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Relieving Letter 03

The document consists of several annexures related to the relieve order for participants joining UGC-HRDC programs, including a declaration regarding UGC inclusion, a medical certificate, and an undertaking for accommodation in the HRDC hostel. Each annexure requires signatures and seals from the relevant authorities. The participants must adhere to specific rules and conditions during their program and stay.

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0% found this document useful (0 votes)
78 views4 pages

Relieving Letter 03

The document consists of several annexures related to the relieve order for participants joining UGC-HRDC programs, including a declaration regarding UGC inclusion, a medical certificate, and an undertaking for accommodation in the HRDC hostel. Each annexure requires signatures and seals from the relevant authorities. The participants must adhere to specific rules and conditions during their program and stay.

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05c113002
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ANNEXURE- A

RELIEVE ORDER
To
The Director
UGC-HRDC, Sambalpur University
Jyoti Vihar, Burla, Sambalpur-768 019

Sub: Relieve order of Mr/Ms/Dr…………………………………………………………………………………


for joining the Orientation programme/Refresher course/Short term course.

Ref. Your letter No………..…dated……………….…… and DHE letter No……….., dated…………

Sir/Madam,

With reference to the above, I am to inform you that Mr/Ms/Dr………………………………………


is hereby relieved today the …………… day of ……………....., 20……FN/AN to enable him join
the Orientation programme/Refresher course/Short term course being conducted by
UGC-HRDC, Sambalpur University from…………………………..….to………………………………………….

He/She shall attend the classes full time and shall not avail any kind of leave during the
progamme and his/her period of absence shall be treated as per rule.

Signature & Seal of


REGISTRAR/PRINCIPAL/DIRECTOR
of the relieving institute
ANNEXURE- B

Declaration for inclusion/non inclusion in Section 2(f) of UGC

1. I hereby declare that our College /University/Institute, namely…………………….


…………………………………………………………………………………………………………………………
has been / has not been included under Section 2(f) of UGC.

2. I further declare that our college/university/institute is /is not included


under Section 12(b) of the UGC Act.

Signature & Seal of


REGISTRAR/PRINCIPAL/DIRECTOR
of the relieving institute

Note:- Please strike out whichever is not applicable.


ANNEXURE- C

MEDICAL CERTIFICATE

Certified that Mr/Ms/Dr……………………………………....................………, Son/Daughter/Wife of


………………………………………………….……, a resident of ………………………………………………………….
…………………………………………………………………………………………………………………………………………..
is medically fit to join and undergo the Orientation programme/ Refresher Course/ Short
term progamme being conducted by UGC-HRDC, Sambalpur University
from……………………….…to………………………………….

Signature of the Physician with date


Regn. No…………………………
Seal
ANNEXURE- D

UNDERTAKING FOR ACCOMMODATION IN THE HRDC, SU HOSTEL

I, ………………………………………………………………………………………………………………………………………

hereby undertake that I shall stay in the HRDC hostel alone as a participant of Orientation

Programme/Refresher Course/Short Term Programme and shall not allow any unauthorized

person(s) including my family member(s) to stay with me in the hostel.

I further undertake that I shall not carry and keep any objectionable articles in the

hostel during my stay; shall leave the hostel immediately upon completion of the

programme or before the completion of the programme if so desired by HRDC, SU; and

shall fully abide by the rules of HRDC, SU hostel in force.

I also undertake not to indulge in any action that may cause inconvenience to the office,

teachers, staff, students and fellow participants during my stay in the HRDC, SU hostel.

Full signature of the applicant

Address…………………………………..

…………………………………………………

…………………………………………………

Contact No………………………………….

Primary-

Alternative-

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