APPENDIX ‘A’
Form 1
National Cadet Corps Junior Division /Wing Enrolment Form
(See Rules 7 and 11)
APPLICATION FOR ENROLMENT
1. What is your Name? 1…………………………………………
(In Block Capitals)
2. What is your parent/guardian’s name 2…………………………………………
and address? Address:…………………………………
…………………………………………..
…………………………………………..
3. Are you a citizen of India, or a subject 3…………………………………………
of Nepal?
4. What is your Village, Tehsil or Taluka 4. Village………………………………..
and District Tehsil or Taluka……………………..
District ………………………………
@ Pin code …………………………..
5. What is your Post Office? 5…………………………………………
6. What is your Railway Station? 6…………………………………………
7. What are your educational qualifications?7…………………………………………
8. What is your age & Date of birth? 8…………………………………………
9. In Which School are you now studying? 9………………………………………..
10. Are you willing to be enrolled under the 10………………………………………..
National Cadet Corps Act.1948?
11. In which unit do you desire to be enrolled?11………………………………………
12. Are you willing to undergo service 12………………………………………..
training as specified in the Act and
the rules made there under?
13. Are you willing to serve in the National 13………………………………………..
Cadet Corps until discharged as provided
In the Act?
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14. Have you ever previously applied for 14………………………………………
enrolment under the Act, and if so with
what result?
15. Have you been dismissed from the 15……………………………………….
National Cadet Corps?
16. Next of kin with address. 16……………………………………….
(With relationship) ………………………………………
Telephone No (o)/(R) (as applicable) ………………………………………
@
Place : SIGNATURE OF THE APPLICANT
Date :
NOTE @
These are not included in the Form I of NCC Act & Rules
DECLARATION ON ACCEPTANCE FOR ENROLMENT
1. I solemnly declare that the answers I have given to the questions in this form are true and that no part of them is false, and that I am willing to fulfill the engagement made.
2. I promise that I will honestly and faithfully serve my country and abide by the Rules & Regulations of the National Cadet Corps that I will, to the best of my ability, attend all parades and camps as may be required by the Commanding Officer from time to time.
3. I further promise that after enrolment. I will have no claim on authorities for any compensation in the event of injury or death due to accident during training camps /courses, traveling and while on YEP of any other such NCC events like RDC and IDC. I understand I have no service liability.
Place : ……………………………
Date : Signature of the applicant
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DECLARATION BY PARENT/GUARDIAN
1. I solemnly declare that the answers given in this form are true and that no part of them is false and that my son/daughter/ward is willing to fulfil the engagement made.
2. I promise that after the enrolment of my son/daughter/ward, I will have no claim on authorities for any compensation in the event of any injury or death due to accident during training camps, courses, traveling and while on YEP or any other such NCC events like RDC and IDC.
3. I understand my son/daughter/ward has no service liability
Place: …………………………………
Date: Signature of Parent/Guardian
CERTIFICATE
1. Certified that the applicant understands and agrees to the conditions of enrolment.
2. Certified that applicant and his parent/guardian understand and agree to the condition of enrolment.
…………………………………...
Place: Signature of Enrolling Officer
Date of Enrolment………………………..
(Unit Seal)
For Minors Only. Score out in applicable portion.
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TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
I have examined (Name)…………………………………………………. On ………………… (date) and consider him/her fit/unfit for enrolment as a Cadet in the National Cadet Corps.
Signature…………………………
Place: Designation………………………
Date: (Medical Officer)
TO BE USED FOR EXTENSION OF ENROLMENT
(See Rules 13)
My son/daughter/ward agrees to extend the enrolment for one year and is willing to fulfill the engagement made.
Place: …………………………………...
Date Signature of Parent/Guardian
Confirmed.
Place: …………………………………...
Date Signature of Headmaster
Place:
Date from which extension starts……………….
NOTE: This form will be retained in the College in which the unit is located.
APPENDIX ‘B’
Annexure to Form I
(Application for enrolment)
INDEMNITY BOND
To
The President of India
In consideration of my being nominated either by the NCC authorities or at my own request as a participant in any NCC camp (which includes Republic Day Camp and Independence Day Camp in Delhi), Course, Adventure Training (including Army, Navy & Air Wing activities, as the case may be) while traveling (in domestic/international surface, air and water transport) and attending Youth Exchange Programmes abroad, I undertake and agree that neither I, nor my other legal representatives will make any claim against the Government or against NCC Authorities including officers, JCOs/NCOs or their equivalents from Navy and Air Force, Civilians MT drivers or against any other such person in the service of the Government, in respect of any loss or injury – to the property or person, including injury resulting in death, due to any reasons whatsoever, which I may suffer, while or in consequence of my participation in the above activities and I understand that no compensation will be paid by the government or NCC authorities including officers, JCOs/NCOs or their equivalents from Navy and Air Force or Civilian MT drivers in respect of any such loss or injury and I agree as to bind myself, my executors and administrators and other legal representatives to indemnify the Government or NCC authorities including officers, JCO’s/NCO’s or their equivalents from Navy and Air Force, civilians MT drivers or any person in the service of Government against any claim which may be from any third party against them or any of them arising out of any act of default on my part during or in connection with the said camps, courses, adventure training, travelling and while on Youth Exchange Programme or any other such NCC activities as may be organized from time to time within or outside the Union of India.
Signature of Parent/Guardian
Name…………………………….
Address
Witness
1. Signature
Name
Address
2. Signature
Name
Address
Date:
Place:
Annexure-IV
NOMINATION FORM
FOR MEMBERSHIP OF THE NCC CADET WELFARE SOCIETY
(TO BE RETAINED AT NCC GROUP HQ)
(SECTION - I )
1. I, Cadet (Name in Block Letters) S/o/ D/o (Name in Block letters) student of Class
of (Name of College/School) of my enrolment with the NCC on (date) with (Name of the Unit) 30 ANDHRA BN NCC, CUDDAPAH – 516004. apply for membership of the NCC Cadet welfare Society and hereby subscribe a sum of Rs. 4/-(Rupees four only) towards its membership ref.
2. My Father/Mother/Guardian occupation is and the annual income of my family from all sources is Rs. Per annuam.
3. I understand that I should be entitled to financial relief as determined by the covering both Managing Committee of the above society in the events of partial or permanent disablement sustained by me while participating in an organized NCC Activities. I hereby accept that the decision of the Covering Body/Managing Committee with regard to quantum of relief to be paid to me in the event of my partial/permanent disablement will be final and binding on me.
4. I hereby nominee the following person who will receive financial assistance s per the share indicated and as determined by the Covering Body/Managing Committee of the above society, which will be final and binding on the following persons(s) in the event of my death while participating in an organized NCC activity:-
Sl.No Name of the nominee/age Relationship Permanent Percentage of
(in block letters) with the cadet Address of financial assistance
the Nominee payable
1.
2.
(To be filled by the Cadet in own handwritting)
6. My membership in the Welfare Society and this Nomination Form will be valid only till such time I remain a Cadet in the Division or Wing of the NCC to which I have been enrolle.
Date. (Full Signature of the Cadet)
: 2 :
SECTION – II
Place Signature of Associate NCC Officer, Head of Institution.
Date
I am willing to allow my son/daughter/ward Name to become a member of the NCC cadets Welfare Society under the terms and conditions and rules in force of the Society. I also approve of the nomination made in Section I(4).
Date: (Full Signature of the
Father/Mother/Guardian)
With complete address.
Address
Witness: Witness:
1. 2.
(Signature) (Signature)
Name Name
Address Address
Office Seal Office Seal
Note: The witnesses should be either Gazetted Officer, Head of Instittion, Associate NCC Officer/Sarpanch/ Village Head.
SECTION – IV
Received a sum of Rs.4/- (Rupees Four Only) as one time subscription and enrolled as a member of the NCC Cadet Welfare Society during the Cadetship in the Junior/Senior/Division/Wing.
(Signature of the CO Unit
with office seal.
SECTION – V
( To be filled in by the NCC Unit)
Date of dispatch of the Nomination Form to Group HQ Note: The Nomination Form will be printed on both sides of a single leaf.