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Consent Form

The document is a consent form for students to attend offline classes, where the parent permits their child to attend and assures they will not send their child if anyone in the family is unwell. The form requires the student's Covid-19 vaccination certificate be attached and signed by the parent.

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Deepak Singhal
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0% found this document useful (0 votes)
59 views1 page

Consent Form

The document is a consent form for students to attend offline classes, where the parent permits their child to attend and assures they will not send their child if anyone in the family is unwell. The form requires the student's Covid-19 vaccination certificate be attached and signed by the parent.

Uploaded by

Deepak Singhal
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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S.D.

COLLEGE OF MANAGEMENT STUDIES, MUZAFFARNAGAR


CONSENT FOR ATTENDING OFF-LINE CLASSES
(To be submitted in the Concerned Deptt.)

I, Mr/ Mrs. …………………………………………………… father/ mother of………………………………………………


………………… student of Course/year/sem……………………………. voluntarily permit my ward to
attend Offline classes. I assure you that I will not send my ward to school if he/ she or any
other member of my family is unwell.
I declare that my ward is Covid-19 vaccinated and his certificate is undersigned by me
 Attach Copy of Signed Covid-19 Vaccination Certificate.

Date:-…………………………………………………
Address: ______________________________
_________________________________ Name & Signature of Parents
_________________________________
_________________________________
_________________________________
Mobile ___________________________ ______________________________
Mobile (father) ____________________ Authorised Signatory

S.D. COLLEGE OF MANAGEMENT STUDIES, MUZAFFARNAGAR


CONSENT FOR ATTENDING OFF-LINE CLASSES
(STUDENT COPY- MUST BE CARRIED IN COLLEGE PREMISES)

I, Mr/ Mrs. …………………………………………………… father/ mother of………………………………………………


………………… student of Course/year/sem………………. voluntarily permit my ward to attend
Offline classes. I assure you that I will not send my ward to school if he/ she or any other
member of my family is unwell:-

Date:-…………………………………………………
Address: ______________________________
_________________________________ Name & Signature of Parents
_________________________________
_________________________________
_________________________________ ______________________________

Mobile (father) ____________________ Authorised Signatory

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