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www.inspiria.edu.in Affiliated to MAKAUT
APPLICATION FORM
Application No..................................................
Mother’s Name
Father’s Name
Father’s Occupation
Permanent Address
City State PIN
E-mail Contact
Name of The Applicant
Date of Birth Gender M F
Nationality Mother Tongue
D D M M Y Y Y Y/ /
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passport sizephotograph
Affiliated to Maulana Abul Kalam Azad University of Technology (MAKAUT)(Formerly known as West Bengal University of Technology)
ReadLanguages
English
Hindi
Bengali
Nepali
Others(Mention)
Write Speak
LANGUAGES KNOWN
School/College
Board/University
Major Subjects
Year ofPassing
Division/Percentage
EDUCATIONAL BACKGROUND
Course interested in: Bachelor of Business Administration - BBA(H)
Bachelor of Computer Application BCA(H)
Bachelor in Media Sciences B.Sc.(H)
BBM(H) in Hospitality Management
Siliguri
My Preferred Entrance Test Location: 1)______________________
2)______________________
3)______________________
Games_______________________________________________________________________________
Social Activities________________________________________________________________________
Hobbies______________________________________________________________________________
GuwahatiGangtok Darjeeling
Extracurricular Activities
Entrance Test Location
Declaration
I hereby declare that the information provided by me is true and accurate to the best of my knowledge and I shallbe liable for any misrepresentation if detected during verification by Inspiria Knowledge Campus.
.....................................................Date
..................................................................Signature of the Applicant
Kolkata
Report (For Office use only)
Written Test Group Discussion
Verified Original Documents
Registration Details
Interview
Date.............................................
Result..........................................
Conducted by...............................
Remarks.....................................................................................................................................................
...................................................................................................................................................................
Batch Code__________________Payment Type___________________ Net Fees___________________
Date of Birth Certificate Yes No 10+2 Marksheet Yes No Stream_____________
Transfer/Migration Yes No 10+2 Certificate Yes No
Date.............................................
Result..........................................
Conducted by...............................
Date.............................................
Result..........................................
Conducted by...............................
.........................................................................Signature of the Academic Counsellor
I declare that
a) I have not taken admission in any institute after passing the H.S. / 10+2.
b) I joined ______________________________________________________in the session _____________
under_____________________________________university and the transfer certificate will be presented
after I get admission to Inspiria Knowledge Campus.
c) Application fee paid in Cash DD
DD No.___________________Dated____________Bank____________________________
D D M M Y Y Y Y/ /
HOSTEL APPLICATION FORM
MEDICAL CERTIFICATE
PERSONAL DETAILS
FOR OFFICE USE ONLY
OTHER INFORMATION
OTHER INFORMATION
Course......................................Registration No. .....................................Batch Code ................................
Father’s Occupation
Mother’s Occupation
Guardian’s Occupation
Guardian’s Monthly Salary/Income
Guardian’s Contact No
Date of Birth
Date of Birth............................Gender.....................Height(in cm).............................
Weight............................Blood Group..................Blood Pressure.............................
Gender M F Marital Status
Permanent Address
Phone (O) (R) (M)
Fax E-mail
Name
LOCAL GUARDIAN
Address
Phone (O) (R) (M)
Fax E-mail
Name
Has the applicant suffered from appendicitis/tuberculosis/epilepsy/cardiac problem/jaundice?...................
Is he/she allergic to any medicine?.............................................................................................................
Has he/she undergone any surgery?..........................................................................................................
Has he/she been immunised against any of the following?.........................................................................
Hepatitis (Date & Dose)..................................... Tetanus (Date & Dose)....................................................
Poliomyelitis (Date & Dose)........................................................................................................................
Doctor’s General Impression.............................................. Special diet?...................................................
I hereby certify that the applicant does not carry any infectious disease and has an excellent state of health.
His/her physical and mental condition can fulfil the requirements of a professional career.
Date.......................Place......................
...................................................................Name of the Physician &
Signature with seal
.............................................Registration No.
Father’s/Guardian’s Name
PERSONAL DETAILS
Permanent Address ..................................................................................................
Phone (O)....................................(R)....................................(M)...............................
Name........................................................................................................................
Father’s/Guardian’s Name ........................................................................................
Affix a recentcolour
passport sizephotograph
Affix a recentcolour
passport sizephotograph
www.inspiria.edu.in Affiliated to MAKAUT
RULES AND REGULATIONS
Academic Qualifications
Special Requirements
Admission Process
Fee Structure
Cost of Prospectus
Age
1. Applicants must have appeared or passed the H.S./ISC/CBSE or any (10+2) exam from a recognized
intermediate examination.
2. Applicants must have English as a compulsory subject in the H.S. (10+2) lavel.
1. Applicants must be of minimum seventeen years on or before joining the course.
1. Applicants for BCA(H) (Bachelor of Computer Applications) must have one of the following subjects
at the (10+2) lavel:-
Mathematics/ Computer Application/ Statistics/ Business Mathematics.
1. Students appearing for classXII board exam are also eligible to apply. However admission in such cases
shall be provisional till he/she clears the (10+2) board exam.
2. It is to be noted that all admission to Inspiria Knowledge Campus shall be confirmed only after fullfilment of the
eligibility criteria specified Maulana Abul Kalam Azad University of Technology (formerly known as WBUT) .
3. Eligibility details are available at www.wbut.ac.in (MAKAUT website).
1. All payments to be made in Cash or DD/Pay Order in favour of Inspiria Knowledge Campus Payable at
Siliguri.
2. Admission fees paid during admission/registration is non-refundable.
1. The cost of prospectus is Rs 500/- by hand and Rs. 550/- by Post.
2. To receive the prospectus by post, applicants are requested to send a Demand Draft(DD) by post to Inspiria
Knowledge Campus, Himachal Vihar, Phase-II, Matigara, Siliguri 734010. The draft should be drawn in favour
of Inspiria Knowledge Campus and payable at Siliguri. Applicants must clearly mention their postal address
on a blank piece of paper which should be enclosed with the draft
Hostel Fees (Subject to Availability)Hostel Fees are for the period “July 2016 to June 2017”. Hostel charges include accommodation
charges, electricity, breakfast, lunch, tea and dinner. Any incremental changes in the successive
year will be notified in advance.
Siliguri Rs. 7500.00
Per Month Hostel Fixed ChargesCampus
www.inspiria.edu.in Affiliated to MAKAUT
FEE STRUCTURE
Students will be provided with 2 shirts, 1 trouser, 1 business suit, 1 tie, 1 Bag. Students will also be able to access all facilities available at
the campus. All University charges like Registration Fee, Development Fee, and Exam Fee etc. have to be paid by the student, separately
to the University.
Inspiria Knowledge Campus
Fee Structure
Sl. No.
Sl. No. Fees Details
Course Name Duration Semester
Total 2,16,000
TotalFees payable at the time of Admission
Total Course Fees for 3 Years (Semester fees + 1 time payment)
40,00076,000
2,56,000
Semester 1Semester 2Semester 3Semester 4Semester 5Semester 6
36,00036,00036,00036,00036,00036,000
Amount (Rs.)
Amount (Rs.)
BBA(H)/BCA(H)/B.Sc(H) Media ScienceTuition fees of the Academic Session 2016-2019
1
1 Development FeesAdmission Fees
Interest Free Security Deposit (Refundable)
Library Fees (Refundable)
234
10,00010,000
15,0005,000
BBA(H)/BCA(H)/B.Sc(H) in
Media Science
3 Years
ONE TIME PAYMENTS (To be paid at the time of admission along with 1st semester Fees)
Sl. No.
Sl. No. Fees Details
Course Name Duration Semester
Total 3,00,000
TotalFees payable at the time of Admission
Total Course Fees for 3 Years (Semester fees + 1 time payment)
43,00093,000
3,43,000
Semester 1Semester 2Semester 3Semester 4Semester 5Semester 6
50,00050,00050,00050,00050,00050,000
Amount (Rs.)
Amount (Rs.)
BBM(H) in Hospitality ManagementTuition fees of the Academic Session 2016-2019
1
1 Development FeesAdmission Fees
Interest Free Security Deposit (Refundable)
Library Fees (Refundable)Lab Uniform
2345
10,00010,000
15,0005,0003,000
BBM(H) in Hospitality
Management3 Years
ONE TIME PAYMENTS (To be paid at the time of admission along with 1st semester Fees)
SELF-DECLARATION BY PARENTS/GUARDIANInspiria Knowledge Campus
Undertaking by Parents/ Guardian “To be aware and abide by the essential internal rules and regulations, from the first day
of starting session of classes, the following Undertaking Form is introduced which should be signed by the parent/ guardian.
The same should be submitted to the administrative department at the time of provisional admission only.”
I, Mr. / Mrs. ___________________________________________________________ DOB ________________ parent/
guardian of Mr./ Ms. _____________________________________ Enrollment No. ____________________ have provi-
sionally enrolled my son/ daughter/ ward for academic year 2016-17 in Inspiria Knowledge Campus, Siliguri do hereby
undertake and abide by the following terms, and hereby submitting the ACKNOWLEDGEMENT duly signed by me on _____
day of __________ 2016.
1. I hereby acknowledge that confirmation of admission is subject to be verification of documents from the
university, if at any stage the documents submitted are found invalid/fake, registration shall stand cancel.
2. My son/ daughter/ ward shall be registered under provisional admission until the university confirms and
accepts their registration.
3. My son/ daughter/ ward shall attend all classes from the day of commencement of academic year 2016-17 as
per the timetable. In case, they do not turn up even after one week of class commencement, he/she shall be
ineligible to continue for the current academic year.
4. My son/ daughter/ ward shall be regular and punctual in all classes (theory/practical/drawing) and secure
attendance of not less than 85% in each subject as stipulated by MAKAUT. I am fully aware that attendance less
than 85% in any of the subjects will debar them from appearing in examinations and he/she shall have to repeat
the semester/ year as applicable.
5. My son/ daughter/ ward will compulsorily follow the dress code and uniform prescribed by the college.
6. My son/ daughter/ ward will conduct in a disciplined and decent manner both inside the classroom and in the
campus, failing which suitable action may be taken against them as per the rules, regulations and standing
orders of the college.
7. My son/ daughter/ ward will concentrate on his/her studies without wasting time in the campus/hostel/residence
and attend all the tests to secure more than the minimum prescribed class / sessional marks in each subject.
They shall submit the assignments given in time to improve their performance.
8. I have received a copy of the UGC/ WBUT(Now MAKAUT) Regulations on Curbing the Menace of Ragging in
Higher Educational Institutions, 2009, (hereinafter called the "Regulations") and have carefully read and fully
understood the; provisions contained in the said Regulations and have explained the same to my son/ daughter/ ward.
9. We have, in particular, perused clause 3 of the Regulations and are aware as to what constitutes ragging.
10. We have also, in particular, perused clause 7 and clause 9.1 of the Regulations and are fully aware of the penal
and administrative action that is liable to be taken against my son/ daughter/ ward in case he/she is found guilty of
abetting ragging, actively or passively, or being part of a conspiracy to encourage ragging.
11. I hereby solemnly aver and undertake that my son/ daughter/ ward will not indulge in any behavior or act that
may be constituted as ragging under clause 3 of the regulations.
12. My son/ daughter/ ward will not participate in or abet or propagate through any act of commission or omission
that may be constituted as ragging under clause 3 of the Regulations.
www.inspiria.edu.in
SELF-DECLARATION BY PARENTS/GUARDIANInspiria Knowledge Campus
SELF-DECLARATION
13. I hereby affirm that, if found guilty of ragging, My son/ daughter/ ward be liable for punishment according to
clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against them under
any penal law or any law for the time being in force.
14. I hereby declare that my son/ daughter/ ward has not been expelled or debarred from admission in any institution
in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and
further affirm that, in case the declaration is found to be untrue, I am aware that my son/ daughter/ ward’s
admission is liable to be cancelled.
15. I will pay tuition fees, examination fees and any other dues within the stipulated time as required by the college
authorities failing which my son/ daughter/ ward will not be permitted to attend the classes. The administration
shall have the right to expel students for non-payment of fees within reasonable period of time.
16. My son/ daughter/ ward will not cause or involve in any act of violence or disturbance both within and outside the
college campus.
17. If my son/ daughter/ ward absents himself/herself for three days at a stretch, he/she will be required to state valid
grounds for such absence and the supporting documents will have to be submitted to the administrative department
of the college.
Signature of Parent/ Guardian
Name:______________________________________
Address:____________________________________
___________________________________________
Mobile No. : _________________________________
Verified that the contents of this self-declaration have been verified by I, Mr./Ms.____________________________________
____________________________________________________________________ DOB_________________Resident of,
_______________________________________________________________________________________________
Parent/ Guardian of Mr./ Ms. _______________________________________________________ are true to the best of my
knowledge and no part of the declaration is false and nothing has been concealed or misstated therein.
Signature of Parent/ Guardian
Date:
Place:
www.inspiria.edu.in
RAGGING: PROHIBITION, PREVENTION AND PUNISHMENTInspiria Knowledge Campus
The University Grants Commission vide its letter no F.1-16/2007 (CPP-II) dated June 17, 2009 has reiterated the ban on
ragging of students in Institutions of higher learning. The students are therefore directed to strictly desist from any kind of
ragging.
Forms of Ragging:
Display of noisy, disorderly conduct, teasing, excitement by rough or rude treatment or handling, including rowdy, undisci-
plined activities which cause or likely to cause annoyance, undue hardship, physical or psychological harm or raise appre-
hensive fear in a fresher, or asking the students to do any act or perform something which such a student will not do in the
ordinary course and which causes him/her shame or embarrassment or danger to his/her life, etc.
Punishment for Participation in/or Abetment of Ragging :
1. Cancellation of admission.
2. Suspension from attending classes.
3. Withholding/withdrawing scholarship/fellowship and other benefits.
4. Debarring from appearing in any test/examination or other evaluation process.
5. Withholding results.
6. Debarring from representing the institution in any national or international meet, tournament, youth festival, etc.
7. Suspension/expulsion from the hostel.
8. Rustication from the institution for periods varying from 1 to 4 semesters or equivalent period.
9. Expulsion from the institution and consequent debarring from admission to any other institution.
10. Fine up to a sum of Rs. 25,000/-
Affidavit by students and parents :
Each student and his/her parents/ guardian shall have to furnish an affidavit alongwith the application form to the effect that
they will not participate in or abet the act of ragging and that, if found guilty, shall be liable for punishment under the penal
law of India.
www.inspiria.edu.in
SELF DECLARATION BY PARENTS/GUARDIANSInspiria Knowledge Campus
SELF DECLARATION BY PARENTS/GUARDIAN
Verified that the contents of this self declaration are true to the best of my knowledge and no part of the self declaration is
false and nothing has been concealed or misstated therein.
Signature of Father/Mother/Guardian
Verified at (Place)____________
on this the (day)_________ of (month),_________ (year)__________
1) Mr./Mrs./Ms.__________________________________________________________________________________(full
name) of parents/ guardians) father/mother/guardian of full name of student with admission/registration/ enrollment
number), having been admitted to (name of the institution), have received a copy of the UGC Regulations on Curbing the
Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the "Regulations"), carefully read and fully
understood the provisions contained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and adminis-
trative action that is liable to be taken against my ward in case he/she is found guilty of or abetting ragging, actively or
passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that :
a) My ward will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the regulations.
b) My ward will not participate in or abet or propagate through any act of commission or omission that may be constituted
as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the regulations,
without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the time
being in force.
6)I hereby declare that my ward has not been expelled or debarred from admission in any institution in the country on
account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case
the declaration is found to be untrue, the admission of my ward is liable to be cancelled.
Declared this on _______ day of _________ month of __________ year.
Signature of Father/Mother/Guardian
Name : ____________________________________________
Address: ___________________________________________
__________________________________________________
Telephone/Mobile No. ________________________________
www.inspiria.edu.in
SELF DECLARATION
SELF DECLARATION BY THE STUDENT
I _________________________________________________________________ (with admission/registration/enrollment
number) s/o d/o Sh.____________________________________________________________________________having
been admitted to______________________________________________, have received a copy of the UGC Regulations
on Curbing the Menance of Ragging in HIgher Education Institutions, 2009, (hereinafter called the "Regulations") carefully
read and fully understood the ;provisions contained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and admin-
istrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively or passively, or
being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) I will not indulge in any behaviour or act that may be constituted as ragging under clause 3 of the regulations.
b) I will not participate in or abet or propagate through any act of commission or omission that may be constituted as
ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the regulations, without
prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in
force.
6) I hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of
being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case the declara-
tion is found to be untrue, I am aware that my admission is liable to be cancelled.
Declared this on _________________ day of _________ month of __________ year.
Signature of Student
Name : ____________________________________
Address:___________________________________
___________________________________________
Telephone/Mobile No. _______________________
Verified that the contents of this self declaration are true to the best of my knowledge and no part of the self declaration is
false and nothing has been concealed or misstated therein.
Signature of the Student
Verified at (Place)____________
on this (day)_________ of (month),_________ (year)__________
www.inspiria.edu.in
CLAUSE -3 WHAT CONSTITUTES RAGGING :
Ragging constitutes one or any of the follows acts:
Any conduct by any student or students whether by words spoken or written or by an act which has the effect of teasing,
treating or handling with rudeness a fresher or any other student.
Indulging in rowdy or indisciplined activities by any student or students which causes or is likely to cause annoyance,
hardship, physical or psychological harm or to raise fear or apprehension thereof in any fresher or any other student;
Asking any student to do any act which such student will not in the ordinary course do and which has the effect of causing
or generating a sense of shame, or torment or embarrassment so as to adversely affect the physique or psyche of such
fresher or any other student.
Any act by a senior student that prevents, disrupts or disturbs the regular academic activity of any other student or a fresher;
Exploiting the services of a fresher or any other student for completing the academic tasks assigned to an individual or a
group of students.
Any act of financial extortion or forceful expenditure burden put on a fresher or any other student by students;
Any act of physical abuse including all variants of it: sexual abuse, homosexual assaults, stripping, forcing obscene and
lewd acts, gestures, causing bodily harm or any other danger to health or person;
Any act or abuse by spoken words, emails, post, public insults which would also include deriving perverted pleasure, vicari-
ous or sadistic thrill from actively or passively participating in the discomfiture to fresher or any other student;
Any act that affects the mental health and self-confidence of a fresher or any other student.
with or without an intent to derive a sadistic pleasure or showing off power, authority or superiority by a student over any
fresher or any other student.
On receipt of the recommendation of the Anti Ragging Squad or on receipt of any information concerning any reported
incident of ragging, the Head of Institution shall immediately determine if a case under the penal laws is made and if so,
either on his own or through a member of the Anti-Ragging Committee authorized by him in this behalf, proceed to file a
First Information Report (FIR), within twenty four hours of receipt of such information or recommendation, with the police
and local authorities, under the appropriate penal provisions relating to one or more of the following, namely;
i) Abetment to ragging
ii) Criminal conspiracy to rag
iii) Unlawful assembly and rioting while ragging
iv) Public nuisance created during ragging
v) Violation of decency and morals through ragging
vi) Injury to body, causing hurt or grievous hurt
vii) Wrongful restraint
viii) Wrongful confinement
ix) Use of criminal force
x) Assault as well as sexual offences or unnatural offences
xi) Extortion
xii) Criminal trespass
xiii) Offences against property
CLAUSE -7 ACTION TO BE TAKEN BY THE HEAD OF THE INSTITUTION :
www.inspiria.edu.in
xiv) Criminal intimidation
xv) Attempts to commit any or all of the above mentioned offences against the victim(s)
xvi) Threat to commit any or all of the above mentioned offences against the victim(s)
xvii) Physical or psychological humilliation
xviii) All other offences following from the definition of "Ragging"
Provided that the Head of institution shall forthwith report the occurrence of the incident of ragging to the District Level
Anti-Ragging Committee and the Nodal officer of the affiliating University, if the institution is an affiliated institution.
Provided further that the institution shall also continue with its own enquiry initiated under clause 9 of these Regulations and
other measures without waiting for action on the part of the police/local authorities and such remedial action shall be initiat-
ed and completed immediately and in no case later than a period of seven days of the reported occurrence of the incident
of ragging.
9.1 The institution shall punish a student found guilty of ragging after following the procedure and in the manner
prescribed hereinunder:
a) The Anti-Ragging Committee of the institution shall take an appropriate decision, in regard to punishment or otherwise,
depending on the facts of each incident of ragging and nature and gravity of the incident of ragging established in the recom-
mendations of the Anti-Ragging Squad.
b) The Anti-Ragging Committee may, depending on the nature and gravity of the guilt established by the Anti Ragging
Squad, award, to those found guilty, one or more of the following punishments, namely;
i) Suspension from attending classes and academic privileges.
ii) Withholding/withdrawing scholarship/fellowship and other benefits.
iii) Debarring from appearing in any test/examination or other evaluation process.
iv) Withholding results.
v) Debarring from representing the institution in any regional, national or international meet, tournament, youth festival etc.
vi) Suspension/expulsion from the hostel.
vii) Cancellation of admission
viii) Rustication from the institution for period ranging from one to four semesters.
ix) Expulsion from the institution and consequent debarring from admission to any other institution for a specified period.
Provided that whether the persons committing or abetting the act of ragging are not identified, the institution shall resort to
collective punishment.
c) An appeal against the order of punishment by the Anti-Ragging Committee shall lie,
i) In case of an order of an institution, affiliated to or constituent part, of a University, to the Vice Chancellor of the University.
ii) In case of an order of University, to its Chancellor
iii) In case of an institution of national importance created by an Act of Parliament, to the Chairman or Chancellor of the
institution, as the case may be.
CLAUSE -9 ADMINISTRATIVE ACTION IN THE EVENT OF RAGGING :
www.inspiria.edu.in
Undertaking by student “To be aware and abide by the essential internal rules and regulations, from the first day of starting
of classes, the following Undertaking Form is introduced which should be signed by the student. The same should be
submitted to the administrative department at the time of provisional admission only.”
1. I hereby acknowledge that confirmation of admission is subject to verification of documents from the university.
If at any stage the documents submitted are found invalid/fake registration shall stand cancel.
2. I shall be registered under provisional admission until the university confirms and accepts their registration.
3. I shall attend all classes from the day of commencement of academic year 2016-17 as per the timetable. In
case, I do not turn up even after one week of class commencement, I shall be ineligible to continue for the current
academic year.
4. I shall be regular and punctual in all the classes (theory/practical/drawing) and secure attendance of not less than
85% in each subject as stipulated by MAKAUT. I am fully aware that attendance less than 85% in any of the
subjects will debar me from appearing in examinations and I shall have to repeat the semester/ year as applicable.
5. I will compulsorily follow the dress code and uniform prescribed by the college.
6. I will conduct in a disciplined and decent manner both inside the classroom and in the campus, failing which suitable
action may be taken against me as per the rules, regulations and standing orders of the college.
7. I will concentrate on my studies without wasting time in the campus/hostel/residence and attend all the tests to
secure more than the minimum prescribed class / sessional marks in each subject. I shall submit the
assignments given in time to improve my performance.
8. I have received a copy of the UGC/ WBUT(Now MAKAUT) Regulations on Curbing the Menace of Ragging in
Higher Education Institutions, 2009, (hereinafter called the "Regulations") carefully read and fully understood the;
provisions contained the said Regulations.
9. I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
10. I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and
administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively
or passively, or being part of a conspiracy to encourage ragging.
11. I hereby solemnly aver and undertake that I will not indulge in any behavior or act that may be constituted as
ragging under clause 3 of the regulations.
12. I will not participate in or abet or propagate through any act of commission or omission that may be constituted as
ragging under clause 3 of the Regulations.
I, Mr. / Ms. _________________________________________________________, DOB_____________, Son/ Daughter
of Mr./ Ms. ___________________________________, Enroll No. _________________, have been provisionally enrolled
for academic year 2016 -17 in Inspiria Knowledge Campus, Siliguri do hereby undertake and abide by the following terms,
and hereby submitting the ACKNOWLEDGEMENT duly signed by me on ______day of _________ 2016.
SELF-DECLARATION BY STUDENTSInspiria Knowledge Campus
www.inspiria.edu.in
13. I hereby affirm that, if found guilty of ragging, I will be liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against them under any penal law
or any law for the time being in force.
14. I hereby declare that I have not been expelled or debarred from admission in any institution in the country on
account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and
further affirm that, in case the declaration is found to be untrue, I am aware that my admission is liable to be
cancelled.
15. I will pay tuition fees, examination fees and any other dues within the stipulated time as required by the college
authorities failing which I will not be permitted to attend the classes. The administration shall have the right to
expel for non-payment of fees within reasonable period of time.
16. I will not cause or involve in any act of violence or disturbance both within and outside the college campus.
17. If I am absent for 3 days at a stretch, I will be required to state valid grounds for such absence and the supporting
documents will have to be submitted to the administrative department of the college.
Signature of Student
Name: ______________________________________
Address: ____________________________________
___________________________________________
Mobile No.: __________________________________
Signature of Parent/ Guardian
Date:
Place:
SELF-DECLARATION BY STUDENTSInspiria Knowledge Campus
SELF DECLARATION
The contents of this self-declaration have been verified by I, Mr. / Ms.__________________________________________
_______________________, DOB_______________, Resident of____________________________________________
_________________________________________________________________________________________________
.________________________ son/ daughter of Mr./ Ms. ___________________________________________________
are true to the best of my knowledge and no part of the declaration is false and nothing has been concealed or misstated
therein.
www.inspiria.edu.in
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