FORM I

NATIONAL CADET CORPS

SENIOR/JUNIOR DIVISION/WING ENROLLMENT FROM (see Rues 7 and 11 of NCC Act, 1948)

1. Name (IN BOCK LETTERS): First _________________________ ATTESTED

PP SIZE
Middle _________________________ COLOR
PHOTO
Last _________________________

2. Nationality & Date of Birth : _________________________

3. Father’s /Guardian’s Name : First _________________________

Middle _________________________

Last _________________________

4. Mother’s Name : First _________________________

Middle _________________________

Last _________________________

5. Residential Address : _____________________________________

(Landmark, State, Disit _____________________________________
Taulka, City/Vill, Pin Code) _____________________________________

6. Mobile No. : _____________________________________

7. Email ID : _____________________________________

8. Blood Group : _____________________________________

9. Sex : _____________________________________

10. Nearest Railway Station : _____________________________________

11. Nearest Police Station : _____________________________________

12. Educational Qualification : _____________________________________

13. Identification Mars (at least two) _____________________________________

_____________________________________

________________________
(Signature of the Cadet)
14. Have you ever been convicted: _____________________________________
by a criminal court & if so in

What circumstances and : _____________________________________

what was the sentence? _____________________________________
Attach relevant documents. _____________________________________

15. Name of School/College and

Stream (Arts/Science/Commerce): _____________________________________

16. Willing to be enrolled and : _____________________________________

Undergo Training under the
National Cadet Crops Act 1948

17. NCC Unit to be enrolled in : _____________________________________

18. Have you been enrolled in : _____________________________________

NCC earlier, if yes, your
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) : ___________________________________

Station: ___________________________
(Signature of the Cadet)
Date
 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
AdventureActivities.

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 LDC.

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

4. l ____________________ promise to make good the prorate 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/CTO)

TO BE COMPLETED BYMEDICAL 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. 0162149lNCC dated 19 Mar 1949 [for SD (Army) 8. (Air)

No. 0162149lNCC dated 19 Mar 1949 [for JD}
No. 0384/50INCC dated 10 Mar 1950 [for SW]
No. 0630152lNCCI1255-BID (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 CO Unit with office seal)
 Annexure to From I
(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),
Courses, 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 nether 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/Civilians, 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,
JCO’s/NCO’s or their equivalents from Navy and Air Force/Civilians, or any person in the service of
Government against any claim which may be from 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 within or outside the Union of India.

____________________________
(Signature of Applicant)
Regt No._____________________

Witness

1. Signature _______________________________ Name ____________________________

Name __________________________________ Unit 1 (T) Armd Sqn NCC

Address_________________________________ Group Secunderabad

2. Signature _______________________________ Signature of Parent/Guardian

Name __________________________________ Name ___________________________

Address_________________________________ Address__________________________

Place :

Date :

(Note: In case of SD/SW Applicants being a minor, Indemnity Bond applicable to Minor will be used)
 TO BE USED DOE EXTENSION OF ENROLMENT
(See Rule 13 of NCC Act)

A. I agree to extend the enrollment 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 aid
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. 0162149lNCC dated 19 Mar 1949 [for SD (Army) 8. (Air)

No. 0162149lNCC dated 19 Mar 1949 [for JD}
No. 0384/50INCC dated 10 Mar 1950 [for SW]
No. 0630152lNCCI1255-BID (IS&MED) dated 29 Mar 1952 [for SD Naval Wing]

AGREED

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

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

CONFIRMED

____________________________
(Signature of Commanding Officer)

Note: This form will be filled in duplicate under the supervision of the Commanding Officer. Photo will be
pasted only on original and duplicate. Original form will be maintained at the Unit, 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-I

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 1 (T) Armd Sqn NCC apply for
membership of the NCC Cadets Welfare Society and hereby subscribe a sum Rs. 15/- (Rupees Fifteen
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 nominee(s) Age Relation Ship Permanent address of the Percentage of
No. (In Block Letters) with the cadet nominee financial Assistance
payable
1.

2.

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

Section-II

5. 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:
_________________________________
Date Full Signature of the Cadet

Place:
________________________________
Date Signature of PTO/Head of Institution
 Section-III

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

become 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 Section I (4).

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

Complete Address:____________________

____________________________________

____________________________________

____________________________________

(FULL NAME AND ADDRESS OR OFFICE OF THE WITNESS)

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

WITNESS WITNESS

1. Signature _______________________________ 2. Signature ___________________________

__________________________________________ ______________________________________

__________________________________________ ______________________________________

Section-IV

Received a sum of Rs 15/- (Rupees Fifteen 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 CO Unit with office seal)

Section V
(to be filled in by the NCC unit)

Date of dispatch of the Nomination Form to NCC Group HQ__________________________________