Aman Satya Kachroo Trust

ANTI RAGGING AFFIDAVITS BY STUDENTS AND PARENTS/GUARDIANS

TO BE FILLED BY A STUDENT
Fields marker with * are compulsory.

If you do not have an E mail address please create one before you fill in this form.
If your mother or father or guardian does not have a phone or a mobile phone or email then please give the numbers /email of their friends or relations or neighbors.
If you do not have a mobile number, then please give the mobile number of your friend in the college.

After filling this form successfully you will receive the Student's Anti Ragging Affidavit and the Parents Anti Ragging Affidavit in your Email. Please print both the Affidavits, sign them yourself, request your parents to read the details and request them to sign their affidavit and then present both at your college at the time of registration, each year.

Personal Details (1/5)

*Student's last name :
Student's middle name :
*Student's first name :
*Gender :	Male Female
*Nationality :
*Student's mobile number :
*Student's friends mobile no incase of emergency :
*Landline number :
*Student's email ID :
*Confirm student's email ID :
*Permanent Address 1 :
Address 2 :
*City :
*State :

Parent/Guardian details (2/5)

*Parent/Guardian Name :
*Parent/Guardian Address 1 :
Address 2 :
*City :
*State :
*Residence Phone No :
*Mobile No of Parent/guardian :
*Parent/guardian's Email ID:

College details (3/5)

*State in which college is :
*Is it a professional or general college:
*Name of the college :
*Name of Affiliating University :
*Is it deemed university :	Yes No
*Director/Principal last name :
*Director/Principal first name :
*Director/Principal gender :	Male Female
*College phone no 1 :
College phone no 2 :
*Nearest police station name and address :

Course details (4/5)

*Under Graduate or Post Graduate :
*Name of Course :
*Registration/Enrolment Number :
*How many students are in your Class? :
*Year of Study for which you wish to register? :

UGC Regulations/Affidavit (5/5)

I confirm that I have read UGC's regulations on Ragging. (To read, click on the link ABSTRACT OF UGC REGULATIONS ON RAGGING )

I confirm that I have read the Judgment of the Hon. Supreme Court on prevention of Ragging. (To read, click on the link SUMMARY OF THE JUDGMENT OF THE HON. SUPREME COURT )

I promise that I will not indulge in Ragging or any form of violent behaviour. Neither will I tolerate being ragged or subjected to violence.

I understand that if I am accused of Ragging, the responsibility is on me to prove that I am not guilty.

I will not remain a spectator to acts of Ragging. I will report the matter immediately to my Principal/Director and to the Anti Ragging Help line at 1800 180 5522 or email to helpline@antiragging.net.