Annexure – I

Format for Undertaking

(TO BE SUBMITTED BY STUDENTS WHOSE RESULTS HAVE NOT BEEN

DECLARED AT THE TIME OF FRESH REGISTRATION)

I, _______________Son/ Daughter of___________ (Father’s) Resident of

__________(Permanent address) seeking admission to
__________________________(Name of the Course) of Amity University Uttar Pradesh,
hereby solemnly affirm and declare

That I Have appeared in the ____ __Examination 2023__ of _____ _________

(Board/University), I will provide degree certificate that I have carefully gone through the
rules regarding provisional registration and fully understand that in the event of my failure to
submit to the University, appropriate proof of my securing at least ________ ___________
marks in qualifying Examination for admission to _____________________ (Name of the
Course) of Amity University Uttar Pradesh by 30th June 2024 my provisional registration to
the said course will automatically stand cancelled and full fee deposited by me will be forfeited.

Signature of Student.

CERTIFICATE BY THE PARENT / GUARDIAN:

I _______________________Parent / Guardian of _______________________ hereby
Undertake that I have carefully gone through the rules regarding Provisional Registration and
Fully understand that in the event of failure of my son /ward to submit to the Amity University
Uttar Pradesh, proof of his securing____ marks in the Qualifying Examination for Admission
to the ___________(name of Course/Programme) by 30th June 2024 his/ her provisional
registration will automatically get cancelled and full fee deposited by him/ her will be forfeited.

Signature of Parent / Guardian of

__________________________
Name of Student