Downlaods

 

GAP CERTIFICATE

(On Stamp paper of Rs. 100) 

AFFIDAVIT

 

I, ………………………………………….. S/o /D/o……………………….. age …… years,

 

residing at………………………………………………………………………………………

…………………………………………………………………………………………………..

, do hereby state and declare on solemn affirmation as under:

 ·  I declare that I have passed ……………..…from……………………………………………….

………………………….. in …………..(month),……….. (year), since then I did not  enroll my name in any College/ Institute/University and/ or elsewhere as a regular  student during my gap due to

………………………………………………………………………………………………

………………………………………………………………………………………………

1. I, declare that now I wish to continue my further studies.

 

2. The duration of the gap is form ………………………….to ……………………………..

3.   I, declare that in this gap period, I was neither involved nor assisted in activities barred under the law.

4.   I, declare that there is no criminal case pending against me in a court of law.

 

What I stated above is true and correct to the best of my knowledge and belief. SOLEMNLY AFFIRMED AT……………………………  (City)

This …… Day of........... 2022

 

  

Signature of applicant(s) Deponent

 

  

Explained & identified by me. Before Me.

Signature of Notary

Health Certificate

(To be signed by a registered medical practitioner holding a degree not below of MBBS)

(To be submitted at the time of admission)

I, Dr __________________________________ceritied that I have carefully personal examined  Shri/Kumari _____________________________ S/o D/o Shri ________________________________ of age .......... years whose signature is given below. Based on the examination, I certified that he/she is in good physical and mental health, and is free from any physical disabilities which may interfere with his/her studies including the active outdoor duties required to be undergone during the professional education (MBBS Course).

Marks of identification 1)_________________________________________________

                                      2) ________________________________________________

Name of the Candidate _______________________________________

Signature of the Candidate_______________________________________________

Place   _______________________________________________________________

Date _________________________________________________________________

 

 Signature of the Parent___________________________________________________

Place   _______________________________________________________________

Date _________________________________________________________________

 

                                                                        Signature of the Medical Officer with seal

                                                                        Name ____________________

                                                                        Registration Number ________

                                                                        Designation _______________

 

Affidavit for Single Girl Child

Must Be on Rs. 50/- Stamp Paper

I ___________________ (father/mother of candidate) son/wife of ___________________resident of

______________________________________________________ do hereby make oath and state as under:-

1. That the Deponent is the father/mother of ________________________ (candidate name) an applicant of NEET (UG)-2023 vide Application no. ______________________, Roll no.___________.

2. That the deponent’s daughter is a Single Girl Child/Twin Daughter/Fraternal Daughter of the family

and there is no other male and female child in my family.

Verified at ___________________________ (place) on this ______________________ (date-month-

year) that the contents of the above affidavit are true and correct to my personal knowledge and belief.

DEPONENT SIGNATURE .......................................

NAME ..................................................................

FULL ADDRESS ....................................................

..............................................................................

..............................................................................

Seal & Signature of ...................................
SDM/First Class Magistrate/Gazetted Officer (not below the rank of Tehsildar)
Certifying the aforesaid declaration.
Date: ............................

Dispatch No ....................

NATIONALITY CERTIFICATE

It is here by certified that S/o ______________________________of Village/Town/City _________________________________was born on at

in the state of ........................................ within territory of India and he is CITIZEN OF INDIA.

Particulars of proof submitted :

a) Answer given by the applicant on the form of questionnaire prescribed.

b) Birth / Baptism / Matriculation / School leaving of the certificate issued by Head

Master / Mistress / Principal of ___________________________________________________________

c) A domicile certificate issued by the Tehsildar,

Under No ___________________________ Dated _______________________

d) Other proof Adhar Card and Adhar Card No ____________________

 Place :-                                                            Signature of Magistrate issuing Authority 

 Dated 

Caste Validity Certificate

 Office of the Sub Divisional Office, ________________

 

S.N.-                                                                                                    Date –

 

TO WHOM IT MAY CONCERN CERTIFICATE

This is to certify that the Caste Certificate No. _______________________________ Date ____________ issued to ______________________________ (Name of the candidate)  Son/Daughter of Mr. ____________________ of Village/Town – ______________________________by the Magistrate Sub Division ____________ is valid.

Further, it is stated that there is no provision of issuing separate Caste Validity Certificate in _______________ State.

 

 

Office seal/ Stamp                                                     Signature of Magistrate issuing Authority