CERTIFICATE - I
CHILDREN OF SERVING ARMY PERSONNEL HAVING 10 YEARS CONTINUOUS
SERVINCE IN THE ARMY, RETIRED/RELEASED/DISCHARGED AFTER 10 YEARS
OF SERVICE/KILLED IN ACTION/DIED DURING SERVICE/DISABLED IN
ACTION/MEDICALY BOARDED OUT WITH PENSION
(By OC Unit/Army Personnel Branch/DSS & A Board/Record Office)
1. Certified that Mr/Ms______________________ is Son/Daughter of No._________________
Rank___________ Name_____________________Unit_______________________ who has 10
years of continuous service in the Army from ________________to_______________.
2. Certified that Mr/Ms_____________________is Son/Daughter of No._________________
Rank___________ Name__________________ who has been released/discharged from Army after
10 years of continuous service from ________________to_______________.
3. Certified that Mr/Ms______________________ is Son/Daughter of No._________________
Rank___________ Name_____________________ who has been granted/awarded regular
pension, liberalized family pension, family pension or disability pension at the time of his
superannuation, demise discharge, release medical board/invalided medical board.
4. Certified that Mr/Ms______________________ is Son/Daughter of No._________________
Rank____________ Name_________________________ ex recruit No. ____________________
Name ____________________who has medically boarded out and granted disability pension.
Place: OC Unit/Head of Department/
Records Office/DSS & A
Board
Date: Name
Designation
Office Seal
Name and signature of candidate_________________________________________________
Name and Signature of Parent __________________________________________________
Notes:
1. Strike out the portion which is not applicable.
2. If retired/released with pensionary benefits, attach certificate from pension paying authority.
3. If retired/released on medical grounds with disability pension, attach copy of medical board
proceedings.
4. If released/discharged after 10 years of service, attach copy of discharge certificate/release
order.
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WILLINGNESS CERTIFICATE
(For All Categories)
I, ___________________________________________________________,son/daughter
of________________________ do hereby, declare and affirm that I am willing to do B.A.
LL.B. 5 Year Course/LL.M Course at Army Institute of Law, Mohali. I will deposit the fee on the
date of admission. I will abide by all the rules and regulations of admission as mentioned in the
prospectus and as instructed from time to time. I also accept that the decision by the Chairman
AIL/ AIL Management on the issue relating to my conduct on campus/ hostel will be binding
Place _____________________ Signature of Applicant
Date_____________________
Name _______________
Address _____________
Signature of Parent
Name _______________
Address _____________
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MEDICAL FITNESS
(By OC MH / Registered Practitioner)
(For All Categories)
It is certified that I have carefully examined Mr/Miss. ______________________________
Son / Daughter of _______________________________ and further certify that he / she
has good physical and mental health and is free from any disability likely to interfere in his /
her undergoing ____________________________________________________ Course.
He / She has no abnormality in the heart and lungs and no history of mental disease or
epileptic fits. His/Her major test results are as under: -
Height ____________________ Cms
Weight ____________________ Kgs
Chest _____________________ Cms Expanded ______________________ Cms
Vision : - Better Eye Worst Eye
(i)Distance Vision (Corrected)
(ii)Near Vision (Corrected)
Hearing.
Blood Group
Signature of OC MH/
Registered Medical
Head of Department
Place:Name
Designation
Date :Office Seal
v
AFFIDAVIT
(For All Categories)
I ______________________________ S/D of _____________________________
R/o _____________________________________________________________________
do hereby affirm and declare as under :
1. That I had / did not have Punjabi as a subject in my 10th Examination.
Date : ________________ DEPONENT
VERIFICATION
This is to verify that the above contents are complete and true to the best of my
knowledge and understanding.
Date ________________ DEPONENT
Place _______________
Note :
1. This is a sample
2. Affidavit has to be made on a Rs. 5 stamp paper and attested by a Notary/Oath
Commissioner.
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