APPENDIX - II

UNDERTAKING FOR NON-UPGRADATION OF THE

COURSE / BRANCH / MAIN SUBJECT / STREAM / SPECIALIZATION / GROUP
ALREADY ALLOTTED

Before the Controller of Examinations,

Aligarh Muslim University, Aligarh

Sir,
I, _______________________________________________________Son/Daughter
of _____________________________________________________ R/o (Permanent
Address) ____________________________________________________________

do hereby undertake the following:

1. That I have been provisionally admitted to class _________________________

during the session ____________________ and have been allotted the Course /
Branch / Main Subject/ Stream/ Specialization _________________________.

2. That I do not want any further upgradation in the Course / Branch / Main Subject
/Stream / Specialization already allotted to me and would like to retain the same
in my own benefit and interest.
3. I further declare that I shall strictly abide by this Undertaking and no litigation in
this regard shall, therefore, be tenable.

Yours obediently,

Signature of the Applicant _______________________________________________

Mother’s Name _______________________________________________________

Roll No. _____________________ Enrolment No. ____________________________

Faculty No. __________________ Class / Course ____________________________

Dated: _________________________
S.20
 APPENDIX- III
UNDERTAKING ON BEHALF OF THE CANDIDATE
ALLOWED PROVISIONAL ADMISSION ON THE BASIS OF INTERNET DOWNLOADED
MARKSHEET / CONFIDENTIAL STATEMENT OF MARKS

Before the ____________________________________________

Aligarh Muslim University, Aligarh

Sir,
I, __________________________________________________________Son/Daughter of
___________________________________________________________ R/O (Permanent
Address) _________________________________________________________________
do hereby undertake the following:
1. That I am an applicant for admission to ___________________ course of the AMU
Aligarh during the session _________________
2. That the applicant is producing Internet downloaded mark-sheet/grade-sheet of qualifying
examination duly attested by the Controller / Registrar / Issuing Authority of the concerned
University / Board
OR
That the applicant is producing Statement of Marks of qualifying examination in original
in a Confidential Sealed Cover on official stationary from the issuing authority of the
concerned University / Board / Institution. (strike out which is not applicable)
3. That the applicant may kindly be permitted provisionally to complete the admission
formalities for admission to ____________________________ in the ensuing academic
session __________________ without producing the original Mark-sheet / Grade-sheet.
4. That the applicant undertakes that due to any reason whatsoever, if he/she fails to
produce/submit the original Mark-sheet / Grade-sheet as detailed in para 3 above within
the prescribed time as given in the Guide to Admissions, then his/her provisional
admission to the course or its subsequent upgradation will stand automatically cancelled
and in that case he/she will have no claim or right of admission whatsoever as against the
said cancellation of admission and it will be deemed that he/she himself/herself got
cancelled his/her provisional admission and the decision of the University in this regard
shall be final and he/she will abide by the same and no litigation in this regard shall be
tenable.
5. That the applicant further undertakes that in the event of cancellation of his/her admission
in the manner as aforesaid, he/she will have no claim or right for the refund of the amount
of fees and other charges paid to the University in connection with the said provisional
admission.

Yours obediently,

Dated: _______________ Signature of the Applicant ______________________

Roll No. ________________ Mother’s Name ___________________________________

Enrl. No. _______________ Faculty No. ______________________________

S.21
 APPENDIX - IV
UNDERTAKING FOR
SUBMISSION OF REQUIRED ORIGINAL DOCUMENTS AT THE TIME OF
COMPLETION OF ADMISSION FORMALITIES

Before the Controller of Examinations,

Aligarh Muslim University, Aligarh

Sir,
I, __________________________________________________________Son/Daughter of
___________________________________________________________ R/O (Permanent
Address) _________________________________________________________________
do hereby undertake the following:
1. That I am an applicant for admission to ______________________ course of the AMU
Aligarh during the session _________________
2. That the applicant may kindly be permitted provisionally to complete the admission
formalities for admission to ____________________________ in the ensuing academic
session ___________________ without producing the following original
certificates/documents:
a) Migration Certificate/Transfer Certificate/School Leaving Certificate
b) Character Certificate
c) NOC from employer, if employed
d) Leave sanction order (Strike out which is not applicable)
3. That the applicant undertakes that due to any reason whatsoever, if he/she fails to
produce/submit the original certificates/documents as detailed in para 2 above within the
prescribed time as given in the Guide to Admissions from the date of his/her provisional
admission, then his/her provisional admission to the course or its subsequent upgradation
will stand automatically cancelled and in that case he/she will have no claim or right of
admission whatsoever as against the said cancellation of admission and it will be deemed
that he/she himself/herself got cancelled his/her provisional admission and the decision of
the University in this regard shall be final and he/she will abide by the same and no
litigation in this regard shall be tenable.
4. That the applicant further undertakes that in the event of cancellation of his/her admission
in the manner as aforesaid, he/she will have no claim or right for the refund of the amount
of fees and other charges paid to the University in connection with the said provisional
admission.

Yours obediently,

Dated: _______________ Signature of the Applicant ______________________

Roll No. ________________ Mother’s Name ___________________________________

Enrl. No. _______________ Faculty No. ______________________________

S.22
 APPENDIX - V
PROFORMA / CERTIFICATE FOR CLAIMING ADMISSION UNDER
CHILDREN OF EMPLOYEE CATEGORY, ALIGARH MUSLIM UNIVERSITY, ALIGARH

(A) Particulars relating to employee:

1. Full Name of the Employee (with ID No.)_______________________________________
(In CAPITAL Letters)
2. Designation and Department________________________________________________
3. Nature of Employment: Permanent ________ Probation _______Temporary __________
4. Date of first continuous appointment __________________________________________
5. (a) Whether in Service at the time of submission of Application Form (Yes / No)_________
(b) If no, the date of retirement (if already retired)/Died in Harness ___________________

(B) Particulars of the candidate in respect of whom certificate is required:

1. Full Name of the Son / Daughter ____________________________________________
(in CAPITAL Letters)
2. Date of Birth of Son / Daughter______________________________________________

I, _________________________________________________________ hereby declare

that the entries made above are true to the best of my knowledge and belief. I further undertake
that in case any information is proved false subsequently, the admission of my son / daughter
shall be cancelled and my son / daughter may not be allowed to take admission in any course
of study offered by AMU in future. In addition, an administrative action as per University rules
may be taken against me.

Date: _____________ Signature of employee: ________________

Verified the above information Forwarded

Signature Signature
J.R./D.R./A.R. (S.B.& Pension) Head of the Dept. / Office
With Seal & Date With Seal & Date

Note: University employee means `regular employees’ who are getting / got their salaries
from the University Budget. Children of Employees of Dawakhana Tibbiya College / AMU
Press / S.S. Mart / Daily Wage Workers / Fixed Salary Workers / Research Projects staff etc.
are NOT ELIGIBLE to claim this benefit.

S.23
 APPENDIX - VI

UNDERTAKING
TO BE FURNISHED BY THE CANDIDATE FOR ADMISSION TO
VARIOUS COURSES UNDER CA CATEGORY

Before the Controller of Examinations

Aligarh Muslim University, Aligarh

Sir,
I, __________________________________________________________ Son/Daughter of
Mr. _______________________________________________________ (Father’s Name) &
Mrs.________________________________________________________ (Mother’s Name)
R/O (Permanent Address) ____________________________________________________
do hereby undertake the following:
1. That my name, parentage and address given above are true and correct.

2. That I have passed / appearing in Class / Examination ___________________ in the year

_________ with _______Division & Roll No.___________________ from
____________________________ Board / University and applying for admission in the
Aligarh Muslim University during the session ____________
3. That my father Mr. _________________________________________ or mother Mrs.
_______________________________________________ is/are old student(s) of the
Aligarh Muslim University and has/have passed the Course(s)
_______________________________________with Enrolment No. ______________ in
the year_____________
4. I undertake that as per CA category given in the Guide to Admissions I am eligible to be
considered for admission under CA category in the Academic Session: _______________
5. I undertake to produce the Certificate / Degree / Diploma / Mark-sheet issued by the
Aligarh Muslim University to my father / mother in original at the time of Interview /
Counselling / admission/physical reporting in support of my claim.

Yours obediently,

Signature of Parent / Guardian Signature of the Applicant

NOTE: Certificate / Diploma / Degree should be of minimum one-year duration as a regular course.

S.24
 APPENDIX - VII
UNDERTAKING TO BE FURNISHED BY THE CANDIDATE
FOR ADMISSION TO VARIOUS COURSES UNDER CHILDREN OF
ARMED FORCES CATEGORY (CF CATEGORY)

Before the Controller of Examinations,

Aligarh Muslim University, Aligarh

Sir,
I, __________________________________________________________Son/Daughter of
Mr. & Mrs. __________________________________________ (Father’s & Mother’s Name)
R/o ____________________________________________________ (Permanent Address)
do hereby undertake the following:
1. That my name, parentage and address given above are true and correct.
2. That I have passed / appearing in Class / Examination ___________________________
in the year ____________ with ____ Division & Roll No. _________________________
from Board / University ______________________ and applying for admission in the
Aligarh Muslim University during the Session __________
3. That my father/mother Mr./ Mrs. _____________________________________________
was employed in Armed Forces who had died in combat with Batch No. _____________
4. I undertake that as per CF category given in the Guide to Admissions I am eligible to be
considered for admission under CF category in the Academic Session: ______________
5. I undertake to produce a Certificate from the Higher Authorities of Armed Forces in original
at the time of Interview / Counselling / admission in support of my claim.

Yours obediently,

Signature of Parent / Guardian Signature of the Applicant

S.25
 APPENDIX - VIII
UNDERTAKING BY THE STUDENT
1. I, __________________________________________________________ , (full name of student),
Test Roll No_________________ Enrolment No. ____________, Faculty No. __________________,
Son / Daughter of Mr./Mrs. ________________________________________________, having been
admitted to _______________________________________ (Name of the Course) at Aligarh Muslim
University have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions, 2009, (hereinafter called the “Regulations”) carefully read and fully understood
the provisions contained in the said Regulations.

2. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes
ragging.

3. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of
the penal and administrative action that is liable to be taken against me in case I am found guilty of or
abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.

4. I hereby solemnly aver and undertake that

a) I will not indulge in any behavior or act that maybe constituted as ragging under clause 3 of
the Regulations.

b) I will not participate in or abet or propagate through any act of commission or omission that
may be constituted as ragging under clause 3 of the Regulations.

5. I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of
the Regulations, without prejudice to any other criminal actions that may be taken against me under
any penal law or any law for the time being in force.

6. I hereby declare that I have not been expelled or debarred from admission in any institution in the
country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging;
and further affirm that, in case the declaration is found to be untrue, I am aware that my admission is
liable to be cancelled.

Declared this _____________ Day of _________________ Month of _____________________ Year

_________________________

Signature of deponent

Name ________________________________

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit
is false and nothing has been concealed or misstated therein.

Verified at ______________(Place) on this the _______ (Day) of ___________(Month) ______(Year)

_________________________

Signature of deponent

S.26