Cadet Enrolment Form (Junior Div/Wing) Appendix C'

CADET ENROLMENT FORM
(JUNIOR DIV/WING)
Appendix ‘C’
FORM II
National Cadet Corps Junior Division/Wing Enrolment Form

(See Rules 7 and 11 )
APPLICATION FOR ENROLMENT
1. What is your Full Name(in Block Capital) ? :

2. What is/was your parent/guardian’s name & : Name:
address ? Village:
PO:
Tehsil or Taluk
District:
PIN Code:
3. Are you citizen of India or subject of Nepal? :

4. What is your village,Tehsil/Taluk & Distt ? : Village:
PO:
Tehsil or Taluk
District:
PIN Code:
5. What is your Post Office ? :
6. What is your Rly Station ? :
7. What are your Educational Qualifications ? :
8. @ What is your age & Date of Birth ? :
9. In which School are you now studying ? :
10. Are you willing to be enrolled under :
National Cadet Corps Act 1948 ?
11. Are you willing to serve in the National
Cadet Corps until discharged as provided in
Act ?
12. In which unit do you desire to be enrolled ? :
13. Are you willing to undergo service training :
as specified in the Act and the rules made
there under?
2
14. Have you ever previously applied for :

appointment under the Act and if so with
what result ?
15. Have you ever been dismissed from the :
National Cadet Corps. The Territorial Army
or the Indian Armed Forces ?
16. @ Next of Kin with Address :
(with relationship)
Telephone No. Office/Residence
(as applicable)
@ Place: SIGNATURE OF APPLICANT

@ Date:`
NOTE: @ These are not included in the Form
1 of NCC Act & Rules
DECLARATION ON ACCEPTANCE OF ENROLMENT
@
1. I solemnly declare that the answers I have given to the question in this form are true and that
no part of them is false and that I am willing to fulfill the engagement made.
2. I _________________promise that I will honestly and faithfully serve my country and abide
by the Rules & Regulations of the National Cadet Corps that I will, to the best my ability, attend all
parades and camps as may be required by the Commanding Officer from time to time
@
3. I ________________ further promise that after enrolment, I will have no claim on
authorities for any compensation in the event of injury or death due to accident during training
camps, courses, traveling and while on YEP or any other such NCC events like RDC and IDC. I
understand I have no service liability.
Place Signature of the applicant

Date:
NOTE: @ These are not included in the Form 1 of NCC Act & Rules
3
DECLARATION BY PARENT/GUARDIAN
1. I solemnly declare that the answers I have given to the question in this form are true and that
no part of them is false and that my son/daughter/ward is willing to fulfill the engagement made.
2. I ________________ further promise that after the enrolment my son/daughter/ward, I will

have no claim on authorities for any compensation in the event of injury or death due to accident
during training camps, courses, traveling and while on YEP or any other such NCC events like
RDC and IDC.
Place Signature parent/Guardian

Date:
CERTIFICATE
1. Certified that the applicant understands and agree to the conditions of enrolment.
*2. Certified that the applicant and his parent/guardian understand and agree to the conditions of
enrolment.
Place Signature of Enrolling Officer

Date of Enrolment:
(Unit Seal)
* For Minors only. Score out in applicable portion.

4
TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
I have examined (Name)____________________________on(date)__________________
And consider him/her fit/ unfit for enrolment as a cadet in the national Cadet Corps.
Place Signature_________________
Date Designation(Medical Officer)
Stamp
TO BE USED FOR EXTENSION OF ENROLMENT

( See Rule 13)
I agree to extend my son’s/daughter’s/ward’s enrolment for one year and am willing to fulfill
the engagement made
Place Signature of Parent/Guardian

Date
Confirmed
Place Signature of Headmaster

Date from which extension starts
NOTE: This form will be retained in the College/school in which the unit is located
5
APPENDIX ‘D’
Annexure to Form II
(Application for Enrolment)
INDENMITY BOND
( FOR MINOR APPLICANTS ONLY)
To,
The President of India
In consideration of my ward No____________Name___________________________-

being nominated either by the NCC authorities or at my own request as a participant in any NCC
camp (which includes Republic Day Camp and Independence Day Camp in Delhi),Course,
Adventure Training(including Army, navy and Air Force Wing activities, as the case may be) and
while traveling(in domestic/international surface, air and water transport) and attending Youth
Exchange Programme(YEP) abroad, I undertake and agree that neither I, nor my executors or
administrators or other legal representatives will make any claim against the Government or against
NCC authorities including officers, JCO’s/ NCO’s or their equivalents from Navy and Air Force,
civilians, MT drivers or against any other such person in the service of the Government, in respect
of any loss or injury – to the property or person, including injury resulting in death, due to any
reasons whatsoever which I may suffer, while or in consequence of my participation in the above
activities and I understand that no compensation will be paid by the Government or NCC
authorities including officers, JCO’s/NCO’s or their equivalents from Navy and Air Force or
Civilian MT drivers in respect of any such loss or injury and I agree as to bind myself, my
executors and administrators and other legal representatives to indemnify the Government or NCC
authorities including officers, JCOs/NCOs or their equivalent from Navy and Air Force, civilian
MT drivers or any person in the service of Government against any claim which may be from any
third party against them or any of them arising out of any act of default on my part during or in
connection with the said camps, courses, adventure training, traveling and while on Youth
Exchange Programme or any other such NCC activities as may be organized from time to time
within or outside the Union of India.
Signature of Parent/Guardian
Name
Address
Witness
1. Signature
Name
Address
2. Signature
Name
Address
Place:
Date:
(NOTE: In case of SD applicant being a minor, Indemnity Bond applicable to Minor will be used)

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Cadet Enrolment Form (Junior Div/Wing) Appendix C'

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CADET ENROLMENT FORM

National Cadet Corps Junior Division/Wing Enrolment Form

APPLICATION FOR ENROLMENT

1. What is your Full Name(in Block Capital) ? :

3. Are you citizen of India or subject of Nepal? :

14. Have you ever previously applied for :

@ Place: SIGNATURE OF APPLICANT

DECLARATION ON ACCEPTANCE OF ENROLMENT

Place Signature of the applicant

2. I ________________ further promise that after the enrolment my son/daughter/ward, I will

Place Signature parent/Guardian

Place Signature of Enrolling Officer

* For Minors only. Score out in applicable portion.

TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

I have examined (Name)____________________________on(date)__________________

TO BE USED FOR EXTENSION OF ENROLMENT

Place Signature of Parent/Guardian

Place Signature of Headmaster

The President of India

In consideration of my ward No____________Name___________________________-

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I have examined (Name)__________on(date)

In consideration of my ward NoName_______________-