Consent Form
Consent Form
We have received a request from students of _________________________________ Course for ______ day
educational /Industrial / Excursion Tour to ______________________________________________________
________________________________on dated:______________. The interested students of various classes /
semesters / departments should give their names to their concerned faculty class incharge with the duly
filled consent form before __________________ on _____________________. The class incharges must
submit the detail to Principal Office before _______________ on _____________________ positively.
NOTE: Discipline and COVID-19 appropriate behavior must be followed during the educational /
industrial / excursion visit.
Principal Date:
REQUEST FROM THE STUDENT
I ____________________________ S/o/ D/o_______________________, student of __________ (Course)
_________Semester/year want to go to the educational / industrial / excursion tour to __________________
____________________________________ on _________________________. Kindly allow me for the visit.
I will follow the COVID-19 guidelines and would obey the instructions, guidelines and the regulations and
would not involve in any illegal activity. I would be responsible for all the consequences on account of this
tour.
I have received the request-cum-consent form from ________________Roll No._________ and have duly
verified it. I have informed to the student for the educational / industrial / excursion tour, key learning
points and its benefits. I have also given the instructions to follow the COVID-19 appropriate behavior and
maintain the discipline during the tour.
Mobile No.:______________________________
HoD Principal