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Undertaking Form

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50 views

Undertaking Form

Uploaded by

dhanyaeservices
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNA UNIVERSITY :: CHENNAI 600 025

CEG CAMPUS

UNDERTAKING FORM TO BE GIVEN BY THE CANDIDATE & PARENT

NAME : NANDHINI V COMMUNITY : Most Backward Class


COURSE : B.Tech. - INFORMATION CAMPUS : CEG CAMPUS
TECHNOLOGY (SS) [ FULL TIME ]

We hereby undertake to produce the following certificates in original for physical verification on the date
announced in the respective institution website, failing which I shall forgo my provisional admission.

Note : Please tick the boxes corresponding to the documents for which you do not currently have the originals.

Kindly tick the applicable boxes.

SL.NO DOCUMENTS CHECKLISTS

1 10th MARK SHEET

2 12th MARK SHEET

3 TRANSFER CERTIFICATE

4 ALLOTMENT ORDER

5 COMMUNITY CERTIFICATE

6 AADHAAR CARD

7 PHOTO

8 SIGNATURE

9 BANK PASSBOOK

10 ANTI RAGGING FORM

11 UNDERTAKING FORM

12 JOINT DECLARATION FORM

13 MEDICAL FITNESS CERTIFICATE

Signature of Candidate Signature of Parent / Guardian


with Date with Date

Generated through CeGov Web Portal 05/08/2024 10:37:11 AM Page 1/1

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