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APPLICATION FORM FOR ADMISSION TO - page 9 / 13

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ANNEXURE - I DECLARATION BY THE CANDIDATE

I,

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

, hereby declare that all the particulars stated in this

application and enclosures are true to the best of my knowledge and belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. I am aware that my admission will be provisional and in the event of my being found ineligible at the time of reporting, my admission will be denied, if I am already admitted, my admission will be cancelled. I am also aware that in all matters concerning admission, the decision of Anna University Chennai is final and I shall abide by it. I am fully aware that as per the directions of the Hon’ble Supreme Court of India and Tamil Nadu Prohibition of ragging Act 1997, Ragging is an offence and is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from the Institution and/or rigorous imprisonment up to three years and/or fine up to Rs.25, 000/-

Place: Date:

Signature of the Candidate

DECLARATION BY THE PARENT

, hereby declare that all facts given in the application by the I, ______________________ C a n d i d a t e M r . / M s . _ _ _ _ _ _ _ who is my son / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

daughter are true and correct. In case, any particulars furnished in the application are found to be incorrect at a later stage, I agree to forfeit the admission of my son/daughter, no matter, at whatever stage of the course at that time. I hereby give an undertaking to pay regularly all his/her dues to the University/Hostel till the completion of his/her course of study. I also undertake the responsibility for his/her good conduct. I am also aware that in all matters concerning admission of my son/daughter, the decision of Anna University Chennai is final and I shall abide by it. I am fully aware that as per the directions of the Hon’ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997, ragging is an offence and is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from the Institution and/or rigorous imprisonment up to three years and/or fine up to Rs.25, 000/-

Place: Date:

Signature of the parent Name:

9

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