Application Form Page 3 0f 4 - KKECS

.

DECLARATION BY THE PARENT/GUARDIAN
I have read the rules and regulations of the college, which is applicable for my ward and agree to abide by the same. I shall be responsible for his / her good conduct, attendance and discipline during the period of his / her stay in the College. I understand that promotion / admission to the next higher class is not automatic. I assure that my ward will not indulge in any act which will tarnish the image of the College. If he / she does so, he / she may be expelled from the College. I will not have any claim whatsoever for the refund of fees, if my ward leaves the College on his or her own wish or expelled by the College for breach of conduct, discipline and rules of the College.
Place . .: .........................................
Date . ..: ..........................................	Signature of Parent / Guardian

FOR OFFICE ONLY Office Note
	Admitted to. . .: .........................................		Application No .: .........................................
	Admission No .: .........................................		Fee paid Rs .: .........................................
	Receipt No .: .........................................		Date . ..: ..........................................

	Original Certificate Submitted	Original Certificate Due
	1)___________________________________	1)___________________________________
	2)___________________________________	2)___________________________________
	3)___________________________________	3)___________________________________
	4)___________________________________	4)___________________________________
	5)___________________________________	5)___________________________________
	6)___________________________________	6)___________________________________

. .
Signature of Principal	Signature of Director

. .	Page [1] [2] [3] [4]