Annexure III – Risk Certificate

(Refer to Para 16 (b) of Joining Instructions)

CERTIFICATE TO BE SIGNED BY PARENT/GUARDIANS OF CANDIDATES
SELECTED FOR TRAINING AT THE NATIONAL DEFENCE ACADEMY,
KHADAKWASLA, PUNE - 411023
I, (Name) father / guardian of (Name)*
who is a candidate for training as Cadet in the National
Defence Academy, Khadakwasla for a regular commission in the Army or Navy or Air Force,
hereby certify that, I fully, understand that my son/ward@ will do so with my full and free
consent
and at my own risk, and that I or my son or ward or any of `my legal heirs shall not be entitled to
claim any compensation or other relief from the Government of India in respect of any
injury/infirmity/death, which my son/ward may sustain in the course of or as a result of
training/other activities or where bodily infirmity or death results in the course of or as a result of
surgical operation performed upon him or anaesthesia administered to him for the treatment of
any
injury received as aforesaid or otherwise at the said National Defence Academy, or during any
activity undertaken any where in the country or abroad as a cadet of the National Defence
Academy.
Place :
(Signature of father of guardian)
Date :
()
Signature of witness
Name
Address
* Name of the cadet be filled in this Appendix as per College/School records.
@ Delete whichever is not applicable.
Note : Certificate to be on non Judicial Stamp paper with stamp fee is in vogue in the State
where the Certificate is executed by Father/Guardian. Signature is to be witnessed by a serving
or
pensioned Commissioned Officer or any Civilian Government Servant of Gazetted Status.
23
RISK CERTIFICATE:

I _________________father/guardian of _________________ who is attending SSB

interview hereby certify that I fully understand that my son/ward will, if

required, attend Services Selection Board with my full and free consent and

at my own risk and that I or my son/ward shall not be entitled to claim any

compensation or retest for the same course or any other relief from the

Government in respect of any injury which my son/ward may sustain in the

course of or as a result of any of the tests given to him at the said Service

Selection Board whether due to negligence of any person or otherwise.

Place:

Date:

Signature of father/guardian