Std.

11th Centralised Online Admission Process, 2022-23

(This is for those students who are unable to upload certain documents at the time of form filling)
Undertaking
Name of Student: - ---------------------------------------------------------------------------------------------------------------------------------
Application Form No: - ----------------------------------------------------- Category :- ------------------------------------------
I, (under signed) being an Applicant Student have submitted an Application
Form, for 11th admission at ---------------------------------------- (City). To avail the benefits under the
reservation, I have Submitted/uploaded all the documents which were available with
me and I will submit rest of documents with originals at the time of admission. My
document submission status is as under. ( mark shows YES, X mark shows NO, NA=Not Applicable)
Certificate / Document Uploaded NOW Will submit LATER Remark
(make  or X mark) (make  or X mark)
1 Std.10th School L.C.
2 Std.10th Mark sheet
3 Caste Certificate Self
* Caste Certificate *** Father,s
4 Non-Creamy Layer
NCL Certificate
5 Other

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.
I, hereby, undertake to present all the required original documents in time, may
be at the time of admission to the concerned Jr. College. And I am aware that, if I fail
to do so i.e. if I do not submit these documents in time or if there will be any
discrepancy between the information I have given in the application form and my
original certificates, my admission will remain cancelled or be denied.
Date- / /2022
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Student’s Signature and Name Parent’s Signature and Name
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(Kindly upload this Undertaking on the website duly self-signed produce for verification)
 इ.11 -2022-23
( न न )

:- -----------------------------------------------------------------------------------------------------------------------------
:- ----------------------------------------------------- :- -------------------------------------------------
--------------------------------------
, ( ह)
इ.11 ह.
ह / ह
ह . /
ह. ( ,X . NA= )
/
( X ) ( X )
1 इ.10
2 इ.10
3 / :
* / ***
4
NCL
5 इ

ह / , ह
ह.
ह / , ( )
/ . ,
ह ह
ह ह ह.
- / /2022
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