ncc form

2. DETAILS REQUIRED FOR ENROLLMENT OF CADETS
1. NAME OF THE CADET:
2. NATIONALITY: INDIAN
3. DATE OF BIRTH: AGE:
4. FATHER’S/GUARDIAN’S NAME:
5. MOTHER’S NAME:
6. BLOOD GROUP OF THE CADET:
7. SEX : BOY / GIRL (Strike out which ever in not applicable)
8. IDENTIFICATION MARKS:
a)
b)
ADDRESS:
9. VILLAGE :
10. LAND MARK:
11. TALUK / TEHSIL:
12. DISTRICT:
13. STATE: TELANGANA STATE
14. PIN CODE:
15. NEAREST RAILWAY STATION:
16. NEAREST POLICE STATION:
NEXT OF KIN WITH ADDRESS:
(WITH RELATIONSHIP, TELEPHONE NUMBER)
(NOTE: MOTHER / FATHER / OWN BROTHER/ OWN SISTER ONLY)
17. NAME OF THE KIN:
18. ADDRESS OF KIN:
19. KIN RELATIONSHIP:
20. TELEPHONE NUMBER:

3. EDUCATIONAL DETAILS
1. EDUCATIONAL QUALIFICATIONS: STUDYING CLASS VIII
2. PERCENTAGE OF MARKS IN VII CLASS :
3. NAME OF THE SCHOOL: LITTLE FLOWER HIGH SCHOOL
4. OTHER SCHOOL / COLLEGE NAME: NOT APPLICABLE
5. STREAM : S.S.C
6. BOARD: BOARD OF SECONDARY EDUCATION
7. SECTOR: NAMPALLY
8. AREA: CHIRAG ALI LANE, ABIDS, HYDERABAD – 500001.
9. HEAD QUARTERS NAME: HYDERABAD GROUP
10. NAME OF THE UNIT: 1 (T) ARTY BTY NCC
11. CATEGORY: JUNIOR DIVISION / WING
12. WILLINGNESS: YES, WILLING TO UNDERGO TRAINING FOR TWO YEARS.
13. ENROLLED IN NCC PREVIOUSLY: NOT APPLICABLE
14. DISMISSED FROM NCC: NOT APPLICABLE
15. BANK DETAILS:
(a) ACCOUNT NUMBER:
(b) BRANCH DETAILS:
(c) IFSC CODE:
16. AADHAR CARD NUMBER:
17. PAN CARD NUMBER (Cadet / Parents) :
18. MOBILE NUMBER (S) :
19. E - MAIL ID:
20. DATE OF APPLICATION CREATED:
SIGNATURE OF THE CADET SIGNATURE OF THE PARENT
SIGNATURE OF THE ANO SIGNATURE OF THE HEADMASTER

4. DECLARATION ON ACCEPTANCE FOR ENROLMENT
1. I solemnly declare that the answers I have given to the questions in form are true and that no part of them is
false, and I am willing to fulfil the engagement made.
2. I Cadet ___________________________________________ promise that I will honestly and faithfully serve my
Country and abide by the Rules & Regulations of the National Cadet Corps that I will, to the best of my ability,
attend all Parades and Camps as may be required by the Commanding Officer from time to time.
3. I Cadet ______________________________________________ further promise that after enrolment, I will have
no claim on authorities for any compensation in the event of injury or death due to accident during training
camps, courses travelling and while in YEP or any other such NCC events like RDC and IGC.
Place: Hyderabad
Date: July 20 SIGNATURE OF THE APPLICANT
DECLARATION BY PARENT / GUARDIAN
1. I solemnly declare that the answers given in this form are true and that no part of them is false and that my
Son/Daughter/Ward is willing to fulfil the engagement made.
2. I _______________________________ promise that after the enrolment of my Son / Daughter / Ward will have
no claims on authorities for any compensation in the event of any injury or death / due to accident during
training camps, courses travelling and while on YEP or any other such NCC events like RDC & IGC.
3. I understand my Son / Daughter / Ward has no service liability.
4. I _______________________________ promise to make good the prorate residual cost of clothing items issued
if my son / ward does not complete two years of NCC Training.
Place: Hyderabad
Date: July 20 Signature of the Parent / Guardian
CERTIFICATE
1. Certified that the applicant understands and agrees to the conditions of enrolment.
2. Certified that the applicant and his/her parent / Guardian understands and agrees to the conditions of
enrolment.
3.
Place: Hyderabad
Date: July 20 Signature of Enrolling Officer
TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
1. I have examined (Name) Cadet ______________________________ on ____________(date) as per the Medical
standards laid down vide GOI Letter No. 0162/49/NCC dated 19th
March 1949 and consider him / her , fit / unfit
for enrolment as a cadet in the National Cadet Corps.
2. His / Her Blood Group is ________
Place: Hyderabad Signature: __________________
Date: July 20 Designation:________________
(Medical Officer)
MIC Registration No. is ____________
CERTIFICATE
1. Certified that the above applicant understands and agrees to the conditions of enrolment voluntarily.
2. Certified that the School/College/Institution agrees to fulfil the terms and conditions of engagement of NCC unit
under the NCC act in the School/College/Institution.
Place: Hyderabad
Date: July 20 Signature of the Headmaster
CONFIRMED
Place: Hyderabad
Date: Signature of the CO Unit with Office Seal.

5. FORM OF INDEMNITY BOND
To,
The President of India
In consideration of my Ward bearing Reg. No. TS/JD/JW/20 /__________ Name _______________________
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 & Air Wing activities, as the case may be) and while travelling (in domestic / International surface, air and
water transport) and attending Youth Exchange Programmes 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 equivalents from Navy and Air Force, Civilians, MT
drivers or against any other such persons in the service of the government, in respect to any loss or injury – to
the property on person, including injury resulting in death, due to any reasons whatsoever which I may suffer,
while or in consequence of any 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 equivalents from Navy
and Air Force, Civilians, MT drivers in respect of any such loss or injury and I agree as to bind myself, my
executors or administrators or other legal representatives to indemnify the Government or NCC authorities
including officers, JCO’s / NCO’s or equivalents from Navy and Air Force, Civilians, MT drivers 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 said camps, Courses, Adventure
Training travelling and while on Youth Exchange Programme or any other such NCC activities as may be
organised from time to time within or outside the Union of India.
WITNESS SIGNATURE:
1. Signature: _________________ Signature of the Applicant
Name & Address: _______________________ (Teacher) Name: _________________________
LITTLE FLOWER HIGH SCHOOL, Unit: 1(T) ARTY. BTY. NCC,
CHIRAG ALI LANE, ABIDS, HYDERABAD. GROUP: HYDERABAD GROUP.
2. Signature: __________________
Name & Address: _______________________ (Teacher) Signature of the Parent/Guardian
LITTLE FLOWER HIGH SCHOOL, Name: _________________________
CHIRAG ALI LANE, ABIDS, HYDERABAD.
ADDRESS: _______________________
Place: Hyderabad ________________________________
Date: July 20 ________________________________
(Note: In case of SD Applicant being a Minor, Indemnity bond applicable to minor will be used.)

6. TO BE USED FOR EXTENSION OF ENROLMENT
(See Rules 13)
(A) I agree to extend the enrolment for one year and is willing to fulfil the engagement made.
Place: Hyderabad
Date: July 20 Signature of the Cadet
(B) TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT
1. I have examined (Name) Cadet ______________________________ on ____________(date) as per the Medical
standards laid down vide GOI Letter No. 0162/49/NCC dated 19th
March 1949 and consider him / her , fit / unfit
for enrolment as a cadet in the National Cadet Corps.
2. His / Her Blood Group is ________
Place: Hyderabad Signature: __________________
Date: July 20 Designation:________________
(Medical Officer)
MIC Registration No. is ____________
(C) I agree to further extension of one year for enrolment into II year.
Place: Hyderabad
Date: July 20 Signature of the Enrolling officer/ANO/CT.
CONFIRMED
Place: Hyderabad
Date: Signature of the COMMANDING OFFICER.
NOTE: This form will be filled in duplicate under the supervision of the school principal. Photo will be pasted on the
Original and Duplicate. Original form will be maintained at the School, while the Duplicate will be forwarded to GP HQ.

7. NOMINATION FORM
FOR MEMBERSHIP OF THE NCC CADET WELFARE SOCIETY
(TO BE RETAINED AT NCC GROUP HQ)
(SECTION - I)
1 I Cadet (Name in BLOCK Letters) ______________________________ S/O / D/O Shri. (Name in BLOCK Letters)
____________________________ Student of class VIII Of (Name of the College/School) LITTLE FLOWER HIGH SCHOOL, ABIDS,
HYDERABAD of my Enrolment with the NCC on (Date) July 20 with (Name of the Unit) 1 (T) Arty. Bty. NCC Secunderabad -
500000 apply for membership of the NCC Cadet Welfare Society and hereby Subscribe a sum of Rs. (Rupees only) towards
its membership reference.
2 My Father/Mother/Guardian Occupation is _________________________________ and the Annual Income of my family
from all sources is Rs. Lakhs per annuam.
3 I understand that I should be entitled to financial relief as determined by the covering both Managing Committee of the
above society in the events of partial or permanent disablement sustained by me while participating in an organised NCC
Activities. I hereby accept that the decision of the covering body /Managing Committee with regard to quantum of relief to be paid
to me in the event of my partial / permanent disablement will be final and binding on me.
4 I hereby nominee the following persons who will receive financial assistance as per the share indicated and as determined
by the Covering Body / Managing Committee of the above society, which will be final and binding on the following person(s) in the
event of my death while participating in an organised NCC activity:-
SL
No.
Name of the Nominee
( In BLOCK LETTERS)
Age
Relationship
with the Cadet
Permanent Address
of the Nominee
% of Financial
assistance payable
1 Father ______%
2 Mother ______%
(To be filled by the Cadet in his/her own hand writing)
(SECTION - II)
6 My Membership in the Welfare Society and this Nomination Form will be valid only till such time I remain a Cadet in the
Division or Wing of the NCC to which I have been enrolled.
Date: July 20 Full Signature of the Cadet
Place: Hyderabad
Place: Hyderabad Signature of PTO/Signature of Headmaster
Date: July 20
(SECTION - III)
I am willing to allow my Son / Daughter / Ward Name __________________________ to become a member of
the NCC Cadets Welfare Society under the terms and conditions and rules in force of the Society. I also approve of the
nomination made in Section I (4).
(Full Signature of the Father/Mother/Guardian) __________
Date: July 20 . Complete address: __________________________________
Place: Hyderabad __________________________________________________
Witness: Witness:
1. ______________(Signature) 2. ____________________(Signature)
Name: F/O K. SAMPATH KUMAR (A.N.O.) Name: Rev. Bro. SHAJAN ANTONY, (HEAD MASTER)
NCCJ/100217, Tp. No. 71, 1 (T) Arty. Bty. NCC Little Flower High School, Abids,Hyderabad - 500001.
Little Flower High School, Abids, Hyderabad - 500001.
(Note: The witness should be either Gazetted Officer/Head of the Institution/A.N.O./Sarpanch/Village Head.)
SECTION - IV
Receiver a sum of Rs. /- (Rupees Only) as one time subscription and enrolled as a member of the NCC
Cadet Welfare Society during the Cadetship in the Junior/Senior/Division/Wing.
Place: Hyderabad
Date: ___________ (Signature of the CO Unit with Office Seal.)
SECTION - V
(To be filled by the NCC Unit)
Date of despatch of the Nomination Form to Group HQ ________________________________