Annexure - I ALL CANDIDATES APPLYING FOR ADMISSION TO THIS COURSE AND THE PARENTS OF THESE STUDENTS WILL HAVE

TO GIVE AN AFFIDAVIT AND VERIFICATION AS GIVEN BELOW IF ADMITTED TO BHARATI VIDYAPEETH UNIVERSITY DENTAL COLLEGE, PUNE /NAVI MUMBAI

BHARATI VIDYAPEETH UNIVERSITY, PUNE AFFIDAVIT BY THE STUDENT

1.

I, Isha Jain d/o Mr. Naveen Jain, applying for admission to, Bharati Vidyapeeth University, Pune /Navi Mumbai am aware about the Rules & Regulations relating to curbing Menace of Ragging in Higher Educational Institutions - 2009.

2. I am aware as to what constitutes ragging. 3. I am fully aware of the penal and administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging , actively or passively, or being part of a conspiracy to promote ragging. 4. I hereby solemnly aver and undertake that a. I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations. b. I 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. I hereby affirm that, if found guilty of ragging, I 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. I hereby declare that I 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, I am aware that my admission is liable to be cancelled. Declared this___________________________day of _____________month of______year.

Signature of deponent Name :

Note : As per the directions of Honble Supreme Court of India Order No. SLP (C ) No. 24295/2004 and SLP No. 143656/2005, WP (C ) No. 173/2006 and SLP (C ) No. 24296-24299/2004 all the students are hereby informed the following. If any incidents of ragging comes to the notice of the authority, the concerned students shall be given liberty to explain and if his explanation is not found satisfactory the authority would expel him from the institution. All the students should note the above directives from the Supreme Court. Registrar (Bharati Vidyapeeth University)

VERIFICATION Verified that contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at________________________________________ this__________ day of ____________month of____________ year.

Signature of deponent

Solemnly affirmed

and signed in my presence on this_________________________ day

of____________________month of ________________year after reading the contents of this affidavit.

OATH COMMISSIONER Note : To be typed in double space on Non Judicial Stamp Paper of Rs . 100/-

Annexure - II BHARATI VIDYAPEETH UNIVERSITY, PUNE AFFIDAVIT BY PARENT/GUARDIAN 1. I, Mr./Mrs./Ms.____________________________father /mother/guardian of, seeking admission to _______________________________, Bharati Vidyapeeth University,

Pune am aware about the Rules & Regulations relating to curbing Menace of Ragging in Higher Educational Institutions - 2009. 2. I am aware as to what constitutes ragging. 3. I 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. I hereby solemnly aver and undertake that a. My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations. b. In or abet or propagate through any act of commission or omission that may be constituted as ragging under c1a 3 of the Regulations. 5. I 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. I 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. Declared this_______________________________day of _________month of_______year.

Signature of deponent Name :

VERIFICATION Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at________________________________________ this__________ day of ____________month of____________ year.

Signature of deponent

Solemnly affirmed

and signed in my presence on this_________________________ day

of____________________month of ________________year after reading the contents of this affidavit.

OATH COMMISSIONER Note : To be typed in double space on Non Judicial Stamp Paper of Rs . 100/-

Annexure - III Authorization For Representative I, _______________________________________, son /daughter of

_____________________________ _____, being unable to attend the counseling session for admission to the M .D .S . course in Bharati Vidyapeeth University Colleges , on

_______________________________________________hereby authorize________________________________________ son / daughter of

_______________________of whose photograph is affixed below and who will sign as shown below, to represent me at the counselling and on-the-spot- admission . I hereby declare that the choice of course made by this authorised representative will be irrevocable and that it will be final and binding on me. This authorised representative will present all the necessary documents, pay the appropriate fees and complete all the necessary formalities on my behalf.

Name of the candidate: (IN CAPITAL LETTERS ) Roll No.: Place: Date: Reason for absence: Signature of the candidate's Parent/Guardian Signature of the Candidate

Specimen signature of the Representative

A recent passport size photograph of the representative should be affixed here

A recent passport size photograph of the representative should be affixed here