Appendix A

LIST OF DOCUMENTS

1. Income Affidavit/Certificates. The income affidavit will be on a non-judicial stamp paper worth Rs10/- (Rupees Ten only) and to be countersigned by a Sub Divisional Magistrate/ Executive Magistrate. This will also be scrutinized/verified by the Collector of the District concerned. Specimen of affidavit for different categories of parents are attached as annexure as per details given below :

(a) ANNEXURE – I Applicable to Govt & Non Govt salaried parents. (b) ANNEXURE – II/III Applicable to Agriculturist, Business & Other

professionals.

(c) ANNEXURE – IV Income certificates in respect of Ministry of Defence Scholarship in addition to above annexure.

2. Government and non govt salaried parents/guardians are required to furnish a certificate of their total monthly income (including all allowances) from their Head of Deptt/ employer. 3. Agriculturalists/farmers are required to furnish a certificate showing details of size of their agricultural land in acres, whether irrigated or non-irrigated, duly verified by the Tehsildar concerned. 4. Businessmen & other professionals are required to furnish a certificate of their annual gross income from the Income-Tax-Officer concerned. 5. In case of non-income tax payers, an affidavit to this effect that they are not paying income tax will be submitted on a Rs 10/- (Rupees Ten only) non-judicial stamp paper as per specimen attached at Annexure – V. This affidavit will be countersigned by a Sub-Divisional Magistrate/Executive Magistrate. 6. Definition of Income : Monthly income of both the parents i.e. father and mother or guardian means the gross earnings from self employment in the form of Pay, special Pay, Deputation Pay, allowances and Honorarium, Overtime allowance, Pension and/ or in the from of the rent from property, interest from securities, share dividends, money lending, profit from business, trade, agriculture, farming etc. The income from agricultural land will be determined as under :-

Ser No

Agricultural land held with agriculturist

Yearly income to be determined

(a) Income from irrigated land Rs 1000/- per Acre

(b) Income from un-irrigated land Rs 200/- per Acre (c) Income from un-irrigated land in Jodhpur &

Bikaner Division Rs 200/-per Acre

The following will however, be excluded from the total Income :- (a) House rent allowance (b) Travelling allowance (c) Messing allowance (d) Conveyance allowance granted for maintaining conveyance (e) Computer allowance etc. Note : All personnel of above categories who are in possession of land will produce certificate from Tehsildar for land income or a certificate of non possession of land in case no land is held.

7. Domicile Certificate (Bonafide Resident of Rajasthan) (a) This will be obtained from the Collector/Sub Divisional Magistrate of your District. (SADNAGRIK will not be accepted).

8. Category Certificate. Parents have to furnish original as well as photocopy of the documents mentioned below as applicable to them :-

(a) Scheduled Caste/Scheduled Tribe - Original caste certificate and two Photostat copies (Original will be returned on verification).

(b) Ex Servicemen (Defence) - Original and one photo copy of Discharge

Certificate (Original will be returned after verification).

(c) Service Personnel (Defence) - Full particulars of service with rank & No, duly verified by Commanding Officer

(d) Government Pensioners - Pension certificate from Treasury/ Bank (Including discharge certificate )

9. Bond of Agreement. A specimen of the Bond of Agreement for students paying full fees is attached as Annexure-VI and specimen of the Bond of Agreement for other than full fee paying students is attached as Annexure – VII .This will be executed on a Rs 10/- non-judicial stamp paper . Signatures should be attested by any gazetted officer with name, designation and office seal. 10. NDA Bond. A specimen of the bond is attached as Annexure – VIII. This will be executed on a non-judicial stamp paper worth Rs.10/- (Rupees Ten only) and attested by a First Class Magistrate. 11. Transfer Certificate. A Transfer Certificate (TC) will be obtained from the school where your son/ward last studied. A Transfer Certificate (TC) from a school not recognized by the Government will not be accepted. Transfer Certificate must be invariably countersigned by the District Education Officer. 12. Description Of Property. Description of property should be submitted as per specimen attached as Annexure-IX duly attested by Tehsildar concerned. 13. Inoculation/ vaccination certificate (TIKAKARAN). 14. List of clothing & necessaries is attached as Annexure X. 15. Check list of all documents is attached as Annexure XI.

POSTCARD SIZE FAMILY COLOR PHOTOGRAPH WITH CADET

(FATHER, MOTHER, BROTHER/SISTER IF ANY).

FOUR (04) COPIES

CADET INFORMATION SHEET – FOR ADMISSION

Cadet Name ________________________

Latest Passport Size Photo Four (04) copies

Father Name ____________________ OCCUPATION _______________________

Mother Name ____________________OCCUPATION _______________________

DOB_________________ AGE _______ BLOOD GROUP ____________________

Identification Marks 1. ________________________2_______________________

Address : ________________________________________________________ ___________________________________________________________________

PIN _________________ email address _________________________________

Mobile No (1) ________________ (2)__________________ (3) _______________

Local guardian (if any) Name ___________________Mobile No ______________ _________________ _________________ (Signature of parent) (Signature of Notary) NOTE :- Cadets information sheet to be submitted on Rs 10/- (Rupees Ten Only) Non Judicial stamp paper as per the format duly attested by notary.

Annexure – VI

AGREEMENT FORM TO BE EXECUTED BY PARENTS/GUARDIANS OF FULL FEE PAYING STUDENTS AT SAINIK SCHOOLS

THIS AGREEMENT is made this______________day of __________________2019 between Shri _______________S/o Shri ____________________ Village :__________________ PO _______________ Tehsil : ______________ District : __________________________ (hereinafter called the ‘Guarantor’ which expression shall unless excluded by the context or the meaning there of be deemed to include his heirs by the executors, administrators and Legal representatives) of the one part and the Board of Governors Sainik Schools (here in after) called the Governor’s which expression shall unless excluded by the context or the meaning thereof be deemed to include the Principal of Sainik School, Chittorgarh (Raj) of other part. WHERE AS ____________________S/O Sh _________________(hereafter called the student) is son/ward of the guarantor and has at the request of the guarantor been selected for admission to the Sainik School, Chittorgarh inter alia, on the terms and conditions hereinafter appearing for the purpose of receiving education in a Sainik School. NOW IT IS HEREBY AGREED BY and between the parties hereto as follows:- That in consideration of the student being admitted by the Governors to the Sainik School for the purpose of the aforesaid education at the request of the guarantor, he, the guarantor, covenants with the Governors that the student will attend the Sainik School regularly and will observe and comply with all the rules and regulations thereof for the prescribed period and that he, the guarantor, shall pay to Governors regularly and promptly and whenever called upon to do so all the fees prescribed for education in the Sainik School.

That the Governors will not be liable for any damages/charge on account of injuries which may be sustained by the student any time during his stay in the school while taking part in sports or other extra curricular activities of the school or on account of any other reason directly or indirectly related to his stay as a student in the school. All expenses that may be incurred in the treatment of such injuries will be borne by the parent / guardian as provided in the rules of the said school.

And that if there is any dispute as to the effect or meaning of these presents or in any way touching

or arising out of these of presents, the same shall be referred to the sole arbitration of the Board of Governors, Sainik Schools, whose decision shall be final.

IN WITNESS WHERE OF Shri ___________________ has set his hand and Registrar, Sainik School, Chittorgarh by order and direction of the Board of Governors has set his hand the day and the year first above written. Signed by Signed by in the presence of for and on behalf of the (see note (b) below) Board of Governors,

Sainik Schools in the presence of

Note: (a) The agreement form is to be fully stamped. The necessary stamped paper for Rs. 10/- is to be purchased by the guarantor from the Local Revenue Officer. (b) Government servant of gazetted status who should sign together with his seal of office in token of having witnessed the signature of the guarantor.

Annexure VII

AGREEMENT FORM TO BE EXECUTED BY THE PARENTS/GUARDIANS OF STUDENTS OTHER THAN FULL FEE PAYING AT SAINIK SCHOOLS

THIS AGREEMENT is made this ______day of ______2019 between ___________________s/o Shri _________________ (hereinafter called the Guarantor, which expression shall unless excluded by the context of the meaning thereof the deemed to include his heirs, executors, administrator, and legal representatives) of the one part and the Board of Governors, Sainik Schools Society (hereinafter) called the ‘Governors’ which expression shall unless excluded by the context or the meaning thereof be deemed to include the Principal of the Sainik School Chittorgarh of the other part. WHEREAS __________________ S/o ____________________ (hereinafter called the student) is the son/ward of the guarantor and has at the request of the guarantor been selected for admission to the Sainik School, Chittorgarh inter alia, on the terms and conditions hereinafter appearing for the purpose of receiving education with a view to making the Regular Armed Forces, his profession in life, if considered by the appropriate authority to be suitable and if there is any vacancy and if he be selected. NOW IT IS HEREBY AGREED BY AND between the parties hereto as follows:- That in consideration of the student being admitted by the Governors to the Sainik School for the purpose of the aforesaid education at the request of the guarantor, covenants with Governors that the student will attend the Sainik School regularly and will observe and comply with all the rules and regulations thereof for the prescribed period or until he is declared fit for admission to any institution as may from time to time prescribed by the Governors, for training for entry to the Regular Armed Forces and that he, the guarantor shall pay to the Governors regularly and promptly and when ever called upon to do so all the fees as prescribed, if he is not in receipt of any scholarship.

That if for any reasons not beyond the control of either the student or the guarantor the student fails to pursue his studies at the said school before appearing for selection for entry to any institution as may from time to time be prescribed by the Governors for training for entry to the Regular Armed Forces or fails to appear for the said selection or in the event of his not succeeding in the said selection, fails to reappear for selection, till such time as his age permits him to do so, according to the rules and regulations.

For the time being in force or having been declared successful at the said selection does not

proceed to one of the said institutions to which he may be directed to proceed for being trained for entry into the Regular Armed Forces or having joined the said institutions fails to complete the training there at for the entry into the Regular Armed Forces or fails to join the Regular Armed Forces after completing the training at the said institution, then and if any such case the guarantor shall forthwith pay to the Governors in cash the sum the student has received from the School and / or the State Government / Central Government the value of the scholarships he has received for the period the student was at the said school.

That if after admission any of the following viz, proof of domicile, certificate of age and statement of income supplied by the guarantor, is found to be false in any way or not in order the guarantor shall forthwith pay to the Governors in cash the sum the student has received from the school and / or the State Government / Central Government (the value of the scholarships he has received) for the period the student was at the said school.

That if after admission, the student is found to be medically unfit in any way at the time

which might, according to the opinion of the appropriate medical authority, render him unfit for his future entry to the Regular Armed Forces, the student will be withdrawn at once, but it would be open to the guarantor to retain him at the school on payment of the full fee prescribed by the Governors from the date student is found medically unfit.

2

That the Governors will not be liable for any damages/charges on account of injuries which

any be sustained by the student at any time during his stay in the school while taking part in sports or other extra-curricular activities of the school. All expenses that may be incurred in treatment of such injuries will be borne by the parent/guardian as provided in rules of the said school.

And that if there is any dispute as to the effect or meaning of these presents or in any way

touching or arising out of these presents, the same shall be referred to the sole arbitration of the Board of Governors, Sainik Schools, whose decision shall be final.

IN WITNESS WHERE OF Shri ______________________ has set his hand and Registrar,

Sainik School, Chittorgarh by order and direction of the Board of Governors has set his hand the day and the year first above written.

Signed by Signed by in the presence of for and on behalf of the (see note (b) below) Board of Governors,

Sainik Schools in the presence of Note: (a) The agreement form is to be fully stamped. The necessary stamped paper for

Rs.10/- is to be purchased by the guarantor from the Local Revenue Officer. (b) The signature of the guarantor is to be witnessed by any Government servant of gazetted status.

Annexure - VIII

SAINIK SCHOOL, CHITTORGARH (RAJ) NDA BOND TO BE EXECUTED BY PARENT/GUARDIAN

(To be Executed on Non Judicial Stamp paper worth Rs.10/-) I, ________________________ S/o, Shri ________________________ Resident of Vill : _______________ PO ______________________ Tehsil, _____________ District – __________________: Father/Mother of School No : _____________ hereby bind myself that if my son/ward does not take the competitive examination of the Union Public Service Commission for admission to the National Defence Academy and after joining the Academy fails to complete the training there at for the entry into Regular Armed Forces or fails to join the Regular Armed Forces after competing the training at the said Institution, I will refund to the government the value of Scholarship availed by my son/ward during his stay at Sainik School, Chittorgarh. This will also be the position if he leaves the school at any intermediate state without taking the available examination

________________________ Signature of the father/Guardian

Date :

ATTESTED BY FIRST CLASS MAGISTRATE

Annexure- X

LIST OF CLOTHING AND EQUIPMENT TO BE BROUGHT BY THE STUDENTS AT THE TIME OF

JOINING THE SAINIK SCHOOL __________________________________________________________________________ S. No_________________________________________________ Qty____________ 1. Shirt white full sleeves (Terricot) – without pocket 02 No 2. Short white (Terricot) without pocket. 01 No 3. Trouser Black (Pant) (Terricot) – (Civil Pattern) 02 No 4. Vest Cotton half sleeves 03 Nos 5. Underwear 03 Nos 6. Handkerchief white 06 Nos 7 Socks white 04 Pairs 8. Socks Black 04 Pairs 9. Sleeping Suits( terricot/cotton) 02 Nos 10. Pagri (Bottle Green for Sikh boys only) 01 No 11. Pagri (Saffron) for Sikh boys only 01 No 12. Towel bath 02 Nos 13. Bed Sheets White 01 No 14. Sports Shoes (White) 01 Pair 15. Shoes Black Leather New Oxford type with laces 02 Pairs 16. Slippers (Chappal) 01 Pair 17. Steel box size 26”x16” (Black Colour) 01 No 18. Lock with keys in duplicate with chain 02 Nos 19 Hold all (medium size) –(Bedding) 01 No 20. Air Bag 01 No 21 Pillow with two covers (White) 01 No 22. Quilt (During winter Season) -With cover white 01 No 23. Hangers Steel 10 Nos 24. Shirt and Trouser (Private) 02 Pairs 25. Woollen Jersey or Coat (Private) 01 No 26 PT Shoes (Canvas shoes) 02 Nos 27. Other Small Items. Soap bathing & washing, Soap Dish, Shoe Brush, Tooth Brush, Tooth Paste, Boot Polish Black, Blanco white, Hair Oil and Comb, Mirror, , Permanent marker pen, Thread, Needles, Steel Glass for tea, Medium size torch with cells, Geometry Box, Pen, ink, Ball pen, Pencil, Scale, Rubber, Nail Cutter, Coloured Socks & 2 Note books. Note. The following items will be provided by the School (from Clothing Grant/Pocket Money):- 1. Shirt Khaki half sleeves (Terricot) with shoulder Flaps & 02 Nos

both side pocket with flaps (Army Pattern) 2. Trousers Khaki (Terricot) with 3 belt flaps.(Army Pattern) 03 Nos 3. Rain Coat with Cap (Khaki) or Umbrella 01 No 4. Khaki Jersey (school pattern) 01 No 5. House Colour T-Shirts 03 Nos 6. School Blazer 01 No 7. Uniform Items As per requirement. 8. Mattress 6’x3’ (On payment of Rs. 1500/-) 01 No 9. Shirt white full sleeves 02 Nos 10. Short white 02 Nos 11. Trouser Black 02 Nos

Annexure XI

CHECK LIST OF DOCUMENTS

All documents are to be arranged in order as mentioned under :- 1. Admission documents. These documents are mandatory for admission and original are required to be deposited with the school :-

Ser No

Name/description of the document (s) Remarks

(a) Original date of birth certificate with one attested coloured photocopy.

Yes/No

(b) Original School Transfer Certificate (TC) with counter signature of respective DEO/BEO/RBSE/ICSE Regional office

Yes / No

(c) Original Report card with one attested photocopy. Yes / No (d) Four (04) passport size photo of the candidate and Four

(04) postcard size family color photograph (Father, Mother, brother/sister if any).

Yes / No

(e) Passport size photograph of three family members (one separate copy each) who will be coming to meet their ward on Sundays/Holidays/Second Saturdays.

Yes / No

(f) Original copy of Aadhar Card of candidate and parents. Photocopy of the Aadhar Card of candidate seeking admission to be submitted along with other documents.

Yes / No

(g) Cadets information sheet to be submitted on Rs. 10/- Non Judicial stamp paper as per the format duly attested by notary.

Yes / No

(h) A separate character certificate from the previous school, not more than 03 (Three) months old.

Yes / No

(i) Domicile Certificate issued by the appropriate District Authorities.

Yes / No

(j) Caste Certificate, (only for SC/ST Candidates) issued by competent District Authorities

Yes / No

(k) In case of transfer/posting of parents, copy of transfer/posting orders to be provided to the school. Transfer/posting order not to be older than six months (compulsory for direct admission in class VI & IX)

Yes / No

(l) Bond of agreement as per Annexure VI & VII Yes / No (m) NDA Bond (As per Annexure – VIII) duly attested by

Magistrate Yes / No

(n) Service Particulars for Service Personnel/ Discharge Book for Ex-servicemen

Yes / No

(o) Inoculation/Vaccination Certificate (TIKAKARAN) from Govt hospitals

Yes / No

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2. Scholarship documents. For the purpose of Scholarship, individuals are to submit income certificate (from all sources). The following certificate/affidavit as applicable will be treated as valid.

Ser No

Name/description of the document (s) Remarks

(a) Income Affidavit duly countersigned by District Collector Yes / No (b) Head of Department/Employers Certificate for salaried

parents Yes / No

(c) Income Certificate from Tehsildar for Farmers Yes / No (d) Certificate from Income Tax Department &other

professionals Yes / No

(e) Pension Certificate for Pensioners/PPO Yes / No

(f) Income Tax Affidavit for Non-Income Tax Payers Yes / No (g) Certified true copy of the last years Income Tax Return for

income Tax payees Yes / No

(h) Form of Description of the Property – duly attested by Tehsildar

Yes / No

3. Other documents

Ser No

Name/description of the document(s) Remarks

(a) Bond of Indemnity – As per format Yes / No (b) Declaration & Undertaking by the Parents/Guardians Yes / No

(c) Affidavit & declaration by parents & students for Anti-Ragging

Yes / No

(d) Demand Draft for Fee Demand Draft for Rs. 1,33,750/- (Rupees One Lakh Thirty Three Thousand Seven Hundred Fifty Only) for General/Defence Candidates and Rs. 1,32,250/- (Rupees One Lakh Thirty Two Thousand Two Hundred Fifty

only) Only for SC/ST Candidates), drawn in favour of “Principal Sainik School, Chittorgarh” payable at Chittorgarh

Yes / No

(e) Undertaking for payment of increased fee Yes / No (f) Clothing & necessaries – As per Annexure - X Yes / No

INDEMNITY BOND

The President of India, In consideration of _________________________ minor of whom I am the legal/natural guardian being trained at my request in Sainik School, Chittorgarh (Raj).

Name of Child Date of Birth

Father’s Name Mother’s Name

I undertake and agree that neither I nor my executor or administrator or any other legal

representative will make any claim against the Govt or against any Officer/other rank or civilian employees of Sainik School, Chittorgarh (Raj) or against any person in the service of Govt in respect of any loss or any injury to property or person including injury resulting in death which the said minor may suffer.

I further agree so as to bind my self, my heirs, my executors and administrators to indemnify you and any officer or other rank or civilian employees of Sainik School, Chittorgarh (Raj) and any person in the service of the Govt against any claim which may be made by any third party against you or any of them arising out of any act of default on the part of the said minor or in connection with the training being imparted at Sainik School. Chittorgarh (Raj). ________________________ (Signature of parent/Guardian) Witnesses 1. Signature ___________________

Name :______________________ 2. Signature ___________________

Name : _____________________

DECLARATION

I, _______________________________Father/Mother of School No __________ Cadet __________________________ Sainik School, Chittorgarh (Raj), l declare that I will be responsible for my ward’s discipline and good conduct and in the event of being withdrawn from the School, will pay the cost of training as decided by the authorities. I further declare that if my son/ward is involved/found involved in any incident of breach of discipline, I will personally withdraw him from the School without blaming the School authorities and School reputation. Date : Signature _____________________

Name ______________________

Shri _________________________

Address _____________________

Witnesses 1. Signature ___________________ Name :______________________ 2. Signature ___________________

Name : _____________________

UNDERTAKING FROM PARENTS

I, ___________________________ S/o ______________________ hereby undertake, that I will withdraw my child School No _______ Name_________________ from this school, if he does not adjust to the School routine or runs away from School. Being Military based institution, PT, Games and evening stage activities, classes are to be attended by each child. In case my son/ward is not suited to the busy routine of this School or tries to run from School without permission, I will immediately withdraw my child from the School without blaming School authorities and School reputation.

Signature __________________ Name __________________ Shri __________________ Address _________________ Date : Witnesses 1. Signature ________________

Name ________________

2. Signature ________________

Name : ________________

AFFIDAVIT (To be Executed on Non Judicial Stamp paper worth Rs.10/-)

I , _____________________ S/o Shri _____________________________ resident of Village :

_____________________ PO : ______________________________

Tehsil : ___________________ District : _____________________ father of School No

________ Name __________________________ who is studying in class VI/IX in Sainik School

Chittorgarh, hereby declare that I am not paying income tax.

__________________ Signature

Dated :

COUNTERSIGNED

________________________________ Seal Signature of Executive Magistrate/SDM

UNDERTAKING (On Rs 50/- Non Judicial Stamp Paper)

I , _____________________ S/o Shri _____________________________ resident of Village

_____________________ PO : ___________________________ Tehsil : _______________

District : _____________________ father of School No ___________ Name

__________________________ who is studying in class VI/IX in Sainik School Chittorgarh, hereby

declare that I have no any objection and I will pay the fees of the school if increased.

__________________ Signature

Dated :