UNDERTAKING BY PARENT / GUARDIAN

1. I___________________________________________F/o, M/o, G/o of Mr

/ Ms,__________________________________have carefully read and fully understood the law prohibiting ragging and the directions of the Supreme court and the Central/State Government in this regard as well as the UGC regulations on curbing the Menace of ragging in Higher Educational Institutions, 2009.

2. I assure you that my son / daughter / ward will not indulge in any act of ragging.

3. I hereby confirm that I am aware of the Regulations of the GITAM that a student shouldsecure a minimum 75% attendance for appearing for the semester-end examination andsubsequent promotion to the next semester.

4. I hereby agree that if he / she is found guilty of any aspect of ragging, he / she may bepunished as per the provisions of the UGC regulations mentioned above and / or as per thelaw in force.

Signed this __________________day of ____________month of ___________year

Signature

Name: Address:

ANTIRAGGING UNDERTAKING BY STUDENT

1. I___________________________________________S/o, D/o of Mr /________________

Ms,__________________________________have carefully read and fully understood the

law prohibiting ragging and the directions of the Supreme court and the Central/State

Government in this regard.

2. I have received a copy of the UGC regulations on curbing the Menace of ragging in Higher

Educational Institutions, 2009 and have carefully gone through it.

3. I hereby undertake that

I will not indulge in any behavior or act that may come under the definition of ragging

I will not participate in or abet or propagate ragging in any form

I will not hurt anyone physically or psychologically or cause any other harm.

4. I here by agree that if found guilty of any aspect of ragging, I may be punished as per the

provisions of the UGC regulations mentioned below and / or as per the law in force.

• Suspension from attending classes and academic privileges.• Withholding / withdrawing scholarship / fellowship and other benefits• Debarring from appearing in any test / examination or other evaluation process.• Withholding results.• Debarring the representing the institution in any regional, national or international

meet, tournament, youth festival etc.• Suspension / expulsion from the hostel• Cancellation of admission• Rustication from the institution for period ranging from 1 to 4 semesters• Expulsion from the institution and consequent debarring from admission to any

other institution for a specified period• Fine ranging between Rs. 25,000/- and 1 Lakh

6. I hereby affirm that I have not been expelled or debarred from admission by anyinstitution.

Signed this __________________day of ____________month of ___________year

Signature

Name: Address:

GITAM(Deemed to be University) Estd. u/s 3 of the UGC Act 1956

(for office use only)

Student File No.:-______________________

GITAM Registration No:__________________

Hostel Registration No: _____________________

Hostel: __________________________________

Room No: _______________Seater: ___________

Hostel Fee:____________________________

UNDERTAKING FOR HOSTEL FACILITY (For New Candidates)

Important Instructions

• Please refer to the Guidelines in the Admission Prospectus and/or the www.gitam.edu for any details.• For applying for hostel, Original Medical Certificate, format to be obtained from the Counseling and

Admission Department and/or the website is to be submitted by candidate along with other essentialdocuments at the time of registration.

• No column should be left blank. Write N.A. if not applicable.• All the details should be filled in Block Letters• Duly filled in Undertaking Form is to be signed by the candidate with blue/ black pen and duly

countersigned by the parent/ guardian.

PHOTO(passport size)

Name ______________________________________________ . NAME OF THE INSTITUTION: _______________________________________________________

Programme __________________________________________Stream (If applicable) _____________________________

Programme Code __________________________________ Term/Semester______________________________________

Permanent Address Correspondence Address (If different from permanent address)

Telephone No:

FATHER

Residence (with STD Code)____________________________________

Office (with STD Code)_______________________________________

Mobile _______________________________________________________

E-mail ID ____________________________________________________

MOTHER

Residence (with STD Code )______________________________________

Office (with STD Code ) _________________________________________

Mobile ________________________________________________________

E-mail ID ______________________________________________________

Self-Mobile________________________________________________ Self-E-mail ID: ________________________________________________

UNDERTAKING FOR HOSTEL FACILITY BY THE STUDENT I, __________________________________________________________________________________

S/o/ D/o_____________________________________________________do hereby solemnly affirm and

undertake that:

1. I shall abide by all the provisions of the GITAM Manual and Govt. Act, Statutes,Ordinances, Regulations, Rules, Orders, Instructions, Information, Guidelines, Code, Circulars, etc. inforce and as amended from time to time (hereinafter jointly referred to as “the Provisions”) of and/orframed by the Government, GITAM, and its Institutes, Divisions, Centers, other constituentunits, establishments and facilities including hostels, transportation etc. and concerned authorities,officers, assigns and employees (hereinafter referred to as “the Management”). TheManagement will be at liberty to impose any penalty or any disciplinary action(s) on me being foundguilty of, any sort of misconduct or indiscipline or disobedience or malpractice within or outside theprecincts of the Institution, or any act which is detrimental to the interest of the Institution. TheManagement, in such case, may discontinue my stay in the Institution and I shall not be entitled forany refund of admission fee, hostel fee, bus fee and any other fee / charges paid to the Institution and Ishall also be liable to pay the pending fee, dues, penalty, etc.

2. I shall retain the hostel accommodation for the full academic session (i.e. one year) and if due to anyreason I leave the hostel during the academic session (one year), extention of period is within consent

Address _____________________________________________________

____________________________________________________

Town / City __________________________________________________

District ______________________________________________________

State / UT __________________________________________________

Country ________________________________Pin/Zip _______________

Address _______________________________________________

____________________________________________________

Town / City ___________________________________________

District _______________________________________________

State / UT ___________________________________________

Country ____________________________Pin/Zip ____________

of management. I shall pay the hostel charges for full academic year including caution deposit (non refund) if any

3. I shall not be entitled to claim my admission to the hostel as a matter of right.4. I am aware that ragging is a criminal offence and is strictly prohibited. I shall not indulge directly or

indirectly in any act of ragging on the campus, in hostels or outside the campus of the Institution. If Iindulge in ragging, the Management may take appropriate disciplinary action (includingrustication/expulsion from the hostel and/or the Institution) against me and further legal action as perlaw of land.

5. I shall not possess, use or deal with any kind of intoxicating material including alcohol, drugs of anykind, gutka, tobacco, cigarettes, chew gums or any other sedative materials and on being found guilty,the Institution may take any disciplinary action(s), including rustication/expulsion, against me.

6. I shall not possess, use or abet the use of any kind of weapons including sticks, rods, explosives,firework or any such material and on being found guilty, the Institution may take any disciplinaryaction(s), including rustication/expulsion, against me.

7. I shall be liable to pay for any damage caused by me to the property of the Institution either alone orjointly with others and face disciplinary action.

8. I do not have the tendency, and shall not make any attempt, to commit suicide or abetting or incitingany other person to commit suicide or anything unwarranted and /or prohibited by law or otherwiseand shall not give any sort of threats to commit suicide or likewise and or being found guilty of theaforesaid action, I myself shall be responsible for any consequences under law and theexpulsion/rustication from the Institution and any other legal action under the law of land. TheManagement shall not be responsible for the same.

9. I am medically fit and have no communicable and serious diseases; I shall pay for any expenditureincurred by the Institution on my treatment for any sickness or personal injury due to any reasonduring the course of my study at the Institution.

10. I shall not keep excess cash and valuables with in the hostel and in case of any loss or damage of cashor valuables, including mobile phones, PC, laptop or any other personal belongings, the Institutionshall not be responsible for any kind of compensation.

11. I understand that parking of vehicles (if allowed) in the hostel will be at my own risk and in case ofany loss of personal belongings; loss or damage to the vehicle or parts /accessories of the vehicles, theInstitution shall not be responsible for any type of compensation.

12. I will have to vacate the hostel in case of any requirement of the Institution for some specific periodfor any reasons including accommodating guests, delegates, participants of any event, for maintenancework etc.

13. I shall not collect any money from any student(s), employee(s) or other person(s) for any purposeincluding donations, contributions/gathering without the written approval of the Institution.

14. The Management has the full authority to call/send for official/academic purposes any time evenduring holidays or for early or delayed stays even during nights.

15. The Management have the full authority for the inspection of the room, bags, almirahs or any of mypersonal belongings at any time.

16. I understand that hostel, allotted at the time of admission or otherwise, may be shifted to other hostel,at any time and the allotted room, floor and other facilities in the hostel may also be changed at anytime, as decided by The Management.

17. I shall not allow any unauthorized person to enter or stay in my room.18. I shall myself take precautions against insect-bites, dog-bites, snake-bites, animal-bites, plant-bites

and such other infections and diseases and shall carry the first –aid kits every time and the GITAM shall not be liable for such infections and diseases.

19. I shall not misuse electricity by using electrical gadgets like irons, heaters, audio players, juicers etc.20. I shall cooperate with GITAM Security officials. I shall not move outside the campus without concent

of Deputy Warden / Chief Warden.21. I understand that the hot water supply shall be available in winter only for fixed timings in the

washrooms, as decided by The Management.22. If I absent myself from the Institution without permission, I am liable for disciplinary action, which

may amount to my rustication/expulsion from the Institution.23. If declared ineligible for appearing in any examination of the GITAM, on account of shortage of

attendance or any other reason whatsoever or if ordered by the Institution authorities at any time, I shall vacate the hostel immediately. Readmission to hostel in the forthcoming term/semester may be allowed only at the sole discretion of the Management.

24. All type of charges and fee as charged by the Institution are subject to revision from time to time.25. For any unforeseen issues arising, that is not covered by this Undertaking, or in respect of all the

matters, not expressly provided herein, the Institution may take an appropriate decision that shall be final and binding on me and all other concerned.

26. I am giving this undertaking with full understanding and state that the information given by me above are true and complete to the best of my knowledge and belief and the certificates, documents and other information submitted by me are genuine and nothing has been concealed / suppressed. I understand that if any of the statements made by me above is found incorrect, I shall be liable to such disciplinary action(s) and/ or penalty as may be decided by the Management, notwithstanding legal action under the law of the land. In such case, the hostel fee and other charges deposited by me shall be forfeited.

27. The Management reserves the right to frame, amend, revoke or repeal the Provisions including hostel timings and that will be effective and binding on all the concerned, as decided by the Management from time to time.

28. The Courts in Visakhapatnam district shall have the jurisdiction over all disputes arising out of or in respect of matters relating to students including admission, academics, administration, hostel, transport and all other matters.

Place: ……………………………

Date: …………………………… (Signature of the Student)

RAGGING IS STRICTLY PROHIBITED

As per the Supreme Court judgment in Vishwa Jagriti Mission v. Central Government and Others (2001) 6 SCC 57 AND Uniersity of Kerala v. Council of Principals of college in Kerala & Ors. AIR 2009 SC 2223 as per Act of Gov AP w.r.t ragging, ragging is a cognizable criminal offence and is strictly prohibited. If any incident of ragging com to the notice of the GITAM, he concerned student shall be given liberty to explain and if his explanation is not found satisfactory, the GITAM would expel him from the GITAM.

UNDERTAKING TO BE SIGNED BY THE PARENT / GUARDIAN

I,____________________________________________________________S/o/D/o__________________________________________________do hereby solemnly affirms and undertake that:

1. My son/daughter/ ward, _________________________________________________________ has submitted this Undertaking for Hostel Facility with full understanding and my express permission; and I shall hold myself responsible for his/her good conduct and behaviour as a student of the GITAM and adherence to the Provisions.

2. I shall hold myself responsible for payment of all his/her fee and other charges during his/her stay in the hostel and pending dues, penalty, etc.

3. I shall, myself, be responsible for any sort of liability arising and any civil or criminal case lying against my son/daughter/ward during the course of study.

4. I endorse the undertaking given by my son/daughter /ward.5. I shall abide all the rules and regulations of GITAM Management.

Place………………………………Date ………………………………

…………………………………………… (Full signature of the Parent/Guardian)

Name…………………………………………….

Relationship with the Student……………………

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GITAM HOSTELS RULES AND REGULATIONS

The following rules and regulations should be strictly followed by the hostellers during their stay in the hostel:

1. The hostel resident should furnish correct address, telephone, mobile number of the parent/guardian. Any change of permanent address should be informed to the hostel administration immediately.

2. Hostel residents will be given identity cards, which must be produced whenever required by the hostel/GITAM administration and security.

3. Ragging is strictly prohibited. If a hostel resident is involved in any such activity, which cause inconvenience, embarrassment or hurt the feelings of others residents, which is a criminal offence, it shall be dealt severely as per rules.

4. Playing cards, smoking, consuming alcohol, using drugs and narcotics and even possession of such things is strictly prohibited. Anyone found using/possessing such things shall be expelled from the hostel immediately.

5. Hostellers are not supposed to indulge in any type of quarrel with the co-hostellers or hostel staff. They are required to maintain peaceful atmosphere in the hostel premises. Any hosteller who indulges in any sort of indiscipline, unlawful acts either on the campus or outside will be expelled from the hostel.

6. Hostellers are not supposed to possess any objectionable items. The Chief Warden / Deputy Warden/Assistant Warden is at liberty to inspect the belongings including cupboards of the hostellers, in case of any doubt or suspicion, at anytime irrespective of whether the hosteller is available or not. Hostellers are liable for expulsion immediately, if such objectionable things are found in their possession.

7. All the hostel students should maintain their hostel rooms and hostel premises neat and clean and cooperate with the hostel staff. Hostellers are not permitted to make any loud noises and create disturbance to the fellow hostellers. All the students should switch off lights and fans when they leave their room. If any intentional indiscipline is observed, suitable fine will be imposed or the student may be expelled from the hostel.

8. Posters should not be pasted on the walls/doors etc, and no captions etc shall be written on the same.

9. No student is allowed to stay in the rooms particularly during their college class timings except on genuine grounds with the permission of Warden/ Deputy Warden /Chief Warden.

10. Unauthorized changing of rooms is not allowed. As per the need and necessity, whenever it is required, administration can change/shuffle their rooms. In this regard objections are not entertained from the hostellers.

11. Yearly/semester renewal in the hostel is based on the student performance in the Hostel /GITAM. If any student fails or is detained in any semester, he/she will not be permitted to stay in the Hostel further.

12. All the students should pay their monthly bills (including rentals) on or before the scheduled datei.e. 20th of the month without any delay. Rentals may change time to time, as decided by the management.

13. If any student maintains his dues beyond one month, he will not be permitted to stay in the hostel.14. Caution deposit is not adjustable to any monthly bill. This will be adjusted or refunded at the time

of vacating the hostel.15. The boarding members of the hostel are expected to take the food prepared in the hostel mess and

no outside food is allowed for maintaining hygiene. No student should intentionally waste food material or spoil the kitchenware. Utensils / any material from mess should not be taken outside. Any deviation in this regard will be considered seriously and punished suitably. Boarders should maintain mess timings scrupulously.

16. Hostellers are not permitted to entertain any guests in their rooms without prior permission from the Chief Warden. If any outsider is found in the Hostel room, fine will be collected from the inmate of the room.

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17. Hostellers are allowed to go out after 6 a.m. and should report back to hostel before 9.00 p.m. (in case of girls, 6.30 p.m) during holidays with permission, but are not permitted to leave the campus in working days. After arriving at the hostel, inmates should sign in the register kept for the purpose. No student is allowed to leave the premises after7.00 pm (in case of girls 5.30 p.m). If any deviation is observed, suitable action will be taken. Students should note that number of permissions will be limited and subject to the genunity of purpose. Letter of permission should be submitted through the hostel teacher coordinator. First year students (UG) will be permitted only when they are accompanied by the parent/designated local guardian.

18. All the hostel inmates should give their biometric attendance between7:00 pm - 9:30 pm every day at the hostels.

19. Parents and local guardians are allowed only on Saturdays, Sundays and public holidays from 4.00 pm to 6.00pm.

20. Hostel authorities are not responsible for any loss of student’s personal items such as cell phone, laptops or any other gadgets. They should take care of their belongings. It is advised, not to reveal your ATM card pin number to any of your friends or others to avoid the misuse of the same. As a precautionary measure, hostellers are advised not to bring any valuable things and cash to the hostel and also they are advised to deposit the excess money in the bank.

21. Security inside the hostels and on the campus is monitored by the resident Dy. Warden/Warden and security personnel.

22. The hostellers who wish to leave the station shall apply for leave and obtain permission in writing two days in advance. They shall also intimate their address of their stay during this period.

23. Hostellers are permitted to receive phone calls during 6 pm to 10 pm only. Talking in phone during late hours should be avoided, which causes inconvenience to the co-hostellers.

24. The damage to the hostel properties will be collected with fine from the student concerned, and if nobody is identified, the same will be included in general breakage/damage and cost will be collected from all the hostellers.

25. Hostellers are not permitted to use iron boxes and immersion heaters in their rooms. If any hosteller is found using the same he is liable to pay a penalty.

26. Hostellers are not expected to have personnel vehicles on the campus. Those who wish to have personal vehicle should obtain prior permission from the authorities.

27. Celebrating parties on any occasion including birthday is strictly prohibited inside the hostel.28. Students are not allowed to play any outdoor games inside the hostel, which causes breakages and

accidents.29. Any type of personal/ group meetings and parties are strictly prohibited inside the

hostel/GITAM premises. Collecting money for such activities is banned.30. All the hostellers should hand over the room in person at the end of semester/academic year to the

Dy. warden/ Warden.31. If any objectionable exercise is made by the hostellers, they may be suitably penalized or expelled

from the hostel.32. The decision of Dy. warden/ Chief Warden/GITAM authorities is final in all matters related to

the hostel administration.33. All the hostellers are bound by the rules in force as on date.

DECLARATION

This is to state that I have read the above carefully and I Mr/Ms.______________________________

studying___________________ hereby abide by the above rules and regulations. I am aware that I

shall be liable to disciplinary action in case of any deviation from the rules.

Signature of Parent Signature of the Student

Date:

INSTRUCTIONS TO STUDENTS

Students shall carefully read the academic regulations of the program of study

Students shall lead a disciplined life on and off the campus.

Students shall attend all classes in time as per time table.

Students shall not absent for any period/ any day without prior approval from counselor.

Students’ absence for more than two days shall be endorsed by the parent/ guardian, on the day ofreporting.

Student shall secure a minimum of 75% attendance for appearing semester-end examinationsand subsequent promotion for next semester.

Students loitering outside during class work will be dealt with severely.

Students shall adhere to the following dress code.

Boys: Simple trousers, tucked-in shirt, belt and shoes. If wearing a full-sleeve shirt, shirt sleevesshould be rolled down and buttoned at the wrist.

Girls: Simple cotton/synthetic saree or dress (Salwar, Kameez or long top and chunni) with sandals/chappals.

Students shall maintain the campus neat and clean in general, and their class rooms in particular.

Students shall always wear their Identity Cards in the campus.

Students shall not use cell phones on the campus and confiscated if found.

Speed above 20Km/hr and triple riding of 2-wheelers in the campus is strictly prohibited.

Self driven 4 wheelers are not allowed into the campus

Students shall park the vehicles in the earmarked parking space only.

Students shall not venture into sea.

Attending/ Organizing any function outside the campus without approval attracts disciplinary action.

Students can approach the Counselor /Senior Counselor/ HoD for guidance/grievance redressal.

Student shall report, change of address/ contact number immediately to the counselor.

Students shall follow official notices/circulars/postings only.

Students indulged in anti- social activities will be viewed seriously.

Infringement of any of the above instructions shall attract severe punishment including suspension/ expulsion from the Institute

I have read and clearly read and understood the above instructions. I promise to adhere to them scrupulously.

Name of the Student___________________ REGD.NO_________________

Branch_________________ Class ___________ Semester__________

Date: ________________________ Signature of the student