UNDERTAKING FOR PROVISIONAL ADMISSION-PG

(To be submitted on a 10 rupee non judicial stamp paper)

I, (Name of the candidate) _____________________________________________ Son/ Daughter/ Wife of
____________________________________________________
(Fathers/Husbands
Name)
Resident
of
________________________________________________________________________________ (Permanent address) seeking
admission in Pearl Academy in Post Graduate course in _____________________________ cohort 2016-18,
hereby solemnly affirm and declare that I have appeared in the Bachelors / Under Graduation (or
equivalent) Degree in _______________________________ (name of the course) Examination held in
___________(Year) of _____________________________________ (University), the result of which has not yet
been declared and expected to be declared latest by _____________________________ (date).
I am fully aware that my admission to the Post Graduate Course in ___________________________ (name
of the course) at Pearl Academy validated by Domus Academy, Italy is PROVISIONAL and in case I
am not able to submit the required documents by the stipulated date or by 31st December 2016
(whichever is earlier), my provisional admission is liable to be cancelled and I shall have no claim to
the fee paid as per the Pearl Academys refund policy.
I hereby undertake that the information furnished / entries made in the application form are true
to the best of my knowledge and belief and in case of any wrong information/declaration noticed at
any point of time during my course of study at Pearl Academy, my registration/admission is liable
to be cancelled and fee paid will be forfeited for which I will have no claim, whatsoever to the same.
____________________
Date:

_________________________
Signature of Student

CERTIFICATE BY THE PARENT / GUARDIAN:

I __________________________________ Parent / Guardian of _____________________________ hereby undertake
that I have carefully gone through the rules regarding Provisional Admission and fully understand
that in the event of failure of my son / daughter / ward to submit to the Pearl Academy, proof of
his/her passing / clearing the Qualifying Examination for Admission to the Post Graduate Course in
____________________________________ (name of the curse) at Pearl Academy validated by Domus
Academy, Italy by the stipulated date as provided by us in this undertaking or by 31st December
2016 (whichever is earlier), his/her provisional admission will automatically get cancelled and full
fee deposited will be forfeited.
____________________
Date:

______________________________________
Signature of Parent / Guardian
of
______________________________________
Name of Student