ANNA UNIVERSITY, CHENNAI-600 025

UNDERTAKING
EXECUTED BY THE PG STUDENT ADMITTED TO
FULL TIME PG PROGRAMME

1. College of study with address :

2. Degree Programme to which :

He/she has been admitted

3. Branch/Specialisation :

4. Date of admission :

5. Name of candidate :

6. Date of birth :

7. Father/Husband Name :

8. Roll No. Assigned by college for study :

9. Reg. No assigned by university, if it is known :

UNDERTAKING
I___________________________ son/daughter /wife of__________________
have been admitted to above mentioned PG full-time Programme. I am not working on in
any organisation / college / polytechnic / company in any capacity either in Full-Time (or)
Part-Time /Daily wage basis from the date of admission to the above PG Programme.

If I am found that I am working anywhere during the period of study of the PG

Programme, I will forfeit the admission to the PG Programme.

Signature of the student :

Name in capital letters :

ENDORSEMENT BY THE PRINCIPLE OF THE COLLEGE OF STUDY

Verified and found correct.

Signature of the principal:

Seal :