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PARENT'S CERTIFICATE
1 I/We ………………………………… (father) ………………… (mother)…………………………
solemnly affirm that I/We the natural father / mother of Shri. / Kum .................................. and
my/our monthly income is Rs ……...............
OR
GUARDIAN'S CERTIFICATE (If natural father/mother is not alive)
I ............................................................. solemnly affirm that Shri./Kum .......................................
is the son/daughter of Shri..................................................... and I am the guardian of Shri./Kum.
........................................................ as his/her parents have died/become insane. He / She is my
………………………………………..(state relationship).
2 I/We have carefully read all the rules and regulations regarding the admission of my/our
son/ daughter/ward and promise to abide by them.
3 I/We hereby solemnly affirm that the statement and information furnished in my/our son's
daughter's/ward's application as also in the enclosed thereto are true. I/We realize that if
any information furnished therein is found to be false in material particulars, my/our ward
id liable to criminal prosecution and if admitted, to be removed from the institution.
4 I/We undertake the responsibility for his/her conduct and for maintenance of discipline
and shall pay regularly all his/her expenses during his/her stay at the institution.
S No. Name Signature in
English
Signature in
Hindi
I. Candidate
2. Father
3. Mother
4. Guardian
Note: Candidate, parents, guardians must sign the application wherever applicable, failings which
the form will be rejected.
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