CAMP FORM TO BE PRINTED IN SINGLE SHEET FRONT & BACK
CAMP FORM Blood Gp
CERTIFICATES IN RESPECT OF CADETS Veg / N.Veg
ARMY ATT CAMP AT PCTC, BENGALURU FROM 05 AUG 2025 TO 16 AUG 2025
Unit : Gp HQ :
Regimental No. Rank and Name of Cadets :
Mobile No.
Father’s name, Mobile No. :
College / School and contact No :
of Principal / ANO
State Govt / Govt Aided /Self Financing/FSFS :
Unit, Location, Group :
1. Volunteer and Risk Certificate. It is hereby certified that I am a volunteer and am willing to attend the camp
/ activity at the location and for the duration given above, to be conducted by the NCC Unit mentioned above, at my
own risk.
2. Drowning/Accident Certificate. I have been instructed and am aware that all water bodies including ponds
and wells in the camp area or in places near the camp site or enroute to the camp site are OUT OF BOUNDS and I am
forbidden to go near any such water bodies. If I do so, it shall be at my sole risk and shall be liable for disciplinary
action as the Camp Commandant deems appropriate. I have been explained regarding the precautions to be taken
against drowning accidents and have understood them.
3. Indemnity 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 / activity (which may include Republic Day Camp or any other camp / activity in India or abroad),
Course, Adventure Training (including Army, Navy and Air Wing activities, as the case may be) and while travelling
(in domestic/international surface, air and water transport) and attending Youth Exchange Programmes abroad, I
undertake and agree that neither I, nor my heirs, executors, administrators or other legal representatives will make any
claim against the Government or against NCC authorities includin0067 Officers, JCOs, NCOs or their equivalents from
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 property or person, including injury resulting in death, due to any reason 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 the Government or NCC authorities including Officers, JCOs, NCOs or their equivalents from Navy
and Air Force or Civilians or MT drivers in respect of any such loss or injury or death and I agree to bind myself, my
heirs, executors, administrators and other legal representatives to indemnify the Government or NCC authorities
including Officers, JCOs/NCOs or their equivalents from Navy and Air Force, Civilians or MT drivers or any person
in the service of Government against any claim which may be from any third party against them arising out of any act
or 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.
Dated this ____________ day of __________ (month) 20____ at ______________________ (place).
Sign of Cadet ________________________
Sign of Witness 1____________________ Address _____________________________________
_____________________________________
Sign of Witness 2____________________ Address _____________________________________
_____________________________________
CAMP FORM TO BE PRINTED IN SINGLE SHEET FRONT & BACK
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4. Parent’s/ Guardian’s Consent. I, ________________________________ (name), resident of
___________________________________________________________________ (address), being the father /
mother / guardian of the cadet whose particulars are given overleaf, do hereby give my consent to my son / daughter /
ward to participate in NCC camps / activities (including adventure training, adventure activities and Youth Exchange
Programmes) that may be conducted in India or abroad and for his / her travel by domestic or international surface, air
or water transport, in the event of his / her being detailed for such camp / activity at his / her own request or on being
so nominated by the NCC authorities. I also agree to all terms and conditions of the NCC organization that relate to
participation of cadets in NCC camps and activities.
Sign of Parent ______________________________ Mobile No: ___________________
5. Attestation by Principal / Head Master of The Institution. Certified that the above named Cadet is a
bonfide student of my College/School studying in class _________________ . He / She has been found fit to attend
the NCC camp / activity and can be spared for the duration of such camp / activity. Also certified that this institution
is State Govt run / Govt Aided / Defence / Self Financed. (PLEASE TICK THE CORRECT OPTION)
Sig and Stamp of ANO ___________________ Sig and Stamp of Principal ___________________
6. Medical Fitness Certificate. Certified that I have examined the cadet whose details have been given overleaf,
in accordance with the standards laid down in NCC Rules and I have found him / her FIT to undergo the NCC Camp
/ activity. I also certify that the Cadet has been inoculated properly and is free from infectious diseases including H1N1.
Date : Signature and stamp of Medical Officer ____________________________
7. Certificate from the CO NCC Unit. Certified that I have explained the orders regarding precautions to be
taken against drowning / accidents and explained to the cadets not to go to locations / areas that have been designated
by the Camp Commandant as ‘OUT OF BOUNDS’. THE CADET HAS SIGNED IN MY presence.
Sig of Cadet ________________ _______________________
Date : Sig and stamp of the CO Unit
Station :
CAMP FORM TO BE PRINTED IN SINGLE SHEET FRONT & BACK
IDENTITY CARD
(This card is valid from 05 AUG 2025 TO 16 AUG 2025)
Regt No ____________________ Rank _______ Name (in capitals) ______________________
College/School _________________________________________________________________
NCC Unit :
NCC Group :
NCC Dte : NCC Dte (Kar & Goa),
Height ______________________Colour of Eyes ____________________________________
Visible Identification Marks : _______________________________________________________
Signature of the Cadet
Passport
size photo
attested by
ANO
Signature of the issuing authority
With seal
