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Format of Affidavit Nursing Training Admission

affidavitThis agreement is made on the _________ between _________ Son/Daughter of _________  Resident of _________ minor through her father/guardian _________.

Hereinafter called the “Trainee” on the part & the _________  of India (hereinafter called the “Government” which expression shall unless excluded by repugnant to the context be deemed to included his successors in office and assigns) of the other part.

Whereas the Government has selected the trainee at his/her request for training in course of General Nursing & Midwifery (hereinafter referred to as “the said course” in the _________ Hospital, _________  hereinafter referred to as the said hospital) for a period of _________  year with effect from and where as the trainee being a minor is required to execute and agree for the purpose through her father/guardian.

Now the agreement as follows:
1.    The govt. of _________  shall pay a stipend of _________ /- month for training signed by the Trainee and her father/guardian to the trainee.
2.    In consideration of the training being imparted and stipend etc. being paid to him/her the Govt. as after said Trainee by the said  _________  name of father/guardian hereby covenants with the Govt. as follows:
a.    The trainee has read and fully understood terms and condition of the said course at the said hospital and shall abide by all of them and such other conditions relating to the said Course as may from time to time be given by the _________  or the medical Superintendent of the said hospital or by the Principal tutor.
b.    That in case the trainee gets adverse reports regarding her work of conduct during the period of training or fails to complete the training without any sufficient reason
(for which the said medical superintendent shall be sole judge) or fails to serve if so serving* this shall be refunded by the said  _________.
on demand to the government half of total of stipend paid to her during the course of her training failing which such amount shall be recoverable as arrears of land revenue.

In Witness where of the parties here to have signed this agreement the day and year first above written.

(Father/Guardian of Trainee)

1.    Trainee
2.    Witness

(Signature of Gazetted Officer)

For & on behalf of _________  of India

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