THE ENGLISH AND FOREIGN LANGUAGES UNIVERSITY
[A Central University established by an Act of Parliament]
Lucknow Campus
Nomination Form

Affix self-attested
Passport Size
Photograph
Name of the Student :
Class :
Category :
Nominated by :
Seconded by :
Signature of the Student : Date :
Signature of the Student
Nominating : Date :
Signature of the Student
Seconding Nomination : Date :

UNDERTAKING AND DECLARATION BY THE CANDIDATE
1. I undertake to abide by the Code of Conduct.
2. I solemnly declare that:‐
a. My age is ___________________________________________________ ___________ as on 5 November, 2013 and that my date of birth is ___________________ .
b. I have been promoted to the current semester without any backlog/arrear.
c. I have not been found guilty of, and punished for the use of unfair means in any examination of the University.
d. I have attained the minimum attendance i.e. 75% in my preceding year of the Course.
e. I do not have any previous criminal record. I have also not been subject to any disciplinary action by the University authorities.
Date:_______ Signature of the Candidate