Appendix ‘A’ (Revised 2013)

FORM I

NATIONAL CADET CORPS

SENIOR DIVISION/WING ENROLMENT FORM (see rules 7 and 11 of NCC act 1948)

Name(in
1. 6Name (inBLOCK
BLOCK
LETTERS):
7LETTERS):

2. 6Nationality & Date of Birth:

Nationality & Date of Birth
7(DDMMYYYY)
(DDMMYYYY):
3. 6Father/guardian’s name:
7

4. 6Mother’s name:
7

5. 6Residential Address:
7

6. 6Mobile no.:
7
7. 6 Email-id:
7
8. 6Blood group:
7
9. 6Sex:
7
10. 6Nearest Railway station:
7
11. 6Nearest police station:
7
12. 6Educational qualification:
7
13. 6Identification marks:
7
14. 6Have you ever been
7convicted by a criminal
court & if so what is the
circumstances. What was
the sentence? Attach
relevant documents

15. 6Name of the

7school/college and stream
(Arts/Science/Commerce):

16. 6Willing to be enrolled and

7undergo training under the
National Cadet Corps act
1948?
17. 6NCC Unit to be enrolled in:
7
18. 6Have you ever been
7enrolled in NCC earlier? If
yes your enrollment no.:

19. 6Have you been dismissed

7from the NCC, the
Territorial Army, The
Indian Armed Forces?
Please provide details

20. 6Name of Kin with address.

7(With relationship).
Telephone no. (As
applicable

21. 6Banker’s details:

7
1. Name of the bank

2. IFSC code

4. Branch

3. Bank a/c of cadet

or parent.(attach
copy)

22. 6Aadhar UID no.:

7
23. 6PAN card no (if allotted):
7

Place:

Date: (Signature of applicant)

 DECLARATION ON ACCEPTANCE OF ENROLMENT

1. I solemnly declare that the answers I have given to the questions in this form are
true and 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 to my ability, attend all
the 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, travelling and while on YEP or any other such NCC events like RDC and
IDC. I understand that I have no service liability.

Place:

Date: Signature of applicant

Name:

DECLARATION BY PARENT/GUARDIAN
1. I solemnly declare that the answers given to the questions in this form are true and
that no part of them is false and that my son/daughter/ward is willing to fulfill the
engagement made.

2. I further promise that after enrollment of my son/daughter/ward, I will have no claim

on authorities for any compensation in the event of injury or death due to accidents
during training camps, courses, travelling and while on YEP or any other such NCC
events like RDC and IDC.

Place:

Date: Signature of parent/guardian

Name:

Note: Rs.15 to be paid by each cadet as CWS subscription at the time of enrolment.
 CERTIFICATE
Certified that the applicant and his parent/guardian understand and agree to the conditions
of enrollment.
Place:
Date of enrolment:
(Unit seal) Signature of enrolling officer

TO BE COMPLETED BY MEDICAL OFFICER BEFORE ENROLMENT

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

Place:
Date: Signature___________
Designation (Medical Officer)
Stamp

TO BE USED FOR EXTENSION OF ENROLMENT

(See rule 13)
A. I agree to extend my enrolment for one year and am willing to fulfill the engagement
made.

Place:
Date: Signature of applicant

Confirmed.

Place:
Date: Signature of Commanding Officer

B. I agree to extend the enrolment of my son/daughter/ward and am willing to fulfill the

engagement made.

Place:
Date: Signature of the parent/guardian

Confirmed.

Place: Signature of Head master

Date from which extension starts________
NOTE: This form will be retained in the College/school in which the unit is located.
 Appendix B
Annexure to Form I
(application for enrolment)
INDENMITY 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 and Air
Force Wing activities, as the case may be) and while travelling (in domestic/international
surface, air and water transport) and attending Youth Exchange Programme (YEP) abroad, I
undertake and agree that I, nor my executors or administrators or other legal representatives
will make any claim against the Government or against NCC authorities including officers,
JCO’s/NCO’s, or their equivalents form 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 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 Government or NCC authorities including
officers, JCO’s/NCO’s 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, JCO’s/NCO’s, or their equivalents from Navy and Air Force,
civilian MT drivers, or any other person in the service of Government against any claim which
may be form 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.

Witness: Signature of applicant

1. Signature Name
Name:
No
Address:
Unit/Group

2. Signature Signature of parent/guardian

Name: Name
Address:
Address

Place:
Date:

(NOTE: In case of SD applicant being minor Indemnity Bond applicable to minor is used.)
 Appendix to letter No.19952/DGNCC/CWS dated 05 Feb 91
NOMINATION FORM
FOR MEMBERSHIP OF NCC CADETS WELFARE SOCIETY (to be retained at NCC GP, HQ)
SECTION-1
1) I, Cadet (Name in Block letters)__________________________ son/daughter of Shri (Name in
Block letters)______________________ student of class_________ of (Name of
School/college)_________________________________________________________on my
enrolment with NCC, on date__________________ with (Name of Unit)
______________________ apply for membership for NCC Cadets Welfare Society and hereby
subscribe a sum of Rs.4/-(Rupees Four only) towards its membership fee.

2) My Father/Mother/Guardian’s occupation is ___________________________ and the Annual

income of my family from all sources is Rs.____________________

3) I understand that I shall be entitled to financial relief as determined by the Governing Body
Managing Committee of the above Society in the event of partial of permanent disablement
sustained by me while participating in an organized NCC activity. I hereby accept that the decision
of the Governing Body/ Managing Committee with regard to the quantum of relief to be paid to me
in the event of my practical / permanent disablement will be final and binding on me.

4) I hereby nominate the following person/persons who will receive finance assistant as per the share
indicated and as determined by the Governing body/Managing committee of the above Society
which will be final and binding on the following person (s) in the event of my death while
participating in an organized NCC activity

S.no Name of the Age Relationship Permanent address of the Percent of financial
nominee/ with the cadet nominee assistant payable
nominees(in Block
letter)

(To be filled by the cadet in his own handwriting)

5) 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 been enrolled

Place:

Date: (Full signature of the cadet)

SECTION-II

Place: (Signature of ANO/Head of Institution)

Date:
 SECTION-III

I am willing to allow my son/daughter/ward (name) ____________________________ to

become a member of NCC Cadet Welfare Society under the terms and conditions and
rules in the force of society. I also approve of the nomination made in section 1 (4)

Place:

(Full signature of father/mother/guardian

with complete address)

Witness 1: Witness 2:

(Signature) (Signature)

Full name and address of office Full name and address of office

Seal of witness Seal of witness

NOTE: The witness should be either gazette Officer Head of Institution/Associated

officer/Sarpanch/Village head.

SECTION-IV

Received sum of Rs.15 (Rupees fifteen only) as one time subscription and enrolled as a
member of NCC cadets Welfare Society during the cadetship in the junior / Senior
Division/wing

Place:

Date:
(Signature of OC Unit with office seal)
 SPECIMEN SIGNATURE FORM

No_____________Rank____________Name______________of_______________________
School/college. His/her three specimen signature is as under:-

1. ______________

2. ______________

3. ______________

Signature/stamp of ANO Signature/stamp of Head of Institution

CO/OC Unit