*To be uploaded on Psft.

UNDERTAKING FOR SUBMISSION OF FINAL RESULTS / MARKSHEET

I ___________________________ (Student Name),S/O,D/O Mr./Ms. _____________________

System Id ______________ want to take admission in _______________________ programme.

I am seeking provisional admission due to non declaration of result of the qualifying

examination by Board/Universityas on date of admission.

I hereby undertake that my provisional admission is deemed to be cancelled if:

1. I do not secure minimum 50 % marks in the qualifying examination.

2. I could not submit the original complete final year results / marksheet / certificate of
______________________________ (Name of qualifying exam) issued by
__________________________ (Name of Board / University) by _____________ (Date).

Date: ______________ ______________________

Student
Name/Signature
________________________
Parent’s Name/Signature

__________________
Authorized Signature