ANNA UNIVERSITY :: CHENNAI 600 025

ACTech CAMPUS

DECLARATION BY THE PARENT/GUARDIAN AND THE CANDIDATE

I hereby solemnly and sincerely affirm

1. That the statements made and information furnished in my son's/daughter's/ward's application as also in
all the enclosures thereto submitted by him/her are true. Should it, however, be found that any information
furnished therein is untrue in material particulars, I realize that i am liable to criminal prosecution and I also
agree to the forfeiture of his/her seat in the institution.

2. That my son/daughter/ward would confirm strictly to all the rules and regulations in force now or which
may be introduced in the institution hereafter and that I realize that breach of discipline and rules of my
son's/daughter's/warden's part would entail summary forfeiture of his/her seat in the institution.

3. That I am aware that if my son/daughter/ward does not put in a minimum of 75% attendance during the
semester in theory, drawing and practical classes separately, my son/daughter/ward will not be sent up
either for the final class examination or for the University Examination.

4. That I am aware that the curriculum for the various courses is not rigid and that my son/daughter/ward will
follow the syllabi for the various courses in force at the time of his/her admission and that any revision or
modification made in the syllabi during the course of his/her study in the institution will be binding on
him/her.

5. That in case, my son's/daughter's/ward's progress in studying is uniformly poor in the institution his/her
studies are liable to be terminated by the issue of Transfer Certificate.

6. That in case, my son/daughter/ward becomes a scholarship holder or comes to enjoy educational

concessions like half-fees or full fees etc. and does not show special progress, the scholarship or
educational concession is liable to be cancelled and that if my son's/daughter's/ward's conduct and
character are not good these will be cancelled summarily.

7. That in case my son/daughter/ward is admitted into the Hostel he/she will strictly abide by the rules and
regulations in force in the Hostel and that any breach of discipline or rules or any unruly conduct or
undesirable activities will be summarily dealt with by the forfeiture of seat both in the Hostel and the
institution in addition to such other proceedings that may be taken against him/her.

8. That in case the qualification possessed by my son / daughter / ward is not recognized by this University
for admission to the B.Tech. Degree Programme LEATHER TECHNOLOGY branch my son / daughter /
ward discontinue the programme forthwith.

Signature of the Candidate Signature of the Parent / Guardian

Date :
Place :

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 ANNA UNIVERSITY :: CHENNAI 600 025
ACTech CAMPUS

From Date :
SHIVA R
40, ARASI ILLAM, KANNAN NAGAR
ALAMELUMANGAPURAM, VELLORE
VELLORE, TAMILNADU
632009

To
THE DEAN
ACTech CAMPUS
ANNA UNIVERSITY

Sir / Madam,

Sub: Awareness of seriousness of the menace on Ragging - Undertaking for Non-Involvement in Ragging - Reg.
I, SHIVA R Father of / Guardian of DHANDAPANI S (214014) B.Tech. - LEATHER TECHNOLOGY ( SEMESTER - 1
) hereby state that I am aware of the implications of indulgence of any student in ragging activities in the college, as
given below:
Ragging means display of noisy, disorderly conduct, doing any act which causes or is likely to cause physical or
physiological harm or raise apprehension or fear or shame or embarrassment to a student in any educational institution,
and includes
(i) Teasing, abusing or playing practical jokes on, or causing hurt to such student. (or)
(ii) Asking the students to do any act or perform something which such student will not carry out in the ordinary
course, willingly.

Ragging is totally prohibited in any institution.

PUNISHMENT INCLUDES
(i) Two years imprisonment
(ii) Fine to the tune of Rs.2.5 Lakhs
(iii) Dismissal from the educational institution.
(iv) Shall not be admitted in any other educational institution
Hence, I undertake to ensure my ward DHANDAPANI S not to involve in activities considered to be ragging as per
the definition above. I am bound to accept any punishment awarded to my ward, in case of violation of this undertaking.

Signature of Candidate Signature of Parent / Guardian

with Date with Date

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