‘THE PRINCIPAL REGULATIONS ON CURBING THE MENACE OF RAGGING IN HIGHER EDUCATIONAL INSTITUTIONS (SECOND AMENDMENT), REGULATIONS, 2013 UNDERTAKING BY THE STUDENT ah STUDENT NAME UET/PET Roll No, BHUAPPLICATIONID son/paughter of Mr/Mrs./Ms.___ PARENT/GUARDIAN NAME ______, having been admitted to COURSE NAME course of the Faculty/Department/MMV/Centre/School of the Banaras Hindu University, Varanasi 7 AMPGC/DAV/VCW/VKM, Colleges admitted to the privilege to the Banaras Hindu University, Varanasi (strikeout whatever is not applicable) have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational institutions, 2009, (hereinafter called the “Regulations”) carefully read and fully understood the provisions contained in the said Regulations. 2. Ihave, in particular, perused clause 3 of the Regulations and am aware as to what constitutes raging. 3. | have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and administrative action that is liable to be taken against me in case | am found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote raging. 4, | hereby solemnly aver and undertake that a) | will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. b) | will not participate in or abet or propagate through any act of commission or omission that may be constituted as ragging under clause 3 of the Regulations. 5. [hereby affirm that, if found guilty of ragging, | am liable for punishment according to clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in force. 6, |hereby declare that | have not been expelled or debarred from admission in any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging: and further affirm that, in case the declaration is found to be untrue, | am aware that my admission is liable to be cancelled, Declared this_13 day of __09 month of _2024 year. STUDENT'S SIGN Signature of deponent Name; STUDENT NAME VERIFICATION Verified that the contents of this undertaking are true to the best of my knowledge and no part of the undertaking is false and nothing has been concealed or misstated therein, Verified at__B.H.U.__onthisthe_13 _dayof__09__ month of 2024 _year. STUDENT'S SIGN Signature of deponent {full name of the student) STUDENT NAME‘THE PRINCIPAL REGULATIONS ON CURBING THE MENACE OF RAGGING IN HIGHER EDUCATIONAL INSTITUTIONS (SECOND AMENDMENT), REGULATIONS, 2013 UNDERTAKING BY PARENT/GUARDIAN ENT BHU APPLICATION ID 1)),_ SEO UET/PET Roll No. father/mother/ guardian of Mr./[Link]./Mrs./Ms. SEEVENCSAME, having been admitted to COURSE NAME course of the Faculty/Department/MMV/Centre/School of the Banaras Hindu University, Varanasi / AMPGC/DAV/VCW/VKM, Colleges admitted to the privilege to the Banaras Hindu University, Varanasi (strikeout whatever is not applicable) have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational institutions, 2009, (hereinafter called the “Regulations”) carefully read and fully understood the provisions contained in the said Regulations. 2) have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging 3) have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and administrative action that is liable to be taken against my ward in case he/she is found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 4) [hereby solemnly aver and undertake that a) My ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the Regulations. b) My ward will not participate in or abet or propagate through any act of commission or omission that may be constituted as ragging under clause 3 of the Regulations. 5) [hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the time being in force. 6) | hereby declare that my ward has not been expelled or debarred from admission in any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be cancelled sf 13, 09 mon 2024 year. Declared this__‘? _dayof__* _monthof___-9°" year. PARENT’S/GUARDIAN’S SIGN Signature of deponent Name; PARENT/GUARDIAN NAME Address: PARENT/GUARDIAN ADDRESS PARENT/GUARDIAN’S Tel./Mobile No.: MOBILE NO. VERIFICATION Verified that the contents of this undertaking are true to the best of my knowledge and no part of the undertaking is false and nothing has been concealed or misstated therein. Verified at_B-H.U.onthisthe_!3 day of 09 _ month of 2024 year. PARENT’S/GUARDIAN’S SIGN Signature of deponentBHU DOSSIER FORM - FRONT SIDE BANARAS HINDU UNIVERSITY APPLICATION FORM FOR ALLOTMENT OF HOSTEL/CITY DELEGACY - CUM - DOSSIER FORM (TO BE FILLED IN QUADRUPLICATE BY ALL STUDENTS) PASTE YOUR PASSPORT SIZE The Dean, PHOTO AND CROSS SIGN IT AS Faculty of COMMERCE SHOWN BELOW Banaras Hindu University (DO NOT SIGN ON FACE) $ Madam, SIGNA’ Tam seeking admission to: Course _ COURSE NAME __ Year _1°* (2024-25) Subject/Group COMMERCE Trequest you to allot me a seat in the Hostel/I seek permission to stay in the city (Tick whichever is applicable) I promise to abide by all the nules of discipline of the University, failing which any diseiplinary action may be taken against me, including expulsion from the University ‘Yours faithfully, STUDENT'S SIGNATURE (Signature of the applicant) WRITE DATE HERE STUDENT'S NAME, Date: . Name: Residence during previous Session (If'a BHU student) Name of the Hostel (if hosteller) :... Block No, Room No. If city delegacy student, Name of the Delegacy 5 FOR OFFICE USE ONLY Admit Kin /Suit STUDENTS NAME asa Hostel resident/ as a Day scholar in city. HostelCity (Signature with seal) Dated: Dean Residence allotted (Hostel with Room Number / Delegacy) Fee Receipt No, Dated. Hostel Warden / Chief Warden, City Delegacy NOTE: ADMISSION TO A COURSE OF STUDY DOES NOT GUARANTEE ACCOMMODATION IN THE HOSTELBHU DOSSIER FORM - BACK SIDE PARTICULAR TO BE FILLED BY THE APPLICANT A. UETPET Roll No, BHU APPLICATION ID B. Enrollment Ni (Gor First Year students o (already enrolled) course} Name of the Applicant Sex (Male/Female) - Date Of Bitth sersnnnene : emaamaaE ‘Whether belongs to SC/ST/OBC/OBC Minority. Yes/No. - Blood Group (If known) Identification marks Any specific medical problem(s) - Father's Name... Sa 2 10, Husbands Name (in case of married women) 46.52. 11. Guardian's Name (if other than Father) are 12, Relation of candidate with guardian 13. Permanent Address (Mention sia Pit Town, Village & Post clearly) Oo a 15, Name of the nearest Railway Station, 14, Police Station 16, Local Address (in the case city delegacy students) 17. Whether ever Convicted/ Rusticated/ Debarred / Expelled / Suspended ? YES / NO If "YES" give details. WRITE ICAB. 18, Name, Address and Telephone Nos. (if any) of person to be contacted in emergency. (a) Outside Varanasi : .. FILL. THE NAME (RELATION WITH THE PERSON), ADDRESS, CONTACT NO. OF A PERSON FOR EMERGENCY CONTACT Phone: Mobile Email id: (b) Inside Varanasi : .. FILL THE NAME (RELATION WITH THE PERSON), ADDRESS,. CONTACT NO. OF A PERSON FOR EMERGENCY CONTACT Phone Mobile Enail id. STUDENT'S SIGNATURE Date: WRITE DATE HERE Signature of the ApplicantFACULTY OF COMMERCE BANARAS HINDU UNIVERSITY UNDERTAKING FOR CONDITIONAL ADMISSION STUDENT’S NAME PARENT’S NAME I. . Son/daughter of ...... COURSE NAME BHU Application No. - B ..... provisionally admitted to course .... Session 2024-25. | declare that I will submit the following required documents before 31-10-2024, failing which my conditional admission be cancelled without any further notice. TICK THE DOCUMENT THAT IS NOT AVAILABLE AS SHOWN HERE 1.) Transfer Certificate/ Character Certificate/ Migration Certificate 2.) Latest Category (0.B.C. / S.C. / 5.1. / EWS.) / Income Certificate 3.) Qualifying Marksheet (12'"/ U.G.) STUDENT'S SIGNAT PLACE— B.H.U. SIGNATURE DATE- WRITE DATE HERE NAME — STUDENT’S NAME MOBILE NO. - STUDENT’S MOB. NO.