Student's Details

First Name *

Middle Name (optional)

Surname / Last Name *

Mobile Number (+91) *

Email *

Gender *

City *

Select State *

Select Nationality *

Parent / Guardian Details

Parent / Guardian Name *

Parent / Guardian Phone Number (+91) *

Parent / Guardian Email *

Parent / Guardian City *

Parent / Guardian State *

Parent / Guardian Address *

College and Course Details

State in which college is based *

College Name *

College Phone Number (+91) *

College Director's Name *

College Landline Number (Optional)

Details of the course (UG/PG/Diploma) *

Name of the Course *

Number of students in your class

Nearest Police Station to your college *

UGC Regulations

I confirm that I have read UGC's regulations on Ragging. (To read, click on the link ABSTRACT OF UGC REGULATIONS ON RAGGING)

I confirm that I have read the Judgment of the Hon. Supreme Court on prevention of Ragging. (To read, click on the link SUMMARY OF THE JUDGMENT OF THE HON. SUPREME COURT) *

I promise that I will not indulge in Ragging or any form of violent behavior. Neither will I tolerate being ragged or subjected to violence. *

I understand that if I am accused of Ragging, the responsibility is on me to prove that I am not guilty. *

I assure you that I will act in a dignified manner and adhere to all rules and regulations of the college. *

I understand that if I violate this declaration, I will be held responsible for all disciplinary actions taken by the college authorities. *

Confidential Survey

Please answer these questions truthfully and honestly because this survey is totally Confidential. So no part of this survey is going to show anything to your college. Your college will only know that you have participated in this survey.

Were you ever ragged ? * No Yes

Did you ever rag anybody ? * No Yes

What is the phone number of National Anti-Ragging Helpline *

Does ragging happen in your college ? * No Mild Severe

I have rechecked the form and confirm that all the details are correct. *

Student's Details

Parent / Guardian Details

College and Course Details

UGC Regulations

Confidential Survey

UBM College

Important Links

Courses Offered