Declaration affidavit for Online student.
(to be prepared on a Rs 100/- stamp paper)
I, Mr. /Ms.……………………………………….....................................................................,
Program undertaking: …………………………… at
D Y Patil University, Online , Navi Mumbai is a permanent resident of
..………….............…………….................................
........................................................................
........................................................................
Aadhar Card No.
Contact number:
1. I, hereby, declare that, the entries made by me in the online Application Form are complete and
true to the best of my knowledge and based on records.
2. I, hereby, undertake to present the original documents immediately upon demand by the
concerned authorities of the D Y Patil University Online.
3. I, hereby, promise to abide by the admissible rules and regulations, and cancellation policy
for the Students of the D Y Patil University Online, as in force from time to time and subsequent
changes/modifications/amendment made thereto.
I hereby declare that, I have uploaded all the attested copies of the relevant academic documents on
the portal.
I acknowledge that, the D Y Patil University Online has the authority for taking punitive actions against
me for violation and/or non-compliance of the same.
I, further declare that, my admission may be cancelled, at any stage, if I am found
ineligible and/or the information provided by me are found to be incorrect.
Student signature:
Date:
Place:
