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Parent Consent Letter

1) The parents of student Samudrala Vishnu Vardhan have signed a self-declaration form for his admission to Narayana Educational Institutions in AP. 2) They state that due to Covid-19, their child has faced academic losses from school closures and they lack resources for proper online education. 3) They are voluntarily opting for their child to attend in-person classes provided at the educational institution and will abide by its rules and regulations.

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0% found this document useful (0 votes)
468 views1 page

Parent Consent Letter

1) The parents of student Samudrala Vishnu Vardhan have signed a self-declaration form for his admission to Narayana Educational Institutions in AP. 2) They state that due to Covid-19, their child has faced academic losses from school closures and they lack resources for proper online education. 3) They are voluntarily opting for their child to attend in-person classes provided at the educational institution and will abide by its rules and regulations.

Uploaded by

Vishnu Vardhan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NARAYANA EDUCATIONAL INSTITUTIONS, A.P,.

SELF DECLARATION BY PARENTS/GUARDIANS

I, Mr./Mrs./Ms. SAMUDRALA SUBRAMANYAM _ (Titles, Full name of Parents/Guardians

in CAPITAL letters) Father / Mother / Guardian of Mr. / Ms. SAMUDRALA VISHNU VARDHAN

1588703 (Full name of student in CAPITAL letters

with Roll number) who has been admitted to Narayana


Educational Institutions, AP hereby declare the following:
1) That because of the current Covid-19 situation our child has suffered enough academic loss on
account of Educational Institutions been closed.
2) That we do not have enough infrastructure and facility to get the proper online education for our child;

3) Now since government have allowed the children to voluntarily opt to have physical presence in
educational institutions, we would like to opt for said option;
4) We hereby solemnly state and undertake that:

(a) My child will be in the residential facility as will be provided by the educational institution;

(b) My child will abide by the rules and regulations as framed by the educational institution;

5) We hereby affirm that the said option of physical presence of the student in educational
institutions has been opted by us voluntarily keeping in view the future academic prospects of our
child;
6) That during the stay of the child in the residential facility if he/she is sent home owing to medical
reasons, then the educational institutions holds no responsibility.
7) We hereby declare that we have not been forced to make the said declaration and further affirm that
the above undertaking is voluntary and with our free will and consent. In case this declaration is found
to be false/untrue, the admission of our child is liable to be cancelled.

ADMISSION NUMBER : 1588703


Name : SAMUDRALA VISHNU VARDHAN
Address : 402- SRI RAMADASU RESIDENCY
Opp Kennedy High School, Kanuru,,Vijayawada

Signature of Father/Mother/Guardian Name:


Telephone / Mobile No : _ +91 7730930969 _
Address: 402- Sri Ramadasu Residency, Opp Kennedy High School, Kanuru, Vijayawada

SELF DECLARATION by PARENTS/GUARDIAN


Verified that the contents of this self declaration are true to the best of my knowledge and no part
of the self declaration is false and nothing has been concealed or misstated therein.
Place: Kanuru,, Vijayawada
Date: 27-12-2020
Signature of Father/Mother/Guardian

Signature of Parent Signature of Student

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