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    AnnexureII A Iit BBSR

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    Debasis Saran
    1. The student declares that all information provided in the application form is true and complete. 2. The student undertakes to present original documents when required by the institute and to abide by its rules on discipline, attendance, and code of conduct. 3. The student promises 100% class attendance and understands punitive actions could be taken for short attendance.

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    © All Rights Reserved
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    AnnexureII A Iit BBSR

    Uploaded by

    Debasis Saran
    29 views2 pages
    1. The student declares that all information provided in the application form is true and complete. 2. The student undertakes to present original documents when required by the institute and to abide by its rules on discipline, attendance, and code of conduct. 3. The student promises 100% class attendance and understands punitive actions could be taken for short attendance.

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    iit bbsr undertaking

    Original Title

    AnnexureII A iit bbsr

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    1. The student declares that all information provided in the application form is true and complete. 2. The student undertakes to present original documents when required by the institute and to abide by its rules on discipline, attendance, and code of conduct. 3. The student promises 100% class attendance and understands punitive actions could be taken for short attendance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views2 pages

    AnnexureII A Iit BBSR

    Uploaded by

    Debasis Saran
    1. The student declares that all information provided in the application form is true and complete. 2. The student undertakes to present original documents when required by the institute and to abide by its rules on discipline, attendance, and code of conduct. 3. The student promises 100% class attendance and understands punitive actions could be taken for short attendance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Annexure : II-A

    DECLARATION /UNDERTAKING FROM THE STUDENT


    I, Mr./Ms. ...........................,Roll. No..:,
    Proggrame:, Dept. , student of Indian Institute of
    Technology Bhubaneswar, permanent resident of................(give
    permanent home address with telephone no.), do hereby undertake on this the(day), of
    ..................(month),................ (year), the following :-
    1. I, hereby, declare that, the entries made by me in the 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 Institute.
    3. I, hereby, promise to abide by the admissible rules and regulations, concerning discipline,
    attendance, etc. of the Institute (IIT Bhubaneswar), and also to follow the Code of Conduct
    prescribed for the Students of the Institute, as in force from time to time and subsequent
    changes/modifications/amendment made thereto. I acknowledge that, the Institute has the authority
    for taking punitive actions against me for violation and/or non-compliance of the same.
    4. I, understand that, 100% attendance in classes is compulsory and I commit myself to adhere to the
    same. I also understand, in case my attendance falls short, for any reason, the competent authority of
    the Institute may take such punitive action against me, as may be deemed fit and proper.
    5. I, hereby declare that, I will neither join in any coercive agitation/strike for the purpose of forcing the
    authorities of the Institute to solve any problem, nor I will participate in any activity which has a
    tendency to disturb the peace and tranquility of life of the IIT Bhubaneswar campus and/or its Hostel
    premises.
    6. I, hereby declare that, neither I will indulge in, nor tolerate ragging, in any form, even in words or
    intentions, and I accept to give an undertaking in the prescribed format for the same.
    7. I, understand that as per rules and regulations of the Institute, I will not be permitted to
    possess or use any motorized vehicle inside the Institute campus, unless I am permitted to do
    so by a written prior authorisation from the Dean (Students Affairs).
    8. I, hereby declare that, I shall be solely responsible for my involvement in any kind of undesirable /
    indisciplinary activities outside the campus, and shall be liable for punishment as per the law of
    the land. I, further understand that, the Institute shall in no way provide any support to me and
    will not be held responsible for my any such action.
    9. I, also declare that, I am not suffering from any serious/contagious ailment and/or any
    psychiatric / psychological disorder.
    10. I, further declare that, my admission may be cancelled, at any stage, if I am found ineligible and/or the
    informations provided by me are found to be incorrect.
    11. I, hereby undertake to inform the Institute, about any changes in information submitted by me, in the
    Application Form and any other documents, including change in addresses and phone nos., from time
    to time.

    Date : Signature of Student

    IndianInstituteofTechnologyBhubaneswar
    Samantapuri, Bhubaneswar 751013
    Tel: +91-0674-2301982, fax: +91-0674-2301983
    web: www.iitbbs.ac.in



    DECLARATION BY PARENT/ GUARDIAN

    I, , (Mother / Father / Guardian) hereby
    fully endorse the above undertaking/declaration given by my child/ward. And I will
    endeavor to induce my child/ward to do his/her best to observe the abovestated
    undertaking in words and spirit.


    Place : Signature of Mother / Father / Guardian
    Date :

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