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U.P.

State Entrance Examination (UPSEE-2014)



Format of Undertaking
(Submitted to Coordinator, UPSEE-2014)

Sir,

I, (Name of the Candidate)------------------------------------ S/o ----------------------------------
Roll Number (UPSEE-2014) --------------------------- Combined General Rank--------------
-------------- Category --------------------- Subcategory ---------------------------- hereby
undertake that I have qualified the UPSEE-2014 examination and want to appear in the
counseling of UPSEE-2014.

(Please tick ( ) the point(s) below, whichever is applicable and put a cross ()
whichever is not applicable)
1. I have passed qualifying examination and result of the examination has been declared but
I have not received the Original Mark Sheet so far. I am submitting the attested Internet
Copy of the Result. As per result, I fulfill the eligibility requirement of UPSEE-2014.
2. I have appeared in qualifying examination conducted by the concerned Board/ University
but result of the examination has NOT been declared so far.
3. Final examination of my qualifying examination by the concerned Board / University has
not been conducted so far but is about to be conducted soon.
4. I belong to the Category --------------- (UPBC/UPSC/UPST/GDBC/GDSC/GDST/GDDA)
and required certificate submitted by me as a proof of category is not as per format
mentioned in the Information Brochure.
5. I belong to the subcategory ---------------- (UPAF/UPFF/UPHC) but required certificate
submitted by me as a proof of subcategory is not as per format mentioned in Information
Brochure.
6. I do not have my Character Certificate from the Institution last attended.

7. (Only for PG Program candidates) I have passed required qualifying examination
(Graduation) but the percentage of marks obtained by me in the qualifying exam
(graduation) is below 50 percent (45 percent in case of SC/ST candidates) and I
understand that I am eligible only for those State Universities of UP other than U.P.
Technical University, Lucknow, where admissions are allowed as mentioned in the
Information Brochure. I shall fill up the choices during counseling only for those
Universities where I am eligible for admission.

Declaration
I, (Name of the Candidate)---------------------------------------------------------------- Roll
Number (UPSEE-2014) -------------------------------------------undertake that I will
submit the required document as above at the time of admission in the allotted
college. I understand that failing to submit the required document as above or
after submission of the above required document if I am NOT found eligible for
the program as per Information Brochure (UPSEE-2014), my admission through
UPSEE-2014 Counseling shall stand cancelled.


Date: (Signature of the Candidate)
Place: Roll Number:

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