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anx3

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anx3

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pinkyxerox
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ANNEXURE-III

UNDERTAKING BY THE STUDENT

Affidavit No :
Date :

To
The Principal
Institute of Management & Information Technology,
Gourav Palace, Matha Sahi, Tulsipur
CUTTACK, Odisha

Subject : Undertaking by the ______________________________________.

Dear Sir,

I,_________________________________, Son/Daughter of _________________________,


aged _________, residing at _________________________________________________________, and
currently a student in the _________________________________ Department pursuing my
_________________________Degree, here by solemnly affirm and declare as follows:

1. I have joined the ________________________________ course in the academic year ______.


2. I hereby solemnly affirm that I am not engaged in any form of Full-time/ Part-time or Visiting
employment with any organization while being a student in the ___________ course.
3. I undertake that I will not engage in any form of Full-time/ Part-time or Visiting employment
during my studentship as a full-time________________________________ student of IMIT,
Cuttack, Odisha, unless otherwise permitted by IMIT under a sponsored project.
4. I understand that if I am found to be indulging in such employment at any time during my
tenure as a full-time_______________________ student of IMIT, Cuttack, Odisha, my
admission to the_____________________________ course will be immediately canceled by the
College. This will be in addition to a financial penalty and other disciplinary actions as deemed
appropriate by the authority on behalf of the University.

Date:

Signature of the Student:


[Full Name of Student]

(The Affidavit form duly prepared in a non-judicial stamp paper of Rs.10/- and signed by 1 st class
Magistrate or Notary).

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