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1) COMMITMENT CERTIFICATES (Jointly signed NSS Volunteer/Parents/ Programme Officer & certify by Principal)

A) UNDERTAKING BY THE PARTICIPATING STUDENT I, undertake to state that, I shall be attending ------------------------------------------------------------------------------------------------------------------------------------------------------ at my own risk. In consideration of my being nominated at my request to undergo all types of activities and also participating in any other related activities in/outside NSS and traveling, I undertake and agree that neither I nor my parents/guardian/executor/administrator will make any claim against any officer of NSS/Principal/Program Officer/Program Coordinator/University in respect of any loss or injury to the property or person (including injury resulting in death), which may suffer while or inconsequence of my being in participating in Camp. I am briefed by the way of “training session” about the geography, climate, hazardous locations and risk zones existing in the proposed destination, codes on environmental protection, emergency procedures and basic first aid. Our Team Leader/Teachers has given the instructions regarding the importance of safety precautions, team spirit and discipline. I, further undertake to state that I shall be abiding by all rules & regulation of the said activity and shall be liable for strict disciplinary action for violation of the same. Signature of the Student Date: _______________

B) RESPONSIBILITY CERTIFICATE I agree as a responsible person that my Son/Daughter/Ward is being allowed to participate in the ----------------------------------------------------------------------------------------------------------------------- to be held -----------------------------------------on ---------------------------------- at my own risk. If any accident or death occurs during this camp/program, I or any of my relation of legal heir will not demand any claim from University /College on account of my Son/Daughter/Ward being a part this activity. The itinerary and travel plan is well known to me in advance & I have no any objection for the same. Signature of Parent/Guardian Date: _____

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2) CERTIFICATE OF MEDICAL/PHYSICAL FITNESS Signature of the candidate: ……………………………………………………… I, do hereby certify that I have examined the volunteer and found him/her fit for undergoing for ---------------------------------------------------------------------------------------------------to be held at ------------------------------------------------------------------------------------- on --------------to --------------, the candidate whose signature given above is not suffering from any communicable or chronic disease, which may cause any hindrance due to his/her participation in the above mentioned program. Signature of the Medical Officer Seal Address with Contact No Date: _____

B) VOLUNTEERSHIP CERTIFICATE It is certified that the Mr./Miss./Ms………………………………………………………………………. is a bonafide student of the College/Institution and He /She is a regular NSS/NCC/Student of the college. The itinerary and travel plan is well known to him in advance & do not have any objection for the same. Signature of NSS Program Officer Signature of the Principal College Seal