form of undertaking
TRANSCRIPT
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8/12/2019 Form of Undertaking
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FORM OF UNDERTAKING
FULL NAME OF THE CANDIDATE : _____________________________________________________
Permanent/ Local Address : _____________________________________________________
______________________________________________________________________________
To,
The Registrar,
University of Bombay,
Examination Section,
Vidyanagari Campus,
BOMBAY - 400 098
Sir,
I, the undersigned, student of _______________________________ College, appearing for ________
examination at the _______________________________________ college to hereby state, on solemn
affirmation as under:
I, understand that I am involved in respect of an alleged use of unfair means in the examination hall and
therefore, a case against me is being reported to the University.
That in spite of the registration of a case of unfair means against me, I request to the University
authorities to allow me to appear in the papers set subsequently and/or at the University examination
to be held hereinafter.
in case my request is granted, I do hereby agree that my appearance in the examination will be
provisional and subject to the decision of the University authorities in the matter of disposal of the case
of alleged use of unfair means referred to above.
I also hereby agree that in the event of my being found guilty at the time of investigation of the said
case, my performance and at the examination to which I have been permitted to appear provisionally
consequent upon my special request liable to be treated as null & void.
IN WITNESS WHEREOF I SET MY HAND TO THIS UNDERTAKING
Before me __________________________
Signature of the Candidate
_________________________
Chief Conductor of the Centre &
Rubber stamp of the College
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UNIVERSITY OF BOMBAY(STATEMENT OF CANDIDATE WHO IS ALLEGED TO HAVE USED UNFAIR MEANS AT THE UNIVERSITY
EXAMINATION)
NAME IN FULL: ________________________________
ADDRESS: ____________________________________
_____________________________________________
EXAMINATION: ________________________________
PAPER NO. & SUBJECT __________________________
SEAT NO. _____________________________________
To,
The Registrar,
University of Bombay,
Examination Section,
Vidyanagari Kalina,
Santacruz (East)
BOMBAY - 400 098
Sir,
I appeared at the above examination held on ______________________ at the
________________________________ College (centre) in the morning/ evening session.
I give below my statement as follows:
Signature of the Candidate
Place:_______________
Date: _______________ Time: ________________
(UMTC Report)
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UNIVERSITY OF BOMBAY
REPORT OF THE JR. SUPERVISOR/ SR. SUPERVISOR/ CHIEF CONDUCTOR
BLOCK NO.: ___________________
EXAMINATION: ________________SUBJECT: _____________________
DATE: _______________________
To,
The Registrar,
University Section,
Vidyanagari Kalina,
Santacruz (East)
BOMBAY - 400 098
Sir,I, the undersigned, jr. Supervisor appointed on the above mentioned Block at the
_______________________ examination held at R.K. TALREJA COLLEGE_____________ (centre), am
hereby making a report against the candidate of ___________________, Shri/ Kum. ________________
of the said examination as follows:
Yours Faithfully,
(Jr. Supervisor)
DATE: _________________
TIME: _________________
Address Of The Jr. Supervisor
___________________________
___________________________
___________________________
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on the basis of the report made by the Jr. Supervisor, I am of the opinion that there is a prima facie case
of unfair means resorted to by the aforesaid candidate No. _______________ and, therefore, the case
be forwarded to the University for Investigation.
Signature Senior Supervisor
Name: _____________________
Date: ______________________
&&&&&&&&&
Forwarded to the Registrar, University of Bombay, Examination Section, Vidyanagari kalina, Santacruz
(east), Bombay - 400 098 for necessary action.
Seal of the College
(Center)
Place:
Date:
Signature of Chief Conductor
Encl.:
Copy of the relevant Question paper
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R.K. TALREJA COLLEGE
CENTRE FOR MANAGEMENT COURSES
Ulhasnagar-3
Ref No. _______________ Date: ______________
To,
_______________________
_______________________
Dear Sir/ Madam,
It is alleged that you adopted unfair means in the subject ________________________ in the
_________________ examination conducted by R.K. Talreja College on behalf of the Board of Mumbai
by this college on ____________________
The allegations are as under:
The case is being investigated by the committee and the first sitting of the committee will take place inthe office of the undersigned on ________________.
You are, therefore, requested to appear before the committee on _________________ if you desire to
defend your case.
Thanking You,
Yours Cordially,
PRINCIPAL
Seat No.: ___________________
Sign: ______________________
Date:______________________