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SELECTION PROCESS AND CRITERIA:

As per the directions only 30 NSS volunteers per district are to be selected out of which 20

Male and 10 Female will form a contingent of each district.

Each contingent will be lead by two contingent Leaders who will be duly selected program

Officers (1 M 1 F) for the purpose and will undergo training during AVHAN

The NSS volunteers and Program Officers will be selected from the conventional universities

and also from Agriculture, Health Technology of Professional Universities if available.

The NSS volunteers will not be selected from +2 level, vocational training and from ITI‟s as

they will be below age of 18.

NSS volunteers should be physically and mentally fit and preferably should not have

spectacles or suffering from any diseases like asthmas /Heart problems and should provide

medical certificate by the competent authority.

The Blood Group must be known and Haemoglobin content must be as per the medical

norms

Identity bond, Volunteers ship certificate, parent‟s consent letter certificate by the program

Officer, Principal and Program Coordinator needs to be submitted.

The height of Male NSS volunteers preferably should not be below 165 cms and for Female

NSS volunteers not below 155 cms.

The volunteers should not be overweight and the average weight should not be below 50 kgs.

The volunteers should have participated in the Sports/MCC/Scout or Guide/Trekking or

Hiking/RSP/Civil Defence/First AID training.

The volunteers should be academically sound and preferably with no ATKT.

The volunteers participated in Adventure camp may be given priority in selection if fulfil

other conditions.

The volunteers who had participated in the selection process of Pre-SRD/Pre-

NRD/SRD/NRD/Adv. Camp/Mega Summer Camp be given priority and be invited for

selection

The NSS District Coordinator in consultation with Program Coordinator should conduct one

day selection trail by inviting 1M and 1F volunteers from the colleges of the district.

The panel for selection should involve three persons representing the fields from NSS,

Sports or Defence Services/Home Guards/Disaster Management Expert Psychology Teacher

and Medical Officer.

In an selection trail the volunteers needs to be tested for their

Physical fitness test by running a distance of 1 Km. For Girl and 2 Km. for Boys

Psychological test with example on disaster trauma/situation

Medial fitness with conditions mentioned above

Decision making attitude

The list of selected volunteers (20 Male and 10 Female) with following details should be sent

to program Coordinators for the final approval.

Name in the full beginning with surname.

College Name with Complete Address and Contact Numbers including Fax No.

Date of Birth with the proof.

Residential Address with contact number including Mobile, Email ids, Class in

which studying with the proof.

The volunteers comprising a contingent should be preferably from different colleges

providing opportunities for participation to more institutes.

The list of selected volunteers should be certified by the panellist and District Coordinator

The final list should be sent with all documentary proofs as mentioned in the selection

criteria

Two Program Officers (Male & Female) preferably in the age group of 30-40 to be selected

as contingent leaders who will fulfil the conditions mentioned above and should be mentally

prepared to undergo training during AVHAN.

1

1) COMMITMENT CERTIFICATES (Jointly signed NSS Volunteer/Parents/ Programme Officer & certify by Principal)

A) UNDERTAKING BY THE PARTICIPATING STUDENT I, undertake to state that, I shall be attending ------------------------------------------------------------------------------------------------------------------------------------------------------ at my own risk. In consideration of my being nominated at my request to undergo all types of activities and also participating in any other related activities in/outside NSS and traveling, I undertake and agree that neither I nor my parents/guardian/executor/administrator will make any claim against any officer of NSS/Principal/Program Officer/Program Coordinator/University in respect of any loss or injury to the property or person (including injury resulting in death), which may suffer while or inconsequence of my being in participating in Camp. I am briefed by the way of “training session” about the geography, climate, hazardous locations and risk zones existing in the proposed destination, codes on environmental protection, emergency procedures and basic first aid. Our Team Leader/Teachers has given the instructions regarding the importance of safety precautions, team spirit and discipline. I, further undertake to state that I shall be abiding by all rules & regulation of the said activity and shall be liable for strict disciplinary action for violation of the same. Signature of the Student Date: _______________

B) RESPONSIBILITY CERTIFICATE I agree as a responsible person that my Son/Daughter/Ward is being allowed to participate in the ----------------------------------------------------------------------------------------------------------------------- to be held -----------------------------------------on ---------------------------------- at my own risk. If any accident or death occurs during this camp/program, I or any of my relation of legal heir will not demand any claim from University /College on account of my Son/Daughter/Ward being a part this activity. The itinerary and travel plan is well known to me in advance & I have no any objection for the same. Signature of Parent/Guardian Date: _____

2

2) CERTIFICATE OF MEDICAL/PHYSICAL FITNESS Signature of the candidate: ……………………………………………………… I, do hereby certify that I have examined the volunteer and found him/her fit for undergoing for ---------------------------------------------------------------------------------------------------to be held at ------------------------------------------------------------------------------------- on --------------to --------------, the candidate whose signature given above is not suffering from any communicable or chronic disease, which may cause any hindrance due to his/her participation in the above mentioned program. Signature of the Medical Officer Seal Address with Contact No Date: _____

B) VOLUNTEERSHIP CERTIFICATE It is certified that the Mr./Miss./Ms………………………………………………………………………. is a bonafide student of the College/Institution and He /She is a regular NSS/NCC/Student of the college. The itinerary and travel plan is well known to him in advance & do not have any objection for the same. Signature of NSS Program Officer Signature of the Principal College Seal

National Service Scheme (Avhan 2018) 1

AVHAN-CHANCELLOR’S BRIGADE: TRAINING PROGRAM ON DISASTER PREPAREDNESS

REGISTRATION FORM AND COMMITMENT CERTIFICATES PERSONAL INFORMATION Name:__________________________________________________________________________ Class:____________________________Div_________________________Roll No____________ Residential Address:_______________________________________________________________ ______________________Taluka________________District__________________Pin Code____ Contact detail: STD Code__________ResidenceTel____________Mobile____________________ Emailid:________________________________________________________________________ Date of Birth:_________________________Age:____________________Spectacles : Yes / No Height___________________Weight________________BloodGroup_______________Hb %____ PARENT’S INFORMATION Name:__________________________________________________________________________ Office Address___________________________________________________________________ Taluka________________District__________________Pin Code__________ Contact detail: STD Code__________ResidenceTel____________Mobile ____________________ Email id:________________________________________________________________________ INSTITUTIONAL INFORMATION Name of the college_______________________________________________________________ Office Address___________________________________________________________________ ____________________Taluka______________ District__________________Pin Code________ Contact detail: STD Code__________Tel___________________faxNo______________________ Email id:___________________________________Website______________________________ Name of Principal________________________________________________________________ Residential Address_______________________________________________________________ ______________Taluka_______________District__________________Pin Code_____________ Contact detail: STD Code__________Tel_________________MobileNo_____________________ Email id:______________________________________Website__________________________

National Service Scheme (Avhan 2018) 2

Name of Program officer__________________________________________________________ Residential Address_________________________________________________________________________________________Taluka_______________ District__________________Pin Code___________ Contact detail: STD Code_________Tel________________MobileNo______________________ Email id:______________________________________Website___________________________ Name of University – Savitribai Phule Pune University Office Address- National Service Scheme Department, Ganeshkhind, Pune 411 007 Haveli, Taluka, Pune District Pin Code 411 007 Contact detail: STD Code 020 Tel 25697341 Fax No 020-25697341 Email id: nss@unipune.ac.in Website- unipune.ac.in Name of Director - Dr. Prabhakar Desai Residential Address –National Service Scheme, Savitribai Phule Pune University, Pune 46 Contact detail: STD Code – 020 Tel - MobileNo – 9881908020 Email id: nss@unipune.ac.in Website – www.unipune.ac.in Other information Enrollment Year of NSS: ________________________________ Note: Please make a tick mark wherever applicable

Participated in Sports MCC/NCC Scout/Guide trekking Hiking RSP Civil

Defense First Aid

Home Guard Participated in

Pre SRD Pre NRD SRD NRD Adventure Camp

Mega Camp

Youth Festival

Utkarsha Any other

Skills known : Driving Swimming Cooking Photography Report

Writing Fire Fighting

Wish to participate Swimming Diving First Aid training Fire Fighting Any Other

Will like to know Procedure in police station/Legal knowledge Any other additional information :________________________________________________