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STATE CET CELL (22) NEET-UG- 2016: Preference Booklet UNDERTAKING FOR CASTE VALIDITY CERTIFICATE (As per Government rules to regulate the admissions to the First year of the Full Time Professional Medical and Dental Undergraduate Courses, in the Unaided Private Professional Educational Institutions in the State of Maharashtra, rule no 12.1(d)) I, Mr/Mrs. _____________________________________________________ (Student's Full Name), NEET-UG 2016 State Rank. ___________________________________. NEET-UG- 2016, applying for Health Science Courses as per Merit List. I belong to _________________________ (Name of Caste and Category), my caste Certificate No. ________________________, which is issued by _____________________________. I have applied for caste validity certificate to the office of _________________________________________________________________________ on dated _________________. Till date i have not received caste validity certificate or there is no order or instructions about my claim of caste from the respective said office. I undertake that, my admission against reserved seat is subject to submission of caste validity certificate and if may claim is invalidated. I shall not claim any equity on account of admission against the reserved seat. I also state that, in the event of my claim as belonging to reserved category is invalidated. I shall refund the amount of scholarship received by me, to the State Government. I state that i am aware of the fact that, my admission is subject to the validation of my caste certificate by the Caste Scrutiny Committee and on invalidation, my admission is liable to be cancelled. Name and Sign of Student Name and sign of Parent Date:

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Page 1: UNDERTAKING FOR CASTE VALIDITY CERTIFICATEarmch.org/Undertaking for Caste Validity Certificate.pdfSTATE CET CELL (22) NEET-UG-2016: Preference Booklet UNDERTAKING FOR CASTE VALIDITY

STATE CET CELL (22) NEET-UG-2016: Preference Booklet

UNDERTAKING FOR CASTE VALIDITY CERTIFICATE (As per Government rules to regulate the admissions to the First year of the Full Time

Professional Medical and Dental Undergraduate Courses, in the Unaided Private Professional Educational Institutions in the State of Maharashtra, rule no 12.1(d))

I, Mr/Mrs. _____________________________________________________ (Student's Full

Name), NEET-UG 2016 State Rank. ___________________________________. NEET-UG-

2016, applying for Health Science Courses as per Merit List. I belong to

_________________________ (Name of Caste and Category), my caste Certificate No.

________________________, which is issued by _____________________________. I have

applied for caste validity certificate to the office of

_________________________________________________________________________ on

dated _________________. Till date i have not received caste validity certificate or there is no

order or instructions about my claim of caste from the respective said office.

I undertake that, my admission against reserved seat is subject to submission of caste

validity certificate and if may claim is invalidated. I shall not claim any equity on account

of admission against the reserved seat. I also state that, in the event of my claim as

belonging to reserved category is invalidated. I shall refund the amount of scholarship

received by me, to the State Government. I state that i am aware of the fact that, my

admission is subject to the validation of my caste certificate by the Caste Scrutiny

Committee and on invalidation, my admission is liable to be cancelled.

Name and Sign of Student Name and sign of Parent

Date: