201/73/20 25,000 GPE
DOCUMENTS FOR CAMP ATTENDANCE
RISKICONSENT CERTIFICATE
It is certified that I, No. . ..Rank....*******************************************"********************o*
****.*****************.
****
Name....
******* nstitution... *************************************************o*** ***
Unit....
********************************"***** *****..Volunteer to attend. *******************... ...(Name of camp)
from.. *********..*** * *****a**o*e*.* ...Cl.... .. *.s*******o************s*************. ***** **********************
at my own risk.
Signature of N.C.C. Cadet
Station Countersignature of Parent/Guardian
Date
Signature..*****************************************
Name..
********************°******°*****°**************
Address....
***************°************************
*********************************°******'*********************
COUNTERSIGNED BY CO Attested by the Principal of the College/HM
of School
Signature with Seal
MEDICAL CERTIFICATE
(a) Certfied that, I have examined to No. . . ......GIK. **************************
Name.. ************ ..College/High School.. ***********e********.*****.*****.**.****.*********...
Unit..********************* ******. accordance with standard laid down undergo training
of strenuous nature on.. *********************°**************************************************************************ssos**o********
(b) It is also certified that the above-mentioned officer/cadet has been, inoculated/vaccinated.
(c)He is not suffering from any infections/disease.
Station
Date
Signature of Medical Officer
2
DROWNINGIACCIDENT CERTIFICATE
1. know that there are deep water area near the camp site enroute and these are OUT OF
BOUNDS. If I go there, I shall do so at my own risk.
2. I have been explained the orders regarding the precautions to be taken against drowning
accident and have understood them. I have been told not to go near deep water in the vicinity by the
incharge. If I go to any one of these out bound area I shall do so at my own risk.
Institution.. *** **********
Signature of Cadet
FORM OF INDEMNITY FOR NCC OFFICERS/OFFICER CADETICADETS OF
ARMY/NAVYIAIR AND GIRLS DIVISION
In consideration of my being nominated at my request to undergo all type of trg. and aiso
participating in any camp/course. Adventure trg. activities in outside NCC and while travelling I undertake
and agree that neitherI nor my executor nor administration will take, any claim against the Government of
India or against any Offr. JCO/OR, Armed Forces/Civilian MT Driver or against any person in the Service of
the Government of India in respect of any loss or injury to the property of person (including injury resuiting
in death) which I may suffer while or in consequence of my being in rg./participating in any camp/course
adventure trg. activities in/outside NCC and, travelling and I understand that, no compensation will be paid
by the Government of India or any Of. JCo/OR. Armed Forces/Civilian MT Drivers or against any person
in the service of the Government of India and in respect of by such loss or injury (including injury resulting
in death) and I agree so as to bind myself my executors and administrators to indemnify the Govemment
of India any Off. JCO/oR. Armed Forces/Civilian MT Driver and any person in the service of Govermment
of India against any claim which may be made by any third party against them or any of them arising out
of any act of default of my part during or in connection of said trg./camp/courseladventure trg. and journey
by road/rail/river and flight.
The Government has agreed to bear the stamp duty on this document.
Signed by the applicant
Shri. *****************************************
Signature of Applicant
In present of Address and designation:
Date
Witness:
(1) Signature (with date):
Name in Block letters: Countersignature of
Address Father or guardian (with date)
Address
(2) Signature (with date):
Name in Block letters:
Address
cOUNTERSIGNED
