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Declaration To Be Signed by The Hosteller: Page 1 of 1

The document is a declaration for a student's hosteller to sign. It includes the student's name, MIS number, academic program, arrival date and time, contact numbers for the student, parent, and emergency contact. The parent acknowledges the risks of travel and hostel living during the pandemic. They take responsibility for the student's well-being and will provide treatment if needed for any COVID-19 emergency. The parent and student must sign along with their email, residential address, and contact information.

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Kaif Ahmed
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344 views1 page

Declaration To Be Signed by The Hosteller: Page 1 of 1

The document is a declaration for a student's hosteller to sign. It includes the student's name, MIS number, academic program, arrival date and time, contact numbers for the student, parent, and emergency contact. The parent acknowledges the risks of travel and hostel living during the pandemic. They take responsibility for the student's well-being and will provide treatment if needed for any COVID-19 emergency. The parent and student must sign along with their email, residential address, and contact information.

Uploaded by

Kaif Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DECLARATION TO BE SIGNED BY THE HOSTELLER

• Name of Student: ...............................................................................S/o


D/o………………………………………………………………………………….......
• Student MIS No.................................
• Academic Program:.....................................................................................................
• Date and time of Arrival: ............................................................................................
• Contact Mobile number: -……………………………………...………………………
• Parent Contact number: ...............................................................................................
• Emergency Contact number: …………………………..................................................

We are sending our ward knowing the risk involved in travelling and residing in hostels.
We take all the responsibility of my ward in any untoward circumstances and we shall
coordinate the well-being of my ward. In case of any COVID-19 pandemic related
emergency we undertake to give necessary treatment from our side.

Signature of Parent/ Guardian Signature of the Student &Name:

E-mail Address:

Residential

Address:

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