Hello Ashish,

I think you are talking about undertaking form for Caste validity certificate.

Given Below is the format for the undertaking

To The Verifying Centre In-charge ______________________________________ (Name of the Verifying Centre)

Subject:- Undertaking for Caste Validity Certificate Respected Sir, I______________________________________S/o/D/o______________________________ R/o____________________________________ has been allotted seat in B. Tech (Branch) __________________________(Name of the Institute) ______________________________through JoSAA/CSAB 2021. I have not submitted my Caste Validity Certificate as I am not in receipt of the same till date. I have applied for the Caste Validity Certificate to Social welfare Department/ Tribal Welfare Department on _______________________ (Date). I herewith give the undertaking that I will submit the Caste Validity Certificate issued by competent authority at the time of physical reporting. I hereby declare that my application for the Caste Validity Certificate is under process and has not yet been rejected. In case I fail to submit the Caste Validity Certificate by the date as mentioned above or found ineligible or information provided herein or in Application Form found incorrect at any stage then the Institute reserves the right to cancel my admission automatically. In such event, I shall be fully responsible for all consequences arising out of such cancellation of admission. (Name of the Institute) ______________________________shall not be held responsible in any case. I also understand that, fee refund rules of (Name of the Institute) ______________________________will be applicable in case of cancellation of my admission.

Signature of the Candidate                                Signature of Guardian / Parents Name of the Candidate                                      Name of the Guardian / Parents Date:__________________                                       Date:__________________

Hope that helps you