I hereby certify that none of my brothers/sisters has/have been admitted in medical/dental college through Kendriya Sainik Board against Central Pool reserve seats in the past.

I hereby agree, if admitted to conform to the rules and regulations in force that may, hereafter be made for administration of the college and its associated hospitals. I undertake that so long as I am a student of the college either inside or outside, not to do any thing that will interfere with its orderly working and discipline.

Certified that all particulars given by me above are true and any false statement will disqualify my candidature for admission to MBBS/BDS Courses. I also undertake abide by the conditions mentioned in the instructions.