Admission Form - Model Academy School Page 2

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UNDERTAKING
I …………………………………………………… S/o Sh…………………………………………………………………
R/o………………………………………………………………………………………… do hereby solemnly affirm
and undertake to abide by the following terms & conditions:-
1. I undertake regularly to look after the studies and academic progress of my ward and take effective
measures to make up his/her deficiency in studies at all times in consultation with the School
Authorities.
2. I undertake fully to abide by the policies and decisions of the School Management regarding the
payment of fees and other dues, timings and other academic and administrative matters as notified
from time to time and so long as my ward continues to study in the school.
3. That my ward or I shall not join or form any association, action committee or any other group involving
other parents, staff etc., with the purpose of interfering with School Management, policies and
functioning without the prior approval of School Authorities. Further, I undertake to refrain from
publically condemning or politicizing any issue regarding my ward and his education in the school in
any manner whatsoever.
4. That I undertake to individually/personally approach the School Authorities regarding the solution of
academic problems of my ward. Further, I would extend all my cooperation and help to School
Authorities to solve such problems as they may arise from time to time.
5. That if the school Authorities find me or my ward contravening any terms or condition of this
Undertaking or Rules and Regulations of the School, they shall be at liberty to strike off the name of
my ward from the rolls of the School and in that eventuality I shall have no right to challenge the
decision of the School Authorities in any manner. In Witness whereof I sign this undertaking in
presence of Witness this __________________ day of 20
at Jammu.
Parents / Executants
Witness (Name & Address)
1. ___________________________
Name ________________________
___________________________
________________________
___________________________
________________________
2. ___________________________
Address______________________
___________________________
_______________________
___________________________
_______________________
For Office Use Only
Date………………. Entries verified by …………………………………Date……………….............. Signature…………………..
Class……………….. Entered in Admission Register by ……………… Date ……………………… Signature ………………….
Security Amount …………………………… Receipt No…………………………………… Date…………………………………..
Admission No. Allotted ………………………………. Class ………………………… Sec……………… Roll No…………………
Entered in the Student Database by…………………………………………………………………………………………………….
Incharge Admissions
Administrative Officer

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