APPENDIX A

Form 1
National Cadet Corps Junior Division /Wing Enrolment Form
(See Rules 7 and 11)

APPLICATION FOR ENROLMENT

1.

What is your Name?

(In Block Capitals)

2.

What is your parent/guardians name

and address?

2
Address:
..
..

3.

Are you a citizen of India, or a subject

of Nepal?

4.

What is your Village, Tehsil or Taluka 4. Village..

and District
Tehsil or Taluka..
District
@ Pin code ..

5.

What is your Post Office?

6.

What is your Railway Station?

7.

What are your educational qualifications?7

8.

What is your age & Date of birth?

9.

In Which School are you now studying? 9..

10.

Are you willing to be enrolled under the 10..

National Cadet Corps Act.1948?

11.

In which unit do you desire to be enrolled?11

12.

Are you willing to undergo service

training as specified in the Act and
the rules made there under?

13.

Are you willing to serve in the National 13..

Cadet Corps until discharged as provided
In the Act?

12..

-214.

Have you ever previously applied for

14
enrolment under the Act, and if so with
what result?

15.

Have you been dismissed from the

National Cadet Corps?

15.

16.

Next of kin with address.

(With relationship)
Telephone No (o)/(R) (as applicable)

16.

@
Place :
Date :

SIGNATURE OF THE APPLICANT

NOTE @
These are not included in the Form I of NCC Act & Rules
DECLARATION ON ACCEPTANCE FOR ENROLMENT
1.
I solemnly declare that the answers I have given to the questions in this form are
true and that no part of them is false, and that I am willing to fulfill the engagement
made.
2.
I
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
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, traveling and while on YEP of any other such
NCC events like RDC and IDC. I understand I have no service liability.

Place :
Date :

Signature of the applicant

-3DECLARATION 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, I will have no claim on authorities for any compensation in the event
of any injury or death due to accident during training camps, courses, traveling and while
on YEP or any other such NCC events like RDC and IDC.
3.

I understand my son/daughter/ward has no service liability

Place:
Date:

Signature of Parent/Guardian

CERTIFICATE

1.

Certified that the applicant understands and agrees to the conditions of enrolment.

2.
Certified that applicant and his parent/guardian understand and agree to the
condition of enrolment.

Place:

Date of Enrolment..
(Unit Seal)
For Minors Only. Score out in applicable portion.

...
Signature of Enrolling Officer

-4TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

I have examined (Name). On
(date) and consider him/her fit/unfit for enrolment as a Cadet in the
National Cadet Corps.

Signature
Designation
(Medical Officer)

Place:
Date:

TO BE USED FOR EXTENSION OF ENROLMENT

(See Rules 13)
My son/daughter/ward agrees to extend the enrolment for one year and is willing
to fulfill the engagement made.
Place:
Date

...
Signature of Parent/Guardian

Confirmed.
Place:
Date

...
Signature of Headmaster

Place:
Date from which extension starts.
NOTE: This form will be retained in the College in which the unit is located.

APPENDIX B
Annexure to Form I
(Application for enrolment)
INDEMNITY BOND
To
The President of India
In consideration of my 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) while traveling (in domestic/international surface, air and
water transport) and attending Youth Exchange Programmes abroad, I undertake and agree that
neither I, nor my other legal representatives will make any claim against the Government or
against NCC Authorities including officers, JCOs/NCOs or their equivalents from Navy and Air
Force, Civilians MT drivers or against any other such person in the service of the Government, in
respect of any loss or injury to the property or person, including injury resulting in death, due
to any reasons whatsoever, which I may suffer, while or in consequence of my participation in
the above activities and I understand that no compensation will be paid by the government or
NCC authorities including officers, JCOs/NCOs or their equivalents from Navy and Air Force or
Civilian MT drivers in respect of any such loss or injury and I agree as to bind myself, my
executors and administrators and other legal representatives to indemnify the Government or
NCC authorities including officers, JCOs/NCOs or their equivalents from Navy and Air Force,
civilians MT drivers or 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 the said camps, courses, adventure training, travelling and while on
Youth Exchange Programme or any other such NCC activities as may be organized from time to
time within or outside the Union of India.

Signature of Parent/Guardian
Name.
Address

Witness
1.

Signature
Name
Address

2.

Signature
Name
Address

Date:
Place:

Annexure-IV
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 (Name in Block letters)

student of Class

of (Name of College/School)
of my enrolment with the NCC on (date)
with (Name of the Unit) 30 ANDHRA BN NCC, CUDDAPAH 516004.
apply for membership of the NCC Cadet welfare Society and hereby subscribe a sum of
Rs. 4/-(Rupees four only) towards its membership ref.
2.

My Father/Mother/Guardian occupation is
and the annual income of my family from all sources is Rs.

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 organized 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 person who will receive financial assistance s 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 persons(s) in the event of
my death while participating in an organized NCC activity:Sl.No Name of the nominee/age Relationship
(in block letters)
with the cadet

Permanent Percentage of
Address of financial assistance
the Nominee payable

1.
2.
(To be filled by the Cadet in own handwritting)
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 enrolle.

Date.

(Full Signature of the Cadet)

:2:
SECTION II

Place
Institution.

Signature of Associate NCC Officer, Head of

Date
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).
Date:

(Full Signature of the

Father/Mother/Guardian)
With complete address.
Address

Witness:

Witness:

1.

2.
(Signature)

(Signature)

Name

Name

Address

Address

Office Seal

Office Seal

Note: The witnesses should be either Gazetted Officer, Head of Instittion, Associate NCC
Officer/Sarpanch/ Village Head.
SECTION IV
Received a sum of Rs.4/- (Rupees Four 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.
(Signature of the CO Unit
with office seal.
SECTION V
( To be filled in by the NCC Unit)

Date of dispatch of the Nomination Form to Group HQ

Note: The Nomination Form will be printed on both sides of a single leaf.