Shaheed Sukhdev College of Business Studies

Vivek Vihar (Phase-II), Delhi- 110 095

CONSENT FORM CUM UNDERTAKING
I allow my son / daughter Mr. / Ms: __________________________________________________
who is a Student of Class :____________________________Roll Number:____________________
at Shaheed Sukhdev College of Business Studies to join the Industrial Trip / Educational Tour / Excursion
organized by the college as per following details:
Place of Journey: _________________________________________________________
Date(s) of Tour: __________________________________________________________

I am sending my ward to the Industrial Trip / Educational Tour / Excursion entirely at my own risk. I
understand that the college shall not be responsible for mishap, if any, with my ward during the trip.
Also, there will be no teacher representative accompanying the students.
Signature of Father / Mother / Guardian:_________________________________________________________
Name of Father / Mother / Guardian:____________________________________________________________
Date:______________________________

Place:________________________________________

Mobile number(s): _________________________________________

Contact
Address:__________________________________________________________________________________
___________________________________________________________________________________
Student phone number(s): __________________

Signature of Student: ____________________________

_____________________________________________________________
FOR OFFICE USE
_________________________________
Name of Student Coordinator

__________________________________________
Signature of Student Coordinator

Class and Mobile of Student Coordinator:________________________________________________

Principal
The student may be allowed to join the Industrial Trip / Educational Tour / Excursion organized by the college.
____________________________

_________________

Signature of the Teacher In-charge

Date