Dr. D.Y. Patil Dental College & Hospital, Pune

Note: To be typed on a ₹500 stamp paper and notarized by a Gazetted Officer UNDERTAKING-CUM-INDEMNITY BOND I.---------------------------------------------------------------s/o/d/o/w/o-------------------------------------- Age __________years, residing at__________________________________________________ presently residing at___________________, do hereby solemnly affirm and declare as under: 1. I state that I have completed my Qualifying examination i.e. 10+2 / H.S.C. or an equivalent examination in India and passed the examination. I have obtained required marks and have qualified in NEET 2025. My NEET All India Ranking is………………. 2. I state that I have read and understood the rules governing the admission procedure of DCI as well as fee structure and examination fees as prescribed by Dr. D. Y. Patil Vidyapeeth, Pune (Deemed to be University) (the “University”) and I agree to abide by these rules. 3. By accepting and confirming my admission in this course/programme, I state that, I have carefully studied and understood the Dr. D. Y. Patil Dental College and Hospital’s (the “College/Institute”) rules and regulations, bye-laws and any other similar document governing the terms and conditions for a student. I solemnly promise and undertake to abide by all the above stated obligations. I hereby agree to pay the prescribed fees in time, including fees payable to the University, during the entire duration of the course/programme without fail. 4. I state that at the time of securing my admission I have paid a sum of Rs.________ /- as fees for _________ etc. Course (For One Year fee). I agree and acknowledge that the total terms fees including increased percentile component and also repeater (failure) fees will be charged as per the rules and guidelines of the concerned authority. 5. I, further state that, as per the terms of my admission to 1st year course, I shall complete the course and accordingly undertake to pay all the tuition and other fees as prescribed by Dr. D. Y