I                                               D/o, S/o                         R/o                               

                             have taken admission in the               program of Dharam Samaj College of Pharmacy, Aligarh.

I hereby give the following undertaking and solemnly affirm and state that I have fully understood the under given declarations and shall abide by the following

1. That my admission is purely provisional, which is subject to approval by the University/Board.

1. That particulars/informations furnished by me are true and correct to the best of my knowledge and that my admission may be cancelled, at any stage, if I am found ineligible and/or the information provided by me are found to be in correct.

1. That I undertake to present the original documents immediately upon demand by the concerned authorities of the College.
2. That I shall abide by the relevant University/Board ordinance in effect and applicable to me.

1. That I will pay all the fees prescribed by the College on time as per the given schedule. I understand that in case of non-payment of fees, I may be debarred from classes and/or exams and may also be expelled from College.

1. That if the fees due to the College are revised by the Competent Authority, I give this undertaking that I shall abide by the decision and shall pay the balance/difference if any.
2. That if the University/Board introduces any new fees/charges not mentioned earlier or increases any of its fees/charges like pre-enrolment/enrolment/registration/examination fees etc., the liability for its payment lies with me.
3. That I understand that if University/Board cancels my admission, all fees deposited by me in the College except refundable charges, shall stand forfeited.
4. That if I withdraw my admission at any stage of the program I will be liable to pay full fees for remaining duration of the program.

1. That  I ensure that my attendance does not fall short of 80% in theory/practical/PDP /mentoring sessions as per University/Board rules and regulations. I also understand that I may not be allowed to appear in the University/Board Examination and the College can deny issue of Admit card to me if my attendance is less than 80% in a semester/year.
2. Any fine/extra fees charged by the University/Board for delay in submission of Exam for month is account will be borne by me.
3. That I am aware that it is compulsory for all students to appear in all the internal/sessional exams conducted by the College for theory and practical subjects. That if I fail to appear in the internal/sessional exams, it may lead to low internal marks which I will accept without contesting it.
4. That I will not indulge in, or tolerate ragging in any form, even in words or intentions, in the College premises, hostel or outside the College and I fully understand that if I do so, I may be expelled from the College. I accept to give an undertaking in the prescribed format for the same.
5. That I shall abide by the rules and regulations of the College as in force from time to time and subsequent amendments made there to. I acknowledge that, the College has the authority for taking punitive actions against me for violation and/or non-compliance of the same.
6. That I shall not as sociate myself directly or indirectly with any unlawful organization, shall not consume alcohol, drugs or any other intoxicants within the College premises/hostel nor come to the College/hostel having consumed the same outside.
7. That I shall not indulge in any kind of violence, assault, affray, arson, loots, theft or quarrel in the College premises, hostel or outside the College premises.
8. That, I will neither join in any coercive agitation/strike for the purpose of forcing the authorities of the College on any issue, nor I will participate in any activity which has a tendency to disturb the peace and tranquility of the College.

1. That I shall be solely responsible for my involvement in any kind of undesirable/indisciplinary activities outside the campus, and shall be liable for punishment as per the law of the land. I, further understand that, the Colleges hall in no way provide any support to me and will not be held responsible for my any such action.
2. That the address for correspondence, emailed and mobile number provided by me are correct and I will inform the in College if there is any change in them later. If any communication from the College doesn't reach me because of these details being wrong or changed later, the College will not be responsible for any consequences.
3. I, also declare that I have not hidden information of any legal proceeding on me, in case of disclosure any such issue, my candidature will be cancelled.
4. I, also declare that, I am not suffering from any serious/contagious ailment and/or any psychiatric/psychological disorder.
5. That the person signing the DECLARATION BY PARENT/GUARDIAN is my                                                                                           and is authorized to sign the declaration.
6. That I fully understand and agree that in the event of any breach of the aforesaid undertaking, my admission to the College may be cancelled without assigning any reason or without any obligation on the part of the College to issue any advance notice and in such an event, all the fees deposited and paid by me in the College except refundable charges, shall stand forfeited.
7. That I am aware that all disputes are subject to Aligarh Jurisdiction only.

Place:                                  Date:                                  (Signature of Student)

DECLARATIONBYPARENT/GUARDIAN

I .................................................................................. here by fully endorse the above undertaking/declaration given by my child/ward and I will ensure that my child/ward follows the above stated undertaking in words and spirit.

Relation with the student..............................

Mobile No...................

Email ID..........................................

Place:                                  Date:                                  (Signature of Parent/ Guardian)