/Troop ………………………………………………………………………
is raising/Allocated. State education
qualifications & appointment.

Page 1 of 3
 Condition For Raising a Senior Division/Wing NCC Unit/Coy or
Junior Division Troop NCC:-

9. A unit /Coy/Troop or part there of the Senior/Junior Division is raised in a college/ School
Subject lo the following conditions:-

(a) The college/school shall provide from among the members of its stall NCC officers for the
unit/Coy/troops al the scales prescribed in peace establishment.
(b) The college/school shall give an undertaking that it can enroll and maintain up to strength
unit/Coy/troops or part thereof which may be allotted to it.
(c) The college school shall provide for the unit/Coy/troops or part thereof, which may be
allotted to it. Two storerooms for the storage of clothing and equipment and an office room for
the unit/Coy/troop office.
(d) The college/school shall provide a suitable miniature riffle range or arrange to obtain the
use of such a miniature rifle range.
(e) The college/school shall be in a position to supplement from its own funds the financial
Grants made by the state Govt. for the unit/coy/troop or part thereof which may be allotted to it.
(f) For Self financing Institutions only. The college/School shall be in a position to provide
the services of a lascar as per authorization of Peace Establishment for smooth conduct to it.

10. Provided that the State Govt. may in any case relax wholly or in part the provision of clause 9(e)
or if it is satisfied that the requisite facilities are provide by school located in the same, place the
provisions of clause 9(c) and 9(d).

11. Declaration by Head of Institution: -

(a) I hereby declare that the raising of a troop in my College/School will be subject to the
conditions stipulated in Rule 3 (in respect of senior Division) and in ruled 4 (in respect of Junior
Division) of the NCC Act and Rules (Boys) and Rule 3 of NCC Act and Rules (Girls Division) and
will not request for withdrawal of NCC before ten years.
(b) I further declare that the College/School will ensure the following:-
(i) Enrolment of cadets to the maximum required strength and to maintain the same
consistently during the training session.
(ii) Regular attendance of cadets on parade up to the required percentage lay down.
(iii) Regular attendance in camps of NCC cadets and NCC Officer (s) of the
college/school.
(iv) Maintenance of proper discipline of NCC Officer and NCC cadets.
(v) Safe Guards to ensure NCC Cadets of my institution return all NCC stores.
Equipments and clothing issued to them for training before they withdraw /
Leave the institution and give up NCC.
(vi) Accommodation as required will be provided for office storeroom and Strong
room.
(vii) Arrangement for medical examination of cadets will be made.

Page 2 of 3
12. In the events of any unsatisfactory performance as referred to in Para 11 above the NCC Unit.
Coy/Troop will be liable to be disbanded or re-allotted/transferred to another College/School at the
discretion and decision of the Additional Director General /Deputy Director General of NCC.

Place : ………………………… Signature of the Head of Institution

Date : ………………………… (Name in Block Letter)

13. Recommendation of the OC Unit to which the proposed Unit/Coy/Troop is to be affiliated

Confirming that the financial commitments have been accepted by the institution and sponsoror.

Place : ………………………… Signature .............................

Date : ………………………… (Name in Block Letter)

14. Recommendation of NCC Group Commander

Covering aspects of response to cadets in take, training facilities, radius of action/distance, availability of
official and domestic accommodation, administrative feasibility.

Place : ………………………… Signature.............................

Date : ………………………… (Name in Block Letter)

15. Recommendations State Government/Sponsor’s

The financial commitment in respect of the state Government/ Sponsor’s responsibility is
accepted as amended from time to time.

Place : ………………………… Signature .............................

Date : …………………………. (Competent State Govt.

( Official /Concerned Ministry Official /Sponsoror)

16. Sanction of Additional Director General /Deputy Director Genral of NCC Dte State .

Place : ………………………… Signature .............................

Date : ………………………… (Name in Block Letter)

Page 3 of 3
 Appx ‘B’
(Refer to NCC Dte Letter No.
251/02/Plg dt 29 Dec 2003)

WILLINGNESS / UNWILLINGNESS CERTIFICATE

1. I, Shri ……………………………….………………………….……………., Principal of ………………………………………….

……………………………..…………………………………………. School / College at ………………………………………….................
hereby certify that I am willing to have NCC ……………………………..………… Tp/Pl SD/SW/JD/JW………….
………….…..Str in my Institution.

2. I also certify that the Institution shall provide a short range, an obstacle course, a store room, a
training ground, an office and a dedicated peon/lascar for the ANO, a dedicated ANO (Name of the
teacher should be specified) and other infrastructure for NCC activities in my Institution.

3. I further certify that I am willing to accept 20% cadets under open vacancy scheme from other
Institutions and shall be fully responsible for authentication and accounting for all these cadets as
applicable.

4. I give an undertaking that I shall not ask for withdrawal of NCC for the next Ten (10) years.

Round Stamp
Signature ……………………………………
Place : …………………………………… Name ……………………………………
Designation ………………………………..
Date : …………………………………… Stamp ……………………………………
 Appx- ‘C’

UNDERTAKING CERTIFICATE TO BE GIVEN BY

SELF- FINANCING INSTITUTION

I do hereby undertake that our institutions will bear all expenses on NCC whether that is
presently home by the State Government or by the sponsors. We assure to make all such expenses on our
Senior Wing/ Junior Wing NCC Unit. I also ensure that there will be no implication on this account and I
shall be entirely responsible for this. Cadets will not be asked to compensate for any expenditure with
respect to NCC activities.

Station : …………………………………… Signature of Manager

Date : …………………………………… With Stamp

Round Stamp

COUNTERSIGNED BY THE PRINCIPAL

Station : …………………………………… Signature of Principal

Date : …………………………………… With Stamp

Round Stamp
 DECLARATION/UNDERTAKING BY THE HEAD OF INSTITUTION

1. I. Shri/ Smt …………………………………………………………………Principal of ………………………………………..

………………………………………………………………………………………hereby certify that I am willing to accept 20%
SW/JW cadets under open vacancy.
2. When ever Camp vacancies allotted to our Institution, 100% Cadets will attend camps.
3. I also certify that our Institution will provide under mentioned facilities for NCC :-
(a) A short Firing Range in the Institution.
(b) An obstacle Course in the Institution.
(c) A Store room for NCC clothing and equipments.
(d) A Training Ground.
(e) Ground and Building accommodation for conducting unit camp without any charge.
(f) Teacher for the appointment of ANO/Caretaker(name of the teacher should be specified).
(g) Office for ANO/Care Taker.
(h) I hereby give an undertaking that this Institution will not ask for withdrawal of NCC for
the next ten (10) years.
(j) Rep of School/college will collect mail/important instructions from this Bn HQ once in
a week or as and when intimated by this unit.
4. Following items of expenditure are to be borne by the Self financed Institutions:-
(a) Annual Expenditure on ANOs
(i) Monthly Honorarium for ANO/ Care Taker Allowance.
(ii) Expenditure on Outfit/Outfit maintenance Allowance.
(iii) Expenditure of Pre-Commission/Ref Trg Course for ANO.
(b) Expenditure on Institutional Trg of NCC Cadets
(i) Refreshment to Cadets after parade.
(ii) Washing /Polishing Allowance to cadets.
(iii) Annual Trg Grant.
(iv) Construction of Obstacle course/Firing Range.
(c) Expenditure on Camp Training (100%)
(i) Messing to ANO/ESM/GCA & Cadets.
(ii) Incidental Expenditure.
(iii) FOL Exp.
(iv) Rank Pay to ANO/ESM/GCA.
(v) TA/DA to ANO/ESM/GCA & Cadets.
(d) Expenditure on Attachment/Expeditions Training(100%)
(i) Messing to ANO/ESM/GCA & cadets.
(ii) TA/DA to ANO/ESM/GCA & cadets.
(iii) Pocket allowance to SW Cadets during MH Attachment.

Round Stamp
Signature of Head of Institution
Place : …………………………………… Name ……………………………………
Designation ………………………………..
Date : …………………………………… Stamp ……………………………………
 WILLINGNESS CERTIFICATE

Certified that the Head of Institution is willing to sponsor a teacher and certificate of the
Caretaker is also attached is as under :-

WILLINGNESS CERTIFICATE OF ANO/CARETAKER

I, ………………………………………………………………………….. am willing to work for NCC in my

Institution as ANO/Caretaker. My date of birth is …………………………………………. (attach proof).

Signature of ANO/Caretaker
Name ……………………………….
………………………………………….
Dated: …………………………….

COUNTERSIGNED BY THE PRINCIPAL

Place : …………………………………… Signature of Principal

Date : …………………………………… With Stamp

Round Stamp
 BIO DATA
(ANO / Care Taker)

Passport size
photograph
with attested

NAME OF TEACHER - ……………………………………………

FATHER’S NAME - ……………………………………………

DATE OF BIRTH - ……………………………………………

(High School Cert Attached)

EDUCATION QUALIFICATION - ……………………………………………

(Copy Attached)

DATE OF JOINING - ……………………………………………

(Joining letter Copy)

DESIGANTION - ……………………………………………

PAY SCALE - ……………………………………………

ADDRESS - ……………………………………………

……………………………………………

……………………………… Signature ……………………………….………………

Attested by Principal Name ………………………..…………..…………
With Stamp Designation ………………………….……………………
Name of Institution ……………………………………
………………………………………………….………………
 WILLINGNESS CERTIFICATE OF ANO/CARETAKER

I, ………………………………………………………………………….. am willing to work for NCC in my

Institution as ANO/Caretaker. My date of birth is …………………………………………. (attach proof).
I am also willing to attend the PRCN course whenever allot to me.

Signature of ANO/Caretaker

Dated: …………………………….

COUNTERSIGNED BY PRINCIPAL

Station : …………………………………… Signature of Principal

Date : …………………………………… With Stamp

Round Stamp
 CERTIFICATE

1. I hereby certify that I will not request for withdrawal of NCC form my Institution for the
next 10 years.

2. It is certified that a Chowkidar /Peon will be provided to look after the security of NCC
Stores within the college premises on raising Senior Wing / Junior Wing.

Station : …………………………………… Signature of Head of Institution

Date : …………………………………… With Stamp

Round Stamp

COUNTERSIGNED BY CO UNIT

Station : ………….……………….

Dated : ……………………………
 THE FOLLOWING ALL DOCUMENTS WILL BE FORWARDED IN 03 SETS

1. Re-Org Application Form (03 Original Copy )

2. Para 16 of the Re-Org Application duly signed by the competent auth .

3. Bio-data of Care Taker/ANO with coloured passport size photo (NCC Teacher) attested by
Principal

4. Copy of Appointment letter of Care Taker/ANO duly attested by the HOD of Institution.

5. Salary Cert of Care Taker/ANO duly countersigned by the HOD of Institution.

6. Copy of High School Cert and Highest Qualification Cert of Care Taker/ANO.

7. Medical Fitness Certificate of Care Taker/ANO issued by MBBS Doctor. (03 Original attested
copies with report )

8. Copy of Affiliation Cert of Institutions attested by the HOD of Institution.

9. Certificate regarding Uniforms and Accouterments Expenditure

10. . Appointment letter of CT attested by principal

11 Confirmation / Permanent letter of CT attested by Principal

12. Salary certificate of CT latest Month attested by Principal

13. Education Documents of CT ( Xth Class to High Educational )

14. Affiliation Certificate of Institution attested by Principal

NOTE - All documents in respected of new raising NCC should be attested by principal of
institution (संस्था के नई एन 0 सी0 सी0 के स्थापना से संबंधित सभी दस्तावेज प्रधानाचार्य द्वारा
सांक्ष्यांकित होने चाहिए )