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Consent Form

This document is a request-cum-consent form for students seeking permission to participate in an educational, industrial, or excursion tour. Students must submit the completed form with parental consent to their class incharge by a specified deadline, and the incharge must forward the details to the Principal's office. The form emphasizes adherence to discipline and COVID-19 guidelines during the tour.

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0% found this document useful (0 votes)
4 views

Consent Form

This document is a request-cum-consent form for students seeking permission to participate in an educational, industrial, or excursion tour. Students must submit the completed form with parental consent to their class incharge by a specified deadline, and the incharge must forward the details to the Principal's office. The form emphasizes adherence to discipline and COVID-19 guidelines during the tour.

Uploaded by

parwinder.ee46
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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REQUEST-CUM-CONSENT FORM

FOR EDUCATIONAL / INDUSTRIAL / EXCURSION TOUR


(To be submitted by the students with the consent of their parents)

Detail of the Educational / Industrial / Excursion Tour

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.

Name of student________________Signature of student______________ Mobile No.: __________Date_____

CONSENT FROM THE PARENTS

I/We _____________________________________________ Father/Mother give consent and allow my


son/daughter Ms/Mr___________________________for the educational / industrial / excursion tour to
______ _______________________________________________________ on _______________. She/He will
follow all the guidelines related to COVID-19 and the instructions given by the Institute. I/We, give my
consent to the Institute to take disciplinary action against my son/daughter, if he/she disobeys the
instructions, guidelines and the regulations or if he / she is involved in any illegal activity. Further we
would be responsible for all the consequences on account of this tour.

Name of father/Mother___________________________ Signature of father/Mother_________________________

Mobile No.:_____________________________________ Date: ___________________________________________

DECLARATION FROM THE CLASS INCHARGE

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.

Name of Class Incharge (Faculty)_______________________Signature_________________Date__________

Mobile No.:______________________________

HoD Principal

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