Appendix ‘B’ (Revised 2019)

FORM I
NATIONAL CADET CORPS

JUNIOR DIVISION/WING ENROLMENT FORM ATTESTED

PP SIZE
(See Rules 7 and 11of NCC Act, 1948) COLOR
PHOTO

1. Name(IN BLOCK LETTERS)

2. Nationality & Date of Birth

(DD/MM/YYYY)

3. Father’s/guardian’s Name

4. Mother’s Name

5. Residential Address
(Landmark, State, Distt
Taluka, City/Vill, 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 C L A S S - M A R K S -

& 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 circumstances
Was the sentence? Attach
relevant documents.
-2-
15. Name of School/College and
Stream (Arts/Science/
Commerce)

16. Willing to be enrolled and Y N

undergo training under the
National Cadet Corps Act, 1948

17. NCC Unit to be enrolled in

18. Have you been enrolled in

NCC earlier. If yes, Your Y N
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)

-3-
 DECLARATION ON ACCEPTANCE FOR ENROLMENT

1. I solemnly declare that the answers I have given to the questions 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
and 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 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, SNIC/NIC, TSC/VSC/NSC and Adventure Activities.

Place: ____________________
(Signature of the applicant)
Date:
DECLARATION BY PARENT/GUARDIAN

1. I solemnly declare that the answers given 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 _____________________ promise that after the enrolment of my

son/daughter/ward, I will have no claim on authorities for any compensation in the
event of any injury or death due to accident during training camps, course, traveling
and while on YEP or any other such NCC events like RDC and IDC.

3. I understand my son/daughter/ward has no service liability.

4. I ______________________ promise to make good the prorata residual cost

of clothing items issued if my son/ward does not complete two years of NCC training.

Place: ___________________________
(Signature of the Parent/Guardian)
Date:
CERTIFICATE

1. Certified that the applicant understands and agrees to the conditions of

enrolment.

2. Certified that the applicant and his parent/guardian understand and agree to
the condition of enrolment.

Place: _______________________________

Date of Enrolment: (Signature of Enrolling Officer/ANO/CT)

 -4-

TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

1. I have examined (Name) ____________________ on ________ (date) as per

medical standards laid down vide GOI letter No. ____________________
dated_____________ (see • below) and consider him/her Fit/Unfit for enrolment as a
Cadet in the National Cadet Corps.

2. His/her blood group is ____________________.

Place: Signature __________________

Date : Designation ________________

(Medical Officer)

MCI Registration No. _________

 No. 0162/49/NCC dated 19 Mar 1949 [for SD (Army) & (Air)

 No. 0162/49/NCC dated 19 Mar 1949 [for JD]
 No. 0384/50/NCC dated 10 Mar 1950 [for SW]
 No. 0630/52/NCC/1255-B/D (IS&MED) dated 29 Mar 1952 [for SD Naval Wing]

CERTIFICATE

1. Certified that the above applicant agrees to the terms/conditions of Enrolment

voluntarily.

2. Certified that this school/college/Institution agrees to fulfill the terms and

conditions of engagement of NCC unit under the NCC Act in the
school/college/Institution.

_______________________________
(Signature of Principal/Head of School)

CONFIRMED

Place :

_________________________________
Date: (Signature of the OC Unit with office seal)
 -5-
Annexure to Form II
(Application for enrolment)
INDEMNITY BOND
To
The President of India
In consideration of my being nominated either by the NCC authorities or at my
own request as participant in any NCC Camp (which includes Republic Day camp
and Independence Day camp in Delhi), Course, Adventure Training (including Army,
Navy & Air Wing activities, as the case may be) and while traveling (in
domestic/international surface, air and water transport) and attending Youth
Exchange Programme abroad, I undertake and agree that neither I, nor my executors
of 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 Govt 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 representative indemnify the Govt or
NCC authorities including Officers JCOs/NCOs or their equivalents from Navy and Air
Force Civilians 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 ________________
Witness

(1) Signature____________________ Name ___________________

Name _______________________ Unit/Group________________
Address _____________________
____________________________

(2) Signature ____________________ Signature of Parent/Guardian

Name _______________________ Name___________________
Address _____________________ Address_________________
____________________________

Place:

Date:
(Note: In case of SD Applicants being a minor, Indemnity Bond applicable to Minor
will be used)
 -6-

TO BE USED FOR EXTENSION OF ENROLMENT

(See Rule 13 of NCC Act, 1948)

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

Place: ________________
(Signature of Cadet)
Date:

B. TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

1. I have examined (Name) ____________________ on ________(date) as per

medical standard laid down vide GOI letter No. ____________________
dated_____________ (see • below) and considered him/her Fit/Unfit for enrolment as
a Cadet in the National Cadet Corps.

2. His/her blood group is ____________________.

Place: Signature __________________

Date: Designation ________________
(Medical Officer)

MCI Registration No. _________

 No. 0162/49/NCC dated 19 Mar 1949 [for SD (Army) & (Air)

 No. 0162/49/NCC dated 19 Mar 1949 [for JD]
 No. 0384/50/NCC dated 10 Mar 1950 [for SW]
 No. 0630/52/NCC/1255-B/D (IS&MED) dated 29 Mar 1952 [for SD Naval Wing]

AGREED

C. I agree to further extension of one year for enrolment into IInd year.

Place: _ _____________________________
(Signature of Enrolling Officer/ANO/CT)
Date:

CONFIRMED

Place:
___________________________
(Signature of Commanding Officer)
Date:

Note: This form will be filled in duplicate under the supervision of the School
Principal. Photo will be pasted only on original and duplicate. Original form will be
maintained at the School, while the duplicate will be forwarded to Gp HQ.
 Appendix ‘C’ (Revised 2013)
NOMINATION FORM
FOR MEMBERSHIP OF THE CADETS WELFARE SOCIETY
(To be retained at NCC Group HQ)
Section – 1
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) __________________________ I apply for membership of the NCC Cadets
Welfare Society and hereby subscribe a sum Rs __________ (Rupees
_____________________________ 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 relief 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 organized NCC
activity. I hereby accept that the decision of the Governing Body/Managing
Committee with regard to the quantum of relief to be paid to me in the event of my
partial/permanent disablement will be final and binding on me.

4. I hereby nominate the following person/persons who will receive financial

assistance as per the share indicated and 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 the an organized
NCC activity: -
Ser Name of the Age Relationship Permanent Percentage of
No. nominee(s) with the Cadet address financial
(In Block Letters) of the nominee Assistance payable
1.
2
3

(To be filled by the cadet in own hand writing)

Section II
3. 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.

Place: (Full Signature of the Cadet)

Date:

(Signature of PTO/Head of Institution)

Place:
Date
 -2-

Section III

I am willing to allow my son/daughter/ward (name) ____________________to

became a member of the NCC Cadets Welfare Society under the terms & conditions
and rules in force of the Society. I also approve of the nomination made in section1(4)

Place: (Full signature of Father/Mother/Guardian)

Complete Address ___________________
Date: __________________________________
__________________________________

Witness Witness
1. Signature ______________________ 2. Signature________________________
____________________________ ___________________________
____________________________ _____________________________
____________________________ ___________________________
____________________________ _____________________________

(Full Name and address or office seal of the witness)

Note: The witnesses should be either gazetted officer, head of Institution/NCC Part
time Officer/Sarpanch/Village Head.

Section IV

Received a sum of Rs __________ (Rupees ______________________ only)

as one time subscription and enrolled as a member of the NCC Cadets Welfare
Society during the cadetship in the Junior/Senior Division/Wing.

Place: (Signature of the OC Unit with office seal)

Date:

Section V

(to be filled in by the NCC Unit)

Date of dispatch of the Nomination Form to Group HQ

_____________________________________________________