CHINMAYA INSTITUTE OF NURSING, BANGALORE

UNDERTAKING I hereby declare that I have read the prospectus and have fully understood the rules and regulations and their implications. I have understood that in the event of violating the rules and regulations, I am liable to immediate dismissal from the Institution. Further, I agree to undergo the course for its full duration, and undertake to fulfill the terms and conditions of the course. In the event of my discontinuing or being dismissed or removed for unsatisfactory conduct before the completion of the entire period of the course, I bind myself to pay such penalties, damages and other amounts as are required. Place: ………………………… Date : ……………………….... Signature of Applicant COUNTERSIGNED BY PARENT I assure you that my daughter Miss…………………………………….. shall abide by the undertaking given above. Signature of Parent Name and full address of Parent ……………………………. ……….. ……………………………………… ……………………………………… ……………………………………… To The Principal Chinmaya Institute of Nursing Chinmaya Mission Hospital Compound C.M.H.Road Indiranagar BANGALORE-560 038