FORM II

NATIONAL CADET CORPS

SENIOR DIVISION/WING ENROLMENT FORM
(See Rules 7 and 11of NCC Act, 1948)
1. Name (IN BLOCK LETTERS)
2. Nationality & Date of Birth D D M M Y Y Y Y
(DD/MM/YYYY)
Passport size
3. Father’s/Guardian's Name photograph

4. Mother’s Name

5. Residential Address
(Landmark, State, Distt
Taluka, City/Vill, Pin Code)
PIN Code
6. Mobile No.

7. e-mail id
8. Blood Group
9. Sex
10. Nearest Railway Station

11. Nearest Police Station

12. Educational qualifications

& Marks in (%)
13. Identification Marks
(at least two)
14. Have you ever been convicted
by a criminal court & if so in
What circumstances and what
Was the sentence? Attach
relevant documents.
15. Name of School/College and S V G C G H U M A R W I N
Stream (Arts/Science/
Commerce)
16. Willing to be enrolled and undergo
training under the National Cadet
Corps Act, 1948 (Y/N)
17. NCC Unit to be enrolled in 1 H P B N BOYS NCC S O L A N
18. Have you been enrolled in
NCC earlier? If yes, Your
Enrolment No.
19. Have you been dismissed from
NCC/the Territorial Army/the
Indian Armed Forces; Please
Provide details: -
20. Next of Kin with address (with
relationship) Telephone No.
(O)/(R) (as applicable)
21. Banker’s detail/IFSC Code:

22. Bank Acct No of Cadet/Parent

23. Aadhaar/UID No. (If allotted)

24. PAN Card No. (If allotted)

Place……………………………..
Date……………………………… Signature of the applicant
 DECLARATION ON ACCEPTANCE OF ENROLMENT
1. I solemnly declare that the answers I have given to the question in this form are true and that no
part of them is false and that I am willing to fulfill the engagement made.
2. I promise that I will honestly and faithfully serve my country and
abide by the Rules & Regulations of the National Cadet Corps that I will, to the best my ability,
attend all parades and camps as may be required by the Commanding Officer from time to time
3. I further promise that after enrolment, I will have no claim on
authorities for any compensation in the event of injury or death due to accident during training
camps, courses, traveling and while on YEP or any other such NCC events like RDC and IDC. I
understand I have no service liability.

Place:

Date:……………………………. Signature of the Applicant

DECLARATION BY PARENT/GUARDIAN
1. I solemnly declare that the answers I have given to the question in this form are true and that no
part of them is false and that my son/daughter/ward is willing to fulfill the engagement made.
2. I further promise that after the enrolment my son/daughter/ward, I will
have no claim on authorities for any compensation in the event of injury or death due to accident
during training camps, courses, traveling and while on YEP or any other such NCC events like
RDC and IDC.

Place: Signature parent/Guardian

Date:

CERTIFICATE
Certified that the applicant and his parent/guardian understand and agree to the conditions of enrolment.

Place:
Date of Enrolment…………………………… Signature of Enrolling Officer

(Unit Seal)

TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

I have examined (Name) ………………………………………………….on(date)……………………..and

consider him/her, fit/ unfit for enrolment as a cadet in the national Cadet Corps.
Place:………………………… Signature
Date : ………………………… Designation(Medical Officer) Stamp

TO BE USED FOR EXTENSION OF ENROLMENT

(See Rule 13)
My son/daughter/ward agree to extend the enrolment for one year and am willing to fulfill the
engagement made.
Place:………………………..
Date:…………………………. Signature of applicant
Confirmed
Place:………………………..
Date :………………………… Signature of Commanding Officer
 APPENDIX ‘B’
Annexure to Form I (Application for Enrolment)

INDENMITY BOND
To,

The President of India

In consideration of my being nominated either by the NCC authorities or at my own

request as a participant in any NCC camp (which includes Republic Day Camp and Independence
Day Camp in Delhi),Course, Adventure Training(including Army, navy and Air Force Wing activities,
as the case may be) and while traveling(in domestic/international surface, air and water transport)
and attending Youth Exchange Programme(YEP) abroad, I undertake and agree that neither I, nor
my executors or administrators or other legal representatives will make any claim against the
Government or against NCC authorities including officers, JCO’s/ NCO’s or their equivalents from
Navy and Air Force, civilians, MT drivers or against any other such person in the service of the
Government, in respect of any loss or injury – to the property or person, including injury resulting in
death, due to any reasons whatsoever which I may suffer, while or in consequence of my
participation in the above activities and I understand that no compensation will be paid by the
Government or NCC authorities including officers, JCO’s/NCO’s or their equivalents from Navy and
Air Force or Civilian MT drivers in respect of any such loss or injury and I agree as to bind myself, my
executors and administrators and other legal representatives to indemnify the Government or NCC
authorities including officers, JCOs/NCOs or their equivalent from Navy and Air Force, civilian MT
drivers or any person in the service of Government against any claim which may be from any third
party against them or any of them arising out of any act of default on my part during or in connection
with the said camps, courses, adventure training, traveling and while on Youth Exchange Programme
or any other such NCC activities as may be organized from time to time within or outside the Union of
India.

Signature of Applicant
No……………………………………………………..
Rank & Name………………………………………..
1HP BN BOYS Solan, Grp-- Shimla
In the Presence of

Signature & address of witness: 1…………………………………………………………………………………

Signature & address of witness: 2…………………………………………………………………………………

COUNTERSIGNED BY OC OF THE UNIT

Station:
Date :
 MEDICAL CERTIFICATE

1. Certified that I have examined Name ……………………………………….Rank……………………….

No…………………………………………Father’s Name ……………………………..of SVGC Ghumarwin,
1HP Boy’s BN NCC, Solan(H.P.) in accordance with the standard laid down in NCC Act & Rules and
found him/her fit to undergo training of strenuous nature in the ……………………………camp course.
2. I also certify that the above menstined cadet has been inoculated/ Vaccinated and that the cadet has
been protecte against smallpox, typoid and cholera

Place Signature of the Medical Officer

Date: Name in Block Letters with Designation and Seal

VOLUNTEER/ RISK CERTIFICATE

This is to certify that I, No. …………………………………Rank……………Name……………………………

Father’s name Sri………………………………. of SVGC Ghumarwin, Unit 1HP BN Boys NCC Solan
Volunteer to attend the ………………………………Camp/Course being held at…………………………….
from……………..to……………….at my own risk.
Date………………………………… Sign. Of Applicant
TO BE ATTESTED BY PRINCIPAL / HEADMASTER

College with office seal Signature of principal

COUNTER SIGNED BY OC UNIT
Station …………………..………
Dated ……………………..…….. Signature of OC UNIT

PARENT’S CONSENT CERTIFICATE

This is to certify that I have no objection to spare my son/ward No……………………..……Rank ………..

Name …………………………………………….. SVGC Ghumarwin, Unit 1HP BN Boys NCC Solan to
attend the……………………………….…………………………………………Camp/Course being held at
…………………………from …………to …………………

Station …………………..………
Dated ……………………..…….. (Sig. of Parent/Guardian)
Name and address
Countersigned Countersigned
(head of the Institution)
(Stamp) (CO Unit)
 DROWNING/ACCIDENT CERTIFICATE

I know that there is deep water near the camp site or enroute and area of the water is OUT

OF BOUND. If I shall go there, I shall do so at my own risk.

I have been explained the cadets regarding the precautions to be taken against drowing

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 anyone of these OUT OF BOUND areas, I shall do so at my risk.

Name of Unit : 1HP BN Boys NCC Solan

Name of Gp HQ : Shimla
Name of NCC Dte. : Chandigarh (PHH&C)

SN Regtl. No. Rank Name Signature of Cadet

Certified that I have explained the orders regarding to be taken against drowning accident and

shown to the Cadets “OUT OF BOND AREAS” The cadet have signed in my presence.

Station……………………………………….
Dated………………………………………… Signature of CO Unit

ATTESTED BY THE PRNCIPAL / HEAD MASTER

Certified that the above named Officer/Cadets is on the roll of the College/School and can be spared
for the above trekking/expedition Camp.

Station……………………………………….
Dated……………………………………….. Signature of Principal
 Appendix ‘A’ to DG NCC NO. 19952/DG/NCC/CWS Dated 5 feb 91
FOR MEMBERSHIP OF THE NCC CADETS WELFARE OSCIETY
(TO BE RDTAINED AT NCC GROUP HEADQUARTERS)

NOMINATION FORM
SECTION-I

1. I, Cadet (name in block Letters) ………………………………………………………Son/Daughter of

Shri (Name in block letters) .............................................................................a student of class
.....................of (Name of College/School) ……………………………………………………. on my
enrolment With the NCC on (Date)................................................................with (Name of the unit)
.................................Apply for membership of the National Cadet Corps Cadets Welfare Society
and hereby subscribe a sum of Rs. 4/- (Rupees Four Only) towards its membership fee.

2. My Father/Mother/Guardian’s occupation is. and the annual income of my family from all sources
is Rs ............................................................... per annum.

3. I understand that I shall be entitled to financial assistance as determined by the Governing

Body/Managing committee of the above Society in the event of partial or permanent disablement
sustained by me while participating in an organised NC activity. I hereby accept that the decision
of the Governing Body/Managing Committee with regard to the quantum of assistance to be paid
to me in the event of permanent/partial disablement will be final and binding on me.

4.I hereby nominate the following person(S) who will receive financial assistance, as determined
by the Governing Body/Managing Committee of the above Society, which will be final and
binding on the following person(s) in the event of my death while participating in an organised
NCC activity: -
SN Age
Name of Nominee/ Relationship Permanent Percentage
Nominees with the Address of of
(In Block Letters) Cadet the Financial
Nominee Assistance
payable

(To be filled by the cadet in his own handwriting)

5. My membership in the Welfare Society and this Nomination Form will be valid only till such time I
remain a cadet in the Division or Wing of the NCC to which i have been enrolled.

Date:……………………

Place:………………….. (Full Signature of the Cadet)

 SECTION-II

Date:………………………….

Place:………………………… (Signature of PTO/ Head of Institution)

SECTION-III

I am willing to allow my son/daughter/ward Name…………………………………………..to become a

member of the National Cadet Corps Cadet Welfare Society under the terms & conditions and the
rules in force of the Society. I also approve the nomination(s) made in Section 1 (4).

Date:…………………………

Place:………………………… (Full Signature of the Father/Mother/Guardian)

Witness Witness

1. ............................................................... 2. ................................................................
(Signature) (Signature)
Full Name & Address or Office Seal of the Witness Full Name & Address or Office Seal of the
Witness

Note: - The witnesses should be either gazetted officer/head of institution /Associated NCC
Officer/Sarpanch/Village Head.

SECTION-IV

Received a sum of Rs. 4/-(Rupees four only) as one time subscription & enrolled as a member of the
National Cadet Corps Welfare Society During the Cadetship in the Junior/Senior Division/Wing.

Date:

Place: (Signature of the OC Unit with Official

Seal)

SECTION-IV
(To be filled by the NCC unit)

Date of despatch of the Nomination form to Group HQ...........................................................................