Pro-forma of Undertaking for PG Scholarship (M.E. /M.

Pharm Students)

I …………………………………………………………………………S/o, D/o Shri …………………………………………………………

Am a GATE/GPAT qualified Candidate. My GATE/GPAT Registration Number is ……………………………….

I hereby write this undertaking that:

1. I shall not leave this course in the mid way

2. During the course of studies, I shall not claim/receive any emoluments, salary, stipend, etc.
from any other course.

3. Student belongs to:

General OBC (NCL) SC/ST/PWD Others

If such activity shall be done by me, the authority may take any legal action against me.

Date:…………………………..

Permanent address……………………………………….. Signature……………………………………………...

…………………………………………………………………….. Name:……………………………………………….....

.......................................................................... ID No........................................................

.......................................................................... BITS Address:...........................................

.................................................................

.................................................................
B.I.T.S. Dated:
Pilani (Hyderabad)

To
The Secretary,
University Grants Commission
Bahadurshah Zafar marg,
New Delhi-110002.

Dear Sir,

I, S/o Shri has

been admitted to M.E. of Birla Institute of Technology &
Science, Pilani (Hyderabad) on . I hereby agree to the terms and
conditions laid down by the Government of India, Ministry of Human Resource Development.

1. I have a valid GATE/GPAT Score of in the GATE /GPAT Exam held on

2. I am not in receipt of any other scholarship of fund.
3. I am not in rolls of any other Institute and do not receive any monetary assistance.
4. I will not leave the Institute nor apply for any competitive examination during this tenure.
5. I am obligatory to the required number of working hours laid down by the Institute.

I agree to the terms and conditions set up by the government even if improved are deemed
to be abiding on me.

Thanking you
Yours faithfully,

Name...........................................

ID No...........................................
Name...................................................................

ID No...................................................................

Qualifying Exam..................................................

Name of University.............................................

%age of Marks....................................................

Year and Month Qualifying GATE/GPAT with score................................................

Name of Programme to which admitted......................................................

Date of joining the Institution.......................................................................

(B.I.T.S.)

Likely completing period:..............................................................................