NCC Enrolment 2024

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CADET ENROLMENT FORM

(SENIOR DIV/SWING)

Appendix ‘A’

FORM I

National Cadet Corps Senior Division/Wing Enrolment Form


(See Rules 7 and 11 )

APPLICATION FOR ENROLMENT

1. What is your Full Name(in Block Capital) ? : AHMED ABDULAZEEM MOHAMMED


2. What is/was your parent/guardian’s name & : Name: MOHAMMED ABDUL AZEEM
address ? Village: 11-3-691, MALLEPALLY
PO: MALLEPALLY
Tehsil or Taluk
District: HYDERABAD
PIN Code: 500001

3. Are you citizen of India or subject of Nepal? : CITIZEN OF INDIA


4. What is your village,Tehsil/Taluk & Distt ? : Village: MALLEPALLY
PO: MALLEPALLY
Tehsil or Taluk
District: HYDERABAD
PIN Code: 500001
5. What is your Post Office ? : MALLEPALLY
6. What is your Rly Station ? : NAMPALLY
7. What are your Educational Qualifications ? : S.S.C.
8. @ What is your age & Date of Birth ? : 16, 12/12/2004
9. Have you ever been convicted by a criminal : NO
court and if so in which circumstances and
what was the sentence ?
10. In which College are you now studying ? : GOVT. INSTITUTE OF ELECTRONICS (GIOE)
11. Are you willing to be enrolled under : YES
National Cadet Corps Act 1948 ?
12. In which unit do you desire to be enrolled ? : 1 (T) EME Unit NCC, Secunderabad
13. Are you willing to undergo service training : YES
as specified in the Act and the rules made
there under?
14. Are you willing to serve in the National : YES
Cadet Corps until discharged as provided in
Act ?
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15. Have you ever previously applied for : NO


appointment under the Act and if so with
what result ?
16. Have you ever been dismissed from the : NO
National Cadet Corps. The Territorial Army
or the Indian Armed Forces ?
17. @ Next of Kin with Address : FAHMIDA SULTANA (GRANDMOTHER)
(with relationship) 12-2-418/1/B/9, RS Enclave, Flat 103,
Telephone No. Office/Residence Muradnagar, Hyderabad - 500028
(as applicable) MOBILE: 8978254711

@ Place: SECUNDERABAD SIGNATURE OF APPLICANT


@ Date:` 18-12-2020
NOTE: @ These are not included in the Form
1 of NCC Act & Rules

DECLARATION ON ACCEPTANCE OF ENROLMENT

1. I solemnly declare that the answers I have given to the question in this form are true and
that no part of them is false and that I am willing to fulfill the engagement made.

2. AHMED ABDULAZEEM MOHAMMED promise that I will honestly and faithfully


I _________________________________
serve my country and abide by the Rules & Regulations of the National Cadet Corps that I will,
to the best my ability, attend all parades and camps as may be required by the Commanding
Officer from time to time

3. AHMED ABDULAZEEM MOHAMMED further promise that after enrolment, I


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 or
any other such NCC events like RDC and IDC. I understand I have no service liability.

Place SECUNDERABAD Signature of the applicant


Date: 18-12-2020
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DECLARATION BY PARENT/GUARDIAN

1. I solemnly declare that the answers I have given to the question in this form are true and that
no part of them is false and that my son/daughter/ward is willing to fulfill the engagement made.

2. MOHAMMED ABDUL AZEEM further promise that after the enrolment my


I __________________________
son/daughter/ward, 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
or any other such NCC events like RDC and IDC.

Place SECUNDERABAD Signature parent/Guardian


Date: 18-12-2020

CERTIFICATE

Certified that the applicant and his parent/guardian understand and agree to the conditions of
enrolment.

Place Signature of Enrolling Officer


Date of Enrolment:
(Unit Seal)
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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.

Place Signature_________________
Date Designation(Medical Officer)
Stamp

TO BE USED FOR EXTENSION OF ENROLMENT


( See Rule 13)

I agree to extend my enrolment for one year and am willing to fulfill the engagement made

Place Signature of applicant


Date

Confirmed

Place Signature of Commanding Officer


Date

B. I agree to extend the enrolment of my son/daughter/ward for one year and am willing to fulfill
the engagement made.

Place Signature of Parent/Guardian


Date

Confirmed

Place Signature of Headmaster


Date from which extension starts

NOTE: This form will be retained in the College/school in which the unit is located
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APPENDIX ‘B’

Annexure to Form I
(Application for Enrolment)
INDENMITY 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 and Air Force Wing activities,
as the case may be) and while traveling(in domestic/international surface, air and water transport)
and attending Youth Exchange Programme(YEP) abroad, I undertake and agree that neither I, nor
my executors or administrators or other legal representatives will make any claim against the
Government or against NCC authorities including officers, JCO’s/ NCO’s 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, JCO’s/NCO’s 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, JCOs/NCOs or their equivalent from Navy and
Air Force, civilian 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, traveling 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 Applicant
No
Name
Unit/Group
Witness

1. Signature Signature of Parent/Guardian


Name Name
Address Address

2. Signature
Name
Address

Place:
Date:
(NOTE: In case of SD applicant being a minor, Indemnity Bond applicable to Minor will be used)

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