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SARTII MPSC STATE SERVICES 2024-25 CANDIDATE UNDERTAKING
1, MrJMs. Alishay shar ‘Ingle SonDaughter of
of
Shri Kishor Ramieushna Tingle Resident
Ruldane Tal. _ Buldana. Dist. _Buldanar of
‘Maharashtra State do hereby, confirm and agree to abide by the following conditions, for undergoing,
‘Coaching for MPSC. STATE SERVICES Examination at
oe (Name of Institute and Address), 1 understand that, T
will undergo Regular Coaching for MPSC STATE SERVICES Examination, at the above
‘mentioned coaching Institute, punctually.
1. Since the fees for my coaching for MPSC STATE SERVICES Examination will be paid by
CChhatrapati Shahu Maharaj Research, Training and Human Development Institute (SARTHD,
051894
6 | DOMICILE CERTIFICATE v 3188
CERTACATE OF GRADUATION(assed on date of
7 | verification) -
| eon 4 A6R6A114 0092.
9 | PaNcaRD = ATNPLOGIOC
To | TWO PASSPORT SIZE COLOUR PHOTOS zs
11 | One CLEAR COPY OF FIRST PAGE OF PASSBOOK OF BANK —
IN CASE OF SPECIALLY ABLED CANDIDATE, SELF
12 | ATTESTED CERTIFICATE VERIFYING THE SAME (Write NA if vw MYO 6091995046584
not applicable)
IN CASE OF ORPHAN CANDIDATE, SELF ATTESTED
13° | CERTIFICATE VERIFYING THE SAME (Write NA if not ny
applicable)
14 | ANY DOCUMENT FOR PROOF, IN ANY CHANGE IN NA
NAME/SURNAME (Write NA if not appticable)_
Enclose the copy of the above documents with this agreement as per Sequence given in checklist.
16. 1 hereby confirm that, I am a domicile of Maharashtra and belong to Maratha / Kunbi / Maratha-
Kunbi/ Kunbi~ Maratha caste,
17. Lhereby confirm that, I belong to Non — Creamy layer category.
18, 1 fully understand that, all my documents as mentioned in checklist will be verified and during
that scrutiny, if anything is proved to be false, my sponsorship and candidature will be cancelled
3and I will refund the amount already spent on me (coaching fee, stipend, contingency amount,
etc.) by SARTHL.
19, [hereby confirm that I have read the above undertaking carefully and agree willingly to follow
the same, I agree that my application can be rejected, at any stage of the selection process, if any
of information furnished by me to SARTHI, Pune is found to be false / incorrect. I accept that my
candidature will be Cancelled / Terminated at any stage of the Selection’ Post Selection’
SPONSORSHIP period, in case the above information is found to be false, and in that case, the
cost of SPONSORSHIP spent on me (coaching fee, stipend, contingency amount, etc.), by
SARTHI will be recovered from me, In addition, I will be liable for legal action.
20. I have read the Model Code of Conduct for SARTHI sponsored candidates and agree to abide by
the same, Iam aware that any act by me, in the Sponsorship period, that goes against the Model
code of Conduct will be liable for disciplinary action by SARTHI, Pune.
‘Accepted & signed under no duress and after understanding all the implications and ramifications
phe
(SIGNATURE OF CANDIDATE)
Witness Name:__Algshoa kishor Ingle
of the aforementioned clauses.
1.Full Name__\SishoreRe ingle
(Father/sfother) E-mail: _aleshosingles}10@ grail
Sign: Phone No:__ 9364455503
E-mail:
Phone No: 3860562054
2.Full Name:
Sign:
E-mail:
Phone No:
Accepted on behalf of Chhatrapati Shahu Maharaj Research, Training and Human Development Institute
(SARTHD), Pune
(SARTHI OFFICIAL NAME & SIGN)
Common Entrance Test (Cet) for Various Coaching Schemes Under Chhatrapati Shahu Maharaj Research, Training and Human Development Institute (Sarthi), Pune (1)