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JUNIOR/SENIOR D ION AVING CADETS' Passport Size
ENROLMENT F'ORM Photo

(SEE RULES 7 And ll)

APPLICATION FOR ENROLMENT
l. What is your Name? I.
(In Block Capitals))

2. What is your pareltl / guardian's name and 2.

addtess

3. Are 1ou a citizen of India or a subject of

Nepal?

4. What is your Village, Tahasil or Taluka 4. Vitlage

and District ?
Tahasil or Taluka

District

PIN Code

5. What is your Post Office? 5-

6. WIat is _vour Railway Station? 6.

7. What are your educational qualifications? 1

8. What is your age and @ Date of Birth? 8.

9. Have you ever been convicted by a 9.

crim lal court and if so in what
circumstances and what was the sentence?

10. In which College are you now studying? 10,

ll. Are you willing to be enrolled under the ll.

National Cadet Corys Act, 1948?

12. In which unit do you desire to be 12.

enrolled?

13. Are you willilg to undergo service 13

training as specifred in the Act and the
 53

rules made there urder?

14. Are you willing to serve in the National 14.

Cadet Corps until discharged as provided
in the Act?

15. Have you ever previously applied for 15.

effohnent uoder the Act, and if so with
what result?

16, Have you been dismissed from the 16,

National Cadet Corps, the Territorial
Army or the Indian Armed Forces?

17. Next of Kin with address. (with 17,

relationship) Telephone No (O) / (R) (as
applicable)

Place:

Date :

SIGNATURE OF THE APPLICANT

 54

DELCARATION ON ACCEPTANCE FOR ENROLMENT

1, I solemnly declare that the answers I have given to the q estions in this form are huo and that
no part ofthem is false, and that I am willing to fulf l the eflgagement made.

2. I promise that I will honestly and faitbful[y serve my

country and abide by the Rules and Regulations of the National Cadet Cofps that I will, to the
best of my ability, attend all parades and camps as may be required by the Commanding
Officer from time to time.

3. I further promise that aiter effolmenq

I willhave no claim on authorities for any comperLsation in the event of injury or death due to
accident during training camps, courses, travelling and while on YEP or any other such NCC
events like RDC and IDC. I understand I have no service liabilitv.

Place :

Date : SIGNATURE OF TI{E APPLICANT

DECLARATION BY PARENT/GUARDIAN
I I solemnly declare that the answers given in this form are hxe and that no part ofthem is false,
and that my son/daughter/ward is willhg to fulflrl the engagement made.

2. 1 promise that after the enrolment of 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, travelling and while on YEP or
any other such NCC events like RDC and IDC. I understand I have no seruice liability.

Place

DAIC : SIGNATURE OF TIIE APPLICANT

CERTIFICATE
Certified that the applicant and his parent/guardian understand and agee to the conditions of
enrolrnent.

Signature of Enrolling Offlcer

Place :
Date of Enrolment (Unit Seal)
 TO BE COMPLBTED BY MEDICAL OF'FICER BEFORE ENROLMENT

1. I have examined (Name) on

(date) and consider him,&er fitlunfit for effolfl1eflt as a Cadet in the
National Cadet Corps.

Place Signature

Date Designation

(Medical Officer)
 56

TO BE USED FOR EXTENSION OF ENROLMENT

(See Rules l3)

A, I agree to extend my euolment for one year and am willing to fulfill the engagement made.

Place

Date Signature of the Applicant

Confirmed

Place :

Date : Signature of Commanding

Offrcer

B. I agree to extend the enrolment of my sor/daughter/ward for one year and am willing to fulfill
the engagement made.

Place

Date : Signature of Parent/Guardian

CONFIRMED.

Place :

Date : Signature of Headmaster

Place :

Date ftom which extensions starts

NOTE : This form will be retained in the schooVcollcgc in which thc unit is locatcd.

Annemre to Form I
(Application for cnrolmcnt)
 51

INDEMNITY BOND
To
The President oflndia

In consideration ofmy 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 Wing Activities, as
the case may be) and wlule travelling (in domestic/international sudace, air and water transport)
and attending Youth Exchange Programmes abroad, I undertake and agree that neither I, nor my
executors or administrators or other legal representatives will make any claim against the
Govenrment or against NCC authorities including Officers, JCOs/NCOs or their equivalents tom
Navy and Air Force, civilians, MT drivers or against any other such person in the service of the
Govemment, 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,AlCO's or their equivalents {iom 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 aod administrators and other legal representatives to indemnifr the
Government or NCC authorities including officers, JCO'sA{CO's or their equivalents ftom Navy
and Air Force or Civilian MT drivers in the service of Government against any claim which may bc
from any third party against them or any ofthem arising out ofany act of default on my part during
or in comection with the said camps, courses, adventure training, travelling and while on Youth
Exchange Programme or any other such NCC activities as may be organised from time to time
within or outside the Union of India.

Signature of Applicant
No

Name

Unit/Group
Witness
1. Signature Signature of P atent/Guardian
Name Name
Address Address
2 Signature
Name
Address
Date
Place