BY REGD POST Tele/FAX: 01274-260850 Sainik School Rewari Email Id: sainikschoolrewari@gmail.com Sector -4, Rewari website : www.ssrw.org (Haryana) – 123401 No.SSRW/TRG/328/2020-21 07 Aug 2020 Parent of Roll No.____________

ONLINE PROVISIONAL ADMISSION TO SAINIK SCHOOL REWARI

FOR THE SESSION 2020-21 : JOINING INSTRUCTIONS Dear Sir/Madam, 1. Your son/ward _____________________________Roll No ______________ has been selected for admission to Class VI/IX in this school.

2. Keeping in view Nationwide lockdown in the country due to COVID-19, online provisional admission will be given to your son/ward subject to his confirming to the age limit given below, online deposit of fee and submission of mandatory admission documents. Candidate who is given provisional admission will be called for final admission/joining the school when the school re-opens after COVID-19 crisis.

(a) Age limit for Class VI. The date of birth should be between 01 Apr 2008 and 31 Mar 2010 (both days inclusive). (b) Age limit for Class IX. The date of birth should be between 01 Apr 2005 and 31 Mar 2007 (both days inclusive).

3. Submission of Mandatory Documents through Online. The following documents are mandatory required for grant of provisional admission. Last date for submission of online documents is 17 Aug 2020 for class VI/IX. These documents are required to be submitted through email at sainikschoolrewari@gmail.com properly scanned in PDF format. Incomplete/ineligible documents will not be accepted. In case of any doubt/query, the same may be resolved on Telephone No. 01274-260850 during 0930 hrs to 1330 hrs on all working days. Original copy of all documents would be required to be submitted at the time of joining of school :-

(a) Birth certificate of candidate issued by respective State Department of Medical Health & Family Welfare. (b) Domicile certificate of parent as per format attached as Appendix ‘A’ or already issued by the State Govt authority. (c) Caste certificate (SC/ST Candidates only) as per format attached as Appendix ‘B’ or already issued by the State Govt authority. (d) Bio-data and address details as per Appendix ‘C’. (e) Copy of Aadhaar Card of Candidate. (f) Digital photograph of cadet (passport size). (g) Marks Sheet/Annual Report Card of class last attended.

Cont’d…….2/-

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(h) Transfer certificate from school last studied duly countersigned by District Education Officer (where applicable). Incase it is not possible due to lockdown, a certificate from the school as per format attached as Appendix ‘D’

(j) Service certificate duly signed by the Commanding Officer of the Unit in the case of defence serving personnel. (k) Ex-servicemen certificate issued by District Sainik Kalyan and Punarwas Officer in the case of ex-serviceman.

(l) Undertaking from the parents with regard to submission of original documents at the time of admission, as per format given at Appendix ‘E’.

4. Payment of online Fee. After submission of documents by the parents as mentioned in Para 3 above, these will be scrutinized by this school and the candidate will be allotted School Number. Parents will be informed about acceptance of documents along with School Number of the cadet. After receiving the acceptance of admission, fee to be deposited through RTGS/NEFT as under:-

(a) Payment of School fees: -

Mode of Payment Account Details

RTGS/NEFT Name : Principal Sainik School Rewari Bank Name : Punjab National Bank A/c No. : 4681000100008477 IFSC Code : PUNB0468100 MICR Code : 123024004 Branch Name: Distt Secretariat, Rewari (HR)

(b) The Details of Fee – Class VI/IX is as follows : - (i) Annual tuition fee Rs. 79,860/- (ii) Annual dietary charge Rs. 29,500/- (iii) Incidental charges Rs.18370/- (iv) Clothing charges Rs.10,000/- (v) Pocket Money Rs.1,500/- (vi) Caution Money (Refundable):-

(aa) For General/Defence category Rs.3, 000/- (bb) For SC/ST category Rs.1, 500/-

Total amount payable For General/Defence category Rs.1,42,230/- For SC & ST category Rs.1,40,730/-

(c) It is reiterated that the fee will be deposited only after intimation from the school as per under mentioned schedule. The fee can be paid in one installment (yearly) or in two installments (half yearly basis) or in three installments (quarterly basis) as per following details :-

(i) Payment of Fee in One Installment:-

S. No

Payment Schedule

Amount Category of Admission

Remarks

(aa) Full fee payment

Rs 1,42,230/-

General/Defence Category

Payment is to be made on the date of provisional Admission

Rs 1,40,730/- SC/ST Category

Cont’d…..3/-

-3- (ii) Payment of Fee in Two Installments (Half Yearly Basis) :-

S. No.

Payment Schedule

Amount Category of Admission

Remarks

(aa) 1st Installment

Rs 75,108/-

General/Defence Category

Payment is to be made on the date of Admission Rs. 74,358/- SC/ST Category

(ab) 2nd Installment

Rs 67,122/- + 100/- (Installment charges)

General/Defence Category

On or before 01 Jan 2021

Rs. 66,372/- + 100/- (Installment charges)

SC/ST Category

(d) After paying school fee, the parent are requested to submit the following details on the school email Id sainikschoolrewari@gmail.com: -

(i) Name of Candidate

(ii) Father’s/Guardians Name

(iii) Roll No.

(iv) Class in which admission sought

(v) UTR No. and date of the transaction of amount

(vi) Name of the Bank from where transfer is made

(vii) Name of Account holder

(viii) Amount of transfer

5. Once the fee is credited in the school account, the candidate will be given provisional admission in the school and the same will be intimated to the parents through email/SMS. Receipt for fee can be obtained from the School at the time of joining of the cadet. 6. Online Classes. After giving the provisional admission in the school, the cadet will be allowed to join online classes for which the parents would have to intimate their WhatsApp/Mobile No in advance. The details of conduct of online classes will be intimated subsequently.

7. Final Admission/Joining the School. As all are aware that the schools are closed due to COVID-19, the same will reopen as per directions from the Central/State Govts/Sainik School Society. Accordingly, final date of admission/joining dates of new entrants will be decided by the School and the same will be intimated to the parents through school website www.ssrw.org. 8. Documents/Items Required at the time of Final Admission/Joining the School. In addition, to the documents (in original) mentioned at Para 3 above, the following documents/items are required at the time of final admission/joining the school:-

(a) Income Certificate duly counter signed by DM/ADM as per format attached as Appendix ‘F’.

Cont’d…..4/-

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(b) Affidavit of income as per Appendix ‘G’.

(c) Agreement between Parents/Guardians and Principal, Sainik School Rewari on Non-Judicial Stamp Paper as per Appendix ‘H’.

(d) Bond to be Executed by Parents/guardians as per Appendix ‘J’.

(e) Health Certificate as per Appendix ‘K’ along with the certificate of TT, TAB inoculation and Hepatitis ‘B’ injections.

(f) Affidavit of Domicile as per Appendix ‘L’.

(g) Affidavit on Anti Ragging by Parent/Guardian on Non-Judicial Stamp Paper as per Appendix ‘M’.

(h) Undertaking on Anti Ragging by the Cadet as per Appendix ‘N’.

(j) Undertaking from the Parents &Cadets regarding refund/recovery of

Scholarship as per Appendix ‘O’. (k) Two postcard size Family Photographs of candidate with parents/guardian, siblings and local guardian, if any, in order to authenticate the identity of the person authorized to visit the cadet. (l) Application for claim of scholarship to Students of Haryana Domicile Only in Sainik School Rewari (if applicable). Format attached as per Appendix ‘P’.

(m) Duly singed Indemnity Bond as per Appendix ‘Q’.

(n) Affidavit on Non Judicial Stamp Paper of Rs.10/- for scholarship claim (for Haryana Domicile only) as per Appendix ‘R’.

(o) 16 copies of coloured passport size photographs of the cadet. 9. List of items to be brought by the candidate at the time of final joining will be intimated after giving provisional admission. 10. Please note that online admission is only provisional and subject to fulfilling all the conditions of admission at the time of physical reporting to the School. Admission will be confirmed only after physical identification of the candidate and verification of original documents. The provisional admission will be cancelled, in case the mandatory criteria is not fulfilled/original documents are not submitted within the stipulated time or any document is found false/incomplete at a later stage, even after confirmation of admission in the school.

Yours faithfully, -Sd/- (S Dhar) Col Principal Enclosures : As above.

APPENDIX ‘A’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

(This certificate is to be issued in the name of the student’s name showing his father’s name)

DOMICILE CERTIFICATE

Certified that Master……………………………………………………………………… Son of Shri/Smt……………………………………..………………….……....is a permanent resident of Village/town……………………………………Tehsil………………………………………….. Sub Tehsil………………………..…..District……………………………………………..and is Domiciled in………………………………….state. 1st/2nd Class Magistrate of District of Domicile Seal

Appendix ‘B’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

CASTE CERTIFICATE

CERTIFICATE OF SCHEDULED CASTE/SCHEDULED TRIBES IN RESPECT OF

CANDIDATE____________________ ROLL NO ___ FOR ADMISSION TO SAINIK SCHOOL REWARI, HARYANA

This is to certify that Master ________________________ Roll No ______ son of Mr/Mrs _______________________________ resident of village/town ______________ Post Office _________________ Tehsil ______________ District _______________ State _________ belongs to the Community/Caste ____________ (Name of Caste) which is recognized as Scheduled Caste/Schedule Tribe under Scheduled Caste and Scheduled Tribe Order (Amended) Act 1965. Master _____________________ son of Shri/Smt ______________________ and his/her family ordinarily reside in the village/town _________________ Post Office _______________Tehsil_______________District________________State ____________. ____________________________ Date : _______2020 (Signature with Name, Designation

And Stamp of the Gazetted Officer) Official Seal COUNTERSIGNED ___________________ Date ____________ 2020 (Signature of DM/ADM) Name _____________________

Office Seal NOTE : THIS CERTIFICATE IS TO BE COUNTERSIGNED BY THE DM/ADM OF THE

DISTRICT YOU BELONGS TO

APPENDIX ‘C’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

SAINIK SCHOOL REWARI (HARYANA)

BIO-DATA AND ADDRESS DETAILS (To be submitted at the time of admission)

1. Name of the student ………………………………………………. (IN BLOCK LETTERS) 2. School No………………….House………………………..Class………………………….

3. Date of Birth ………………………………………………

4. Father’s Name ……………………………………………… (IN BLOCK LETTERS)

5 Residential Address ……………………………………………… ……………………………………………… ……………………………………………… 6. Correspondence Address ……………………………………………… ………………………………………………

(a) Email ID of Father ……………………………………………… (a) Email ID of Mother ........................................................................ (b) Email ID of Guardian ………………………………………………

7. Nearest Bus Stand ……………………………………………… (Distance from Bus Stand) ……………………………………Km 8. Nearest Rly Station ……………………………………………… (Distance from Rly Station) …………………………………….Km 9. Details of family members/relations: a) Mother’s Name ………………………………………………. b) Brother’s Name (i)……………………….Age…….Yrs (ii)………………………Age……..Yrs c) Sister’s Name (i)………………………..Age…….Yrs (ii)……………………….Age……..Yrs 10. Parents/guardian contact/Tele/Mobile:- (a) Name___________________ No…………………………………. (b) Name___________________ No…………………………………. (c) Name___________________ No…………………………………. 11. Specimen signatures of Father/Legal Guardian……………………………………………. -do- Mother ……………………………………………… -do- Elder Brother/Sister ……………………………………………… 12. Name & signature of the person authorized to visit the cadet in hostel/school:-

Name…………………..Signature--------------------------- (One photograph to the authorized person duly signed be attached)

13. Name and address of local guardian if any ……………………………………………… Relationship of local guardian with the boy ……………………………………………… Date: Signature of father/mother/guardian

Contd…….2/-

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14. If you belong to defence category (Army/Navy/Air Force) give following details:-

Whether Serving or

Ex-Serviceman

Present unit & address (if serving)

Personal Number

Present Rank/Rank at the time

of Discharge

Date of Enrolment

Date of Discharge

Name of

Record Office

15. Occupation and Monthly Income of parents/guardian. Relationship Occupation Salary Business/Other

Profession Income from

Property Other

Income Total

Father Basic Pay______ DA___________ Special Pay___________

Mother Basic Pay______ DA___________ Special Pay___________

Total

I solemnly declare that the particulars given above are true and correct to the best of my knowledge and no information has been concealed. In the event any of the above information found incorrect at any time, I undertake to return the full amount of scholarship received on demand without delay and I will have no objection for withdrawal of son/ward from the school and will be liable for any other action as deemed fit and proper by the school authority. (Signature of Father/Mother/Guardian) Place : Date :

Appendix ‘D’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

CERTIFICATE FROM THE SCHOOL

1. This is to certify that Master______________________________________________ son of

Mr/Mrs_____________________________ studied in the school _______________________

(Name of the school) in Class _________ during the session 2019-20.

2. According to the school record his date of birth is ________________________(In words

also) _______________________.

Place : Name & Signature of the Principal Date : Stamp of the Principal Seal of the School

Appendix ‘E’

(Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

UNDERTAKING FROM THE PARENTS/GUARDIAN FOR GRANT OF PROVISIONAL ADMISSION

1. I, Shri/Smt_____________________________________ father/mother/guardian of Master

_____________________ Roll No _________________ hereby undertake to produce all the

documents in original as mentioned at Para 3 and Para 8 of Sainik School Rewari letter No

SSRW/TRG/328/2020-21 dated _____ Jun 2020 at the time of joining/final admission of my ward.

2. I am aware that the admission/provisional admission of my ward may be cancelled by the

School authority at any time in case any document or facts put therein are found false at later stage.

Place : Signature __________________ Date : Name _____________________ Mobile (WhatsApp) No_________

APPENDIX ‘F’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

SCHOOL NO._________

INCOME CERTIFICATE (FOR HARYANA GOVT. SCHOLARSHIP CLAIM)

Certified that per month income of Sh______________________________________________ Father of student________________________________ School No. ______House_________ Resident of Village_______________________________PO____________________________ Distt.______________is Rs.______________including personal and wife’s income. In the name of child has been verified by the Revenue Department as per the details given below:- Income in respect of following

Monthly income from basic pay, special pay & basic pension

D.A. & D.P.

All type of Allowances

Income from land/property

Income from business & sources

Any other income

Total income per month

Self Wife Student Total NOTE : - INCOME CERTIFICATE MUST BE ISSUED WITH SALARY/PENSION

CERTIFICATE ISSUED BY DEPARTMENT, WHICH SHALL INCLUDE ALL TYPES OF ALLOWANCES RECEIVED.

Signature of Individual Report by Patwari Countersigned by Tehsildar Name Official Stamp

APPENDIX ‘G’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

AFFIDAVIT OF INCOME

1. I, …………………………………………father/mother/guardian of…………………………………… (School No……………………) a student of Sainik School Rewari (Haryana) do hereby solemnly declare on oath that my total monthly income from all sources (basic pay, special pay, DA etc. plus income from pension, land/property or business) and including my wife’s income is Rs……………………………(Rupees…………………………………………..) as per the details given below as on…………………………….:- Monthly

income from basic pay, special pay & basic pension

Monthly income from D.A.

Any special allowance

Monthly income from land/property

Monthly income from business/bonus etc.

Any other income

Total income Yearly

Self Wife Student Total 2. I certify that: (Strike out whatever is not applicable)

a) I am in Govt Service/Pvt Service/doing my own business/agriculturist or any other profession……………………(mention here) the work you are doing.

b) My wife is working in……………………(Deptt as…………………)/housewife. c) I am an agriculturist and own…………acres of agricultural land. d) I am doing my own business at………………………….(Name and address of the firm) being

ST/CST No………………………….and permanent Income Tax No………………………….I am filling my income tax return at IT Office……………….regularly.

3. I also guarantee that in case our income is found in excess of that declared above, I shall be liable to refund the entire amount of scholarship awarded to my son/ward and/or any other penalty as may be imposed by the authorities. 4. I am a permanent resident of H. No………………………Vill……………PO……………….Tehsil/Sub Tehsil………………..Distt…………….of……………….State. PRESENT ADDRESS Signature of father/mother/guardian Date…………………………. DECLARATION I further declare that my above statement regarding the total monthly income and permanent place of residence are correct to the best of my knowledge and belief and that nothing has been concealed. Deponent Attested by 1st/2nd Class Magistrate Signature with Seal

APPENDIX ‘H’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

AGREEMENT BETWEEN PARENTS/GUARDIANS

AND PRINCIPAL, SAINIK SCHOOL REWARI

1. This agreement is made this……………day of Month……… Year…………. between Shri………………………………..(hereinafter called the “Guarantor”) which expression shall unless excluded by the context or the meaning thereof be deemed to include his heirs, executors, administrators and legal representatives) of the one part and the Board of Governors, Sainik Schools Society (hereinafter called the “Governors”) which expression shall unless excluded by the context of the meaning thereof be deemed to include the Principal, Sainik School Rewari of the other part.

2. Whereas……………………………..Son of…………………………(hereinafter called the student) is son/ward of the Guarantor and has at the request of the Guarantor been selected for admission to the Sainik School Rewari inter alia, on the terms and conditions hereinafter appearing for the purpose of receiving education with a view to making the Regular Armed Forces his profession in life, if considered by the appropriate authority to be suitable and if there is any vacancy and if he be selected. 3. NOW IT IS HEREBY AGREED BY AND between the parties hereto as follows: 4. That in consideration of the student being admitted by the Governors to the Sainik School for the purpose of the aforesaid education at the request of the Guarantor , covenants with Governors that the student will attend the Sainik School regularly and will observe and comply with all the rules and regulations thereof for the prescribed period or until he is declared fit for admission to any institution as may from time to time be prescribed by the Governors, for training for entry to the Regular Armed Forces and that he, the Guarantor shall pay to the Governors regularly and promptly and when ever called upon to do so all the fees as prescribed , if he is not in receipt of any scholarship. 5. That for any reasons not beyond the control of either the student or the Guarantor the student fails to pursue his studies at the said school before appearing for selection for entry to any institution as may from time to time be prescribed by the Governors for training for entry to the Regular Armed Forces or fails to appear for the said selection or in the event of his not succeeding in the said selection , fails to appear for selection , till such time as his age permits him to do so, according to the rules and regulations. 6. For the time being in force or having been declared successful at the said selection, does not proceed to one of the said institutions to which he may be directed to proceed for being trained for entry into the Regular Armed Forces or having joined the said institutions fails to complete the training thereat for entry into the Regular Armed Forces or fails to join the Regular Armed Forces after completing the training at the said institution, then and if any such case the Guarantor shall forthwith pay to the Governors, in cash, the sum of scholarship the student has received from the school and/or the State government/Central government the value of the scholarship he has received for the period the student was at the said school. 7. That if after admission any of the following viz, proof of Domicile, certificate of age and statement of income supplied by the Guarantor, is found to be false in any way or not in order, the Guarantor shall forthwith pay to the Governors, in cash, the sum of scholarship the student has received from the school and/or the State government/Central government the value of the scholarship he has received for the period the student was at the said school.

Contd...........2/-

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8. That if after admission, the student is found to be medically unfit in any way at the time which might, according to the opinion of the appropriate medical authority, render him unfit for his future entry to the Regular Armed Forces, the student will be withdrawn at once, but it would be open to the Guarantor to retain him at the school on payment of the full fee prescribed by the Governors from the date the student is found medically unfit. 9. That the Governors will not be liable for any damages/charges on account of injuries which may be sustained by the student at any time during his stay in the school while taking part in sports or other extra-curricular activities of the school. All expenses that may be incurred in treatment of such injuries will be borne by the parent/guardian as provided in rules of the said school. 10. And that if there is any dispute as to the effect or meaning of these presents or in any way touching or arising out these presents, the same shall be referred to the sole arbitration of the Board of Governors, Sainik Schools, whose decision shall be final. 11. IN WITNESS WHEREOF______________________________________________ has set his hand and the Principal, Sainik School Rewari by order and direction of the Board of Governors has set his hand the day and the year first above written. (Signed by Parents) In the presence of (see Note (b) below) (Signature with Name & Seal of Gazetted Officer) (Signed by the Principal, Sainik School Rewari) for and on behalf of the Board of Governors, Sainik Schools Society Note : (a) The agreement form is to be duly stamped. (The necessary stamped paper of minimum

value Rs.3/- is to be purchased by the Guarantor from the Local Revenue Officer) (b) The signature of the Guarantor is to be witnessed by any government servant of

Gazetted status (Attestation by the Notary Public not acceptable) (c) The space provided for the date in the 1stpara of the Agreement Form should not be

filled by the Guarantor in advance. This will filled in on the date on which the Agreement will be signed by the Principal Sainik School.

APPENDIX ‘J’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020) (ONLY FOR HARYANA DOMICILE)

(The Bond is exempted from stamp duty. To be submitted in duplicate)

BOND TO BE EXECUTED BY THE PARENTS OR GUARDIANS OF SCHOLARSHIP HOLDERS OF SAINIK SCHOOL REWARI

Know all men and these presents that we (1) Shri………………………………......................... son of ………………………….……..resident of………………………………….(hereinafter called the father), Shri……………………………..resident of…………………………..(hereinafter called the first surety) and Shri………………………resident of………………………………………………………………… (hereinafter called the second surety) do herein bind ourselves, our heirs, executors, administrators and legal representatives jointly and severally to pay unto the Governors of Haryana (hereinafter called the Govt. which expression, shall , unless excluded by or repugnant to the context , include his successors in office and assigns) on demand and without demur the sum of amount of scholarship granted by the Haryana Govt. together with interest thereon from the date of demand at Govt. rates for the time being in force on Govt. loan:- Signature dated this………………………….day of…………………… Signature of the (Father)………………………………………………… Signature of the first surety (1)…………………………………………… Signature of second surety (2)……………………………………………. Whereas the above bounden father/mother/guardian is the parent of the minor (boy/student)…………………………….(hereinafter referred as the student) who has been admitted to the Sainik School Rewari (hereinafter referred to as the school) for the purpose of receiving education with the object of joining the Regular Armed Forces of India, if considered suitable and selected by appropriate authority at the conclusion of studies in school. And whereas at the request of the Principal, the Govt., has agreed to pay to the student for the period of 07 years from Apr 20, a yearly scholarship including clothing allowance (if granted) at such rate as may from time to time be sanctioned by the Govt. in respect of fee and clothing etc. on the condition inter alia, of the principal and sureties executing a bond. And whereas the above bounden persons have executed the above written bond. Now the conditions of the above written bond are that:- 1 The student shall regularly and diligently pursue his studies at the school and take and go on taking National Defence Academy Examination, so long as his age permits him so to do according to the rules and regulations for the time being in force for entry to the Regular Armed Forces of India, till he is selected therein and when selected the student shall proceed to the institution to which he may be directed for being trained for entry into the Regular Armed Forces. 2. The student shall observe and comply with all the rules and regulations regarding the study, discipline and conduct as may be prescribed by the authorities of the school from time to time. 3. The school shall show diligence in the promotion of his studies at school and strictly confirm to the rules for the award of scholarship framed by the Govt and the instructions which may be issued by the Govt from time to time. Cont’d…2/

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4. That if for any reasons not beyond the control of either the student or the Guarantor, the student fails to pursue his studies at the said school before appearing for selection for entry to any institution, as may from time to time be prescribed by the Govt. for training for entry to the regular Armed Forces or fails to appear for the said selection till such time as his Age permits him to do so, according to the rules and regulations for the time being in forces or having been declared successful at the said selection does not proceed to one of the said institutions to which he may be directed to proceed for being trained for entry into the Regular Armed Forces or fails to join the Regular Armed Forces after completing the training at the said institution, then and if in any such case, the Guarantor shall forthwith pay to the Govt. in cash the sum of scholarship the student has received from the school and/or the State Govt. the value of the scholarship he has received for the period the student was at the said school. 5. The above bounden persons shall communicate any change in his income to the Principal, Sainik School Rewari immediately. 6. The student shall not leave the school at any intermediate stage. 7. On default or break of any of the above mentioned conditions, the above bounden persons shall well and truly repay all money paid to the student on account of scholarship and clothing allowance, if granted, with interest thereon from the date of demand at Govt. rates for the time being in force on the Govt. loan then the above written bond or obligation shall be void, otherwise the same shall remain in full force and virtue. 8. Provided always that if it comes to the knowledge of the Govt. that a scholarship or part thereof has been obtained on the basis of false furnished by the principal the amount of scholarship so obtained shall become immediately re-payable on demand and may be recovered from the principal and the sureties jointly and severally.

9. Provided further that the liability of the sureties under this ground shall not be affected by Govt. giving time or showing any other indulgence to principal and that Govt. may sue the sureties or and them suing the principal, the stamp duty , if any, on this document shall be borne by the Govt. (Father) In the presence of witness (Signature with full address) (with name & full address) (other than the sureties mentioned at the opening Para above) 1. ……………………………… ……………………………… 2. ……………………………… ……………………………… Certified that the principal and /or sureties are solvent to the extent the amount of the bond given above. (Signature of the Revenue Officer) Date ………….. with seal (Name…………………………….) In block letters

Accepted for and on behalf of the Governor of Haryana (Signature Block)

Appendix ‘K’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

NOTE :- THIS PROFORMA SHOULD BE COUNTERSIGNED BY THE GOVERNMENT HOSPITAL COMPETENT MEDICAL AUTHORITY

HEALTH CERTIFICATE

1. This certificate must be filled up and signed by the parent/guardian before the boy is sent to the school. The suppression of important information as to past and present health or as to exposure to infection is liable to be regarded as a breach of contract.

Name __________________________________ School No ________Age ________

2. Has he had chicken pox ____________ If So, when __________ Diphtheria ____________ If So, when __________ Rubella (German Measles) ____________ If So, when __________ Small Pox ____________ If So, when __________ Enteric Fever ____________ If So, when __________ Rheumatic Fever ____________ If So, when __________ Moles ____________ If So, when __________

3. Has he been successfully :- (a) Vaccinated for Small Pox ____________ If So, when __________

(b) Revaccinated for Small Pox ____________ If So, when __________ (c) Inoculated against Typhoid ____________ If So, when __________ (d) Hepatitis ‘B’ Injection ____________ If So, when __________ 4. Actively immunized against :- (a) Diphtheria ____________ If So, when __________ (b) Tetanus ____________ If So, when __________ (c) Whopping Cough ____________ If So, when __________ (d) Any other disease? ____________ If So, when __________ 5. Has he:- Had fits? ____________ If So, when __________ Had any discharges from the ear? ____________ If So, when __________ Had in-continence urine? ____________ If So, when __________ 6. Has he had any surgical operation? If so, give particulars and date _______________ 7. Has he had any serious illness? If so, give particulars _________________________ 8. Does he suffer from any ailment or constitutional peculiarity affecting the general health, eg, Night Blindness ____________________________________________________ 9. Is he in your opinion fit in all respects for ordinary school life ____________________ 10. Is there any other information that you think the Medical Officer should have? ______ 11. Does the boy wear glasses? ________ (if so, the prescription may be attached with the certificate).

_____________________________ Date ______ 2020 (Signature in full of Parent/Guardian)

COUNTERSIGNED

Medical Officer

APPENDIX ‘L’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

AFFIDAVIT OF DOMICILE (On a non-judicial stamp paper of minimum value of Rs.3/- only)

1. I,………………………………………….father/guardian of…………………………………… (School No………………..) a student of Sainik School Rewari (Haryana) do hereby solemnly declare on oath that my state of domicile is Haryana and on a permanent resident of House No. ……………..Village/Town……………………………..PO…………………………………………… Tehsil…………………………………………..Sub………………………….Dist……………………. 2. I also guarantee that in case my domicile is found incorrect or false, I shall be liable to refund the entire amount of scholarship awarded to my son/ward and/or any other penalty as may be imposed by the authorities. Deponent (Signature of father/guardian) Address………………………………… …………………………………………. …………………………………………. I further declare that my above statement regarding my state of domicile is correct to the best of my knowledge and belief and that nothing has been concealed. Deponent Seal Attested by

APPENDIX ‘M’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

ANTI RAGGING AFFIDAVIT BY FATHER

1. I, Mr/Mrs/Ms_____________________ (full name of parent/guardian) father/mother/guardian of _____________________________ (full name of student with registration/enrolment number), having been admitted to Sainik School Rewari (Haryana) am fully aware of what constituted ragging. 2. I am also fully aware of the penal and administrative action that is liable to be taken against my ward in case he is found guilty of indulging in or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 3. I hereby solemnly aver and undertake that

(a) My ward will not indulge in any behaviour or act that may be constituted as ragging. (b) My ward will not participate in or abet or propagate any act of commission or omission that may be constituted as ragging.

4. I hereby accept that, if found guilty of ragging, my ward is liable for punishment without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time being in force. 5. I hereby declare that my ward has not been expelled or debarred from admission in any institution in the country on account of being found guilty of abetting or being part of conspiracy to promote ragging ; and further affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be cancelled. Declared this ______________day of______________________ Month of ______________Year. _________________________ Signature of deponent Name: FullAddress : Telephone/Mobile No_____________

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at ______________________ (place) of this the____________(day) of_____________(month), _____________(year) _____________________________ Signature of deponent Solemnly affirmed and signed in my present on this the____________(day) of_____________(month),_____________(year) OATH COMMISSIONER

APPENDIX ‘N’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

ANTI RAGGING UNDERTAKING BY THE CADET

1. I,____________________________(full name of student with registration/enrolment number)

son of Sh/Smt__________________________resident of__________________having been admitted

to Sainik School Rewari(Haryana) am fully aware of what constituted ragging.

2. I am also fully aware of the penal and administrative action that is liable to be taken against me

in case I am found guilty of indulging in or abetting ragging, actively or passively, or being part of a

conspiracy to promote ragging.

3. I hereby solemnly aver and undertake that

(a) I will not indulge in any behaviour or act that may be constituted as ragging.

(b) I will not participate in or abet or propagate any act of commission or omission that

may be constituted as ragging.

4. I hereby affirm that, if found guilty of ragging, I am liable for punishment without prejudice to

any other criminal action that may be taken against me under any penal law or any law for the time

being in force.

6. Declared this ___________day of________________Month of______________Year.

Signature of student___________________

Name:______________________________

Father’s name________________________

Full address_________________________

__________________________________

__________________________________

Date :

Appendix ‘O’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

UNDERTAKING FROM THE PARENTS & CADETS

1. The primary aim of Sainik Schools is to prepare the boys academically, physically and mentally for entry into the National Defence Academy. In order to achieve this aim, extra classes are conducted for the cadets. In addition, the school will be conducting personality development and SSB orientation programmes by engaging the services of qualified expert. The government invests a lot of money by providing scholarships in order to encourage the cadets to join NDA. A cadet who does not show any interest in attending these classes and gives applications asking to be excused from attending programmes organized by the school/indulging in indiscipline is willfully going against the laid down rules and regulations. 2. As per Rule 3.38 of Sainik Schools Society Rules & regulations, all students are liable to appear for tests, interviews and medical examination training Institutions to which they are to report. Failure to fulfill this liability, or attempts to leave these Institutions prematurely or willful attempts on the part of such boys to undertake this as a procedural formality only will make the parents/guardians liable to refund the entire amount of scholarship/subsidy enjoyed by such students. 3. Similarly as per Rule 3.32 and Rule 4.11 of Sainik Schools Society Rules & regulations if the conduct, behavior or influence of a cadet is detrimental to the general discipline of the school, or if the academic performance is not upto the laid down standard, the scholarship money may be withdrawn and necessary steps will be taken to refund the scholarship right from the time of joining the school. 4. IF CADET INDULGES IN ACTS OF INDISCIPLINE LIKE BUNKING, NOT ATTENDING FALL INS, NOT REPORTING ON TIME, CAUSING DAMAGE TO SCHOOL PROPERTY USING HEATERS, BRINGING MESS UTENSILS/ MESS FOOD TO HOUSES, USING MOBILE PHONES, AND ELECTRONIC GADGETS, BEING ABSENT WITHOUT LEAVE, SHOWING DISRESPECT TO THE STAFF IN ANY MANNER AND OTHER ACTS OF GENERAL INDISCIPLINE, IT WILL LEAD TO DISCIPLINARY ACTION AGAINST HIM, LEADING TO EXPULSION FROM THE SCHOOL AS WELL AS RECOVERY OF THE SCHOLARSHIPS/SUBSIDIES IN FULL. 5. Any changes in contact number specially for defence personnel will be intimated to school by the parent. 6. School Administration will take strict action against the cadet for the following acts: - (a) Leaving School without permission /without leave. (b) Timely Payment of fee. I, HAVE READ AND FULLY UNDERSTOOD THE RULES MENTIONED ABOVE AND HEREBY UNDERTAKE TO ABIDE BY THE SAME.

Date: Name : School No: House :

COUNTERSIGNED BY PARENT

APPENDIX ‘P’ (Refer to Sainik School Rewari letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

SCHOOL NO________

APPLICATION FOR CLAIM OF SCHOLARSHIP TO STUDENTS OF HARYANA

DOMICILE ONLY: STUDYING IN SAINIK SCHOOL REWARI (IF APPLICABLE)

1. Name of Student __________________________________________________ 2. Father’s Name __________________________________________________ 3. Class 4. School No, & House __________________________________________________ 5. Permanent Home Address __________________________________________________ ___________________________________________________________________________________ 6. Father’s occupation & annual income (P.A.) ______________________________________________ 7. Office/Name of commercial body ___________________________________________ (Signature of Student) I solemnly declare that the above information submitted by my son/ward is correct to the best of my knowledge and I am liable for trail in the court of law for any of above information which is found incorrect or false. (Signature of Father/Mother) Name___________________ Place:________________ Address_________________ Date:________________ ________________________ ________________________

Certified that Master_______________________ Roll No ________________________is studying in class _______________in Sainik School Rewari. He secured ____________% marks in the final exam of previous class. His attendance is regular and he bears a good moral character. I Recommend his case for grant of scholarship. Principal Sainik School Rewari (Sig. with Rubber Stamp) NOTE : CLAIM RECEIVED WITHOUT SUPPORTING DOCUMENTS WILL BE SUMMARILY REJECTED. ATTACH COPY OF DOMICILE CERTIFICATE, SC/ST CASTE CERTIFICATE , AFFIDAVIT, MARK SHEET OF FINAL EXAM, INCOME CERTIFICATE ALONGWITH PAY/PENSION CERTIFICATE DULY SINGED BY THE COMPETENT AUTHORITY. DOMICILE CERTIFICATE MUST BE ON STUDENT’S NAME SHOWING FATHER’S NAME

APPENDIX ‘Q’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

INDEMNITY BOND

In consideration of my ward school no……………..Name ………………………………being nominated either by the school authorities or at his own request as a participant in any school activity such as Educational Visit, Adventure tour, Mountaineering Expedition, Motivational Tour, Swimming, Horse Riding, Sports and Games, other training activities, NCC, Entertainment programs (magic show, circus show etc.), while travelling (in domestic, International surface, Air and Water transport) and attending youth exchange programs abroad, I undertake and agree that neither I nor my other legal representative will make any claim against the government or against school authorities including officers and staff members or against any such person in the service of the government, in respect of any loss or injury to the property or person, including injury resulting to the death, due to any reason what so ever which my ward may suffer while or in consequence of his participation in the school activates and I understand that no compensation will be paid by the government or school authorities including Officers and staff members of any such loss or injury and I agree as to bind myself, my executors and administrators and other legal representatives to indemnity to the government or school authorities including officers and the staff members in the service of the 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 his part during or in connection with the said programs, educational trips etc. or any other school activates as may be organized from time to time within or outside the union of India.

……………………………………… Signature of Parents/Guardian Name ………………………………. Address ............…………………… ……………………………………..

Witness:

1. Signature……………………………………………. Name…………………………………………………. Address……………………………………………… ……………………………………………………… Mob. No……………………………………………..

2. Signature……………………………………………. Name…………………………………………………. Address……………………………………………… ……………………………………………………… Mob. No……………………………………………..

Date: Place:

APPENDIX ‘R’ (Refer to Sainik School Rewari Letter No SSRW/TRG/328/2020-21 dated ___ Aug 2020)

AFFIDAVIT MUST BE ON NON-JUDICIAL STAMP PAPER OF RS. 10/-

SCHOOL NO_________________

ANNEXURE FOR SCHOLARSHIP CLAIM (FOR HARYANA DOMICILE ONLY)

AFFIDAVIT

I,____________________________S/O_________________________________________ Resident of________________________________________________________________ do hereby solemnly affirm and declare as under: 1. That I am a permanent resident of________________________________________ ___________________________________________________________________ 2. That my son_______________________________________________ School No/ House ________________is studying in Sainik School Rewari in class____________________ 3. That my son is neither getting nor claiming any type of scholarship or educational assistance/stipend/allowance from any Govt./Semi Govt or Pvt. Sources. Deponent

VERIFICATION I hereby declare and confirm that the contents of this affidavit are true and correct to the best of my knowledge and belief therein. Deponent Date:_______________________ Place_______________________

Attested by Notary Public/1st Class Magistrate