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Provisional List of Selected Studentsfor I" Year AHDP,

CVAS, Navania, Vallabhnagar, Udaipur

S.No Name of Student Father Name

1 Surendra Jat Ramdhan Jat

2 Bhanwar Singh Verma Ram Kumar Verma

3 Siddhi Patidar Navneet PatidarI

4 Sanju Dhaked Shankar Lal Dhaker

5 Pankaj Kalasua Jeev Ram Kalasua

6 Prem Jat Heera Lal jat

7 Priyanka Pandor Tulsi Ram

8 Mital Parmar .Roop Lal Permar

9 Shambhu Lal Salvi Ram Chandra Salvi'

10 Vinod Goda Khem Chand Goda

11 Shravan Maida Gebi Lal

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2

.: Proforma of Affidavit IAffidavit By the Student

(Tobe submitted on non-judicial stamp of 10/ - or more)1.. (full name of student) sj 0, dj 0MrjMrsjMs having been admitted to................................................ (Name of the Institution), have received a copyof the UGC Regulations on curbing the Menace of Ragging in HigherEducational Institutions, 2009, (hereinafter called the "Regulations") carefullyread and fully understood the provisions contained in the said Regulations.I have, in particular, perused clause 3 of the Regulations and am aware as towhat constitutes ragging.I have also, in particular, perused clause 7 and clause 9.1 of the Regulationsand am fully aware of the penal and administrative action that is liable to betaken against me in case I am found guilty of or abetting ragging, actively orpassively, or being part of a conspiracy to promote ragging.I hereby solemnly aver and undertake thata. I will not indulge in any behaviour or act that may be 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 theRegulations.

I hereby affirm that, if found guilty of ragging, i am liable for punishmentaccording to clause 9.1 of the Regulations, without prejudice to any othercriminal action that may be taken against me under any penal law or any lawfor the time being in force.I herby declare that i have not been expelled or debarred from admission in anyInstitution in the country on account of being found guilty of, abetting or beingpart of a conspiracy to promote, ragging; and fur ther affirm that, in case thedeclaration is found to be untrue, I am aware that my admission is liable to becancelled.Declare this day of month of.. year.

Signature DeponantName:

VERIFICATIONVerified that the contents of this affidavit are true to the best of my knowledgeand no part of the affidavit is false and nothing has been concealed ormisstated therin.Verified at.. (place) on this (day) of (month) of.. (year).

Signature DeponantName:

Solemnly affirmed and signed in my presence on this the (day) of .(month), (Year)after reading the contents of this affidavit.

OATHCOMMISSIONERNote: it is mandatory to submit this affidavit in the above format, it you desire toregister for the forthcoming academic session.

Proforma of Affidavit IIAffidavit By the Parent/Guardian(Tobe submitted on non-judicial stamp of 10/- or more)

I. (full name ofparent/ guardian) father / mother / guardian of (full name ofstudent) having been admitted to (Name of theInstitution), have received a copy of the UGC Regulations on curbing theMenace of Ragging in Higher Educational Institutions, 2009, (hereinafter calledthe "Regulations") carefully read and fully understood the provisions containedin the said, Regulations.I have, in particular, perused clause 3 of the Regulations and am aware as towhat constitutes ragging.I have also, in particular, perused clause 7 and clause 9.1 of the Regulationsand am fully aware of the penal and administrative action that is liable to betaken against my ward in case he/ she am found guilty of or abetting ragging,actively or passively, or being part of a conspiracy to promote ragging.I hereby solemnly aver and undertake thata. Myward will not indulge in any behaviour or act that may be constituted as

ragging under clause 3 of the Regulations.b. My ward will not participate in or abet or propagate through any act of

commission or omission that may be constituted as ragging under clause 3of the Regulations.

I hereby affirm that, if found guilty of ragging, my ward is liable for punishmentaccordmg to clause 9.1 of the Regulations, without prejudice to any othercriminal action that may be taken against me under any penal law or any lawfor the time being in force.I herby declare that my ward has not been expelled or debarred from admissionin any Institution in the country on account of being found guilty of, abettingor bemg part of a conspiracy to promote, raggin&; and further affirm that, incase the declaration is found to be untrue, the aamission of my ward is liableto be cancelled.Declare this day of month of.. year.

Signature DeponantName:Address:Telephone/Mobile No.:

VERIFICATIONVerified that the contents of this affidavit are true to the best of my knowledgeand no part of the affidavit is false and nothing has been concealed ormisstated therin.Verified at.. (place) on this (day) of (month) of.. (year).

Signature DeponantName:

Solemnly affirmed and signed in my presence on this the (day) of .(month), (Year)after reading the contents of this affidavit.

OATHCOMMISSIONER

Proforma III

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Proforma IV

Health Certificate

No . Dated: .

I do certify that I have examined Shri/Kumari/Smt .

Son/daughter/wife of Shri a candidate foradmission in the 2 Yrs Animal Husbandry Diploma Course in the RajasthanUniversity of Veterinary and Animal Sciences, Bikaner and cannot discover anydisease, constitutional affection or bodily infirmity communicable or otherwise,except. .

The candidate's age according to his own statement is about yearsand by appearance, about years.

I further certify the following as per medical examination of the said candidate:-

Height Cms

Weight Kgs

Vision: RE LE with Glasses RE LE

Distant:

Near:

Urine Colour specific gravity .

Albumin: Present/Nil, Sugar: Present/Nil

On medical examination the candidate is found fit/unfit for admission to 2years Animal Husbandry Diploma Course.

Signature of Candidate Signature & Seal of Medical Jurist/MO

Place of Examination: .

Dated: .