OFFICE OF STUDENTS’ WELFARE
Hostel Vacating Consent Form for Final year Project/Internship
Annexure I (A)
I, Reg. No. ________________ doing my Final Year
Project under the guidance of Dr.____________________________, from the Department
of _________________________________, _____________ (School Name) for the period
_____________ to ___________. I have registered only for the Capstone Project and do
not have any arrears. I am well aware of my responsibilities as a day boarder and
assure you of strictly adhering to the same.
I understand that:
1. Any physical/mental harassment towards fellow students including ragging,
quarrelling and violent behaviour outside may be subject to disciplinary
actions.
2. Entering the Institution premises under the influence of alcohol or inducing
others to consume alcohol is punishable.
3. Students who consume/trade/possess narcotics inside/outside the campus
will be expelled from VIT with immediate effect.
4. Causing damage to the college property will be penalized suitably.
5. Day Boarders are not permitted to enter the Hostel premises.
6. To stay back late on campus for project related works, special permission
needs to be sought well in advance, with the Project Guide’s recommendation.
Thank you,
Student Signature Ph. No: Date:
CGPA Category Particulars
Total Credits
Required A Super Dream Offer Placements
No. of Credits Dream Offers/Super Dream
Completed B Internships/ Restricted Dream
No. of Credits Offers
Pending Unplaced & Interested in Placements
C
(Staying within 250 kms. Radius)
No. of Arrears
D Unplaced & Interested in Placements
No. of Credits Unplaced but Not Interested in
E
Registered Placements
for Upcoming F Not registered for PAT
Semester
Recommended / Not Recommended for the change of ID Card
Dr. Raju J
Assistant. Director, Office of Students’ Welfare
Permitted / Not Permitted to Vacate Hostel
Annexure I (B)
RECOMMENDATION FROM PROJECT GUIDE
I take full responsibility of my project student, Mr./Ms.____________________________
Reg. No. _________________, who wishes to stay (outside the campus)/home till the
completion of the project and assure you of his /her good conduct and behaviour.
Internal Guide Name & Signature:
Emp. No: School:
HoD Name & Signature with seal
(In case of Non-CDC Offer)
Annexure I (C)
SELF DECLARATION
I Mr. /Ms. ______________________________ Reg. No. __________________ undergoing
internship/project at ______________________________________ for the period
_________________ to ________________.
Annexure I (D)
PARENT CONSENT FORM
I, _____________________________ parent of ________________________________________
Reg. No. ___________________aware of my ward’s request to stay outside the campus
while doing his/her project. I would like to mention that my ward has registered for
his capstone project/Internship only and has no arrears to complete. I am aware of
VIT rules & regulations and take full responsibility of my ward’s safety while he stays
outside VIT campus. I understand and agree that VIT will have the right to take strict
disciplinary actions against my ward, in case he/she is found indulging in any
activity that is not permissible as per VIT norms.
I, hereby, give my consent for my ward to stay outside of the campus/home/Location
where he got the internship at the following address:
___________________________________________________________________________________
___________________________________________________________________________________
Parent Signature Signing Date:
Enclosure: CDC Mail / Confirmation Letter from Company for Internship/NOC from School for
Non-CDC Offer
