DEPARTMENT OF E&C

GOVERNMENT ENGINEERING COLLEGE BHARUCH

TO FOLLOWING UNDERTAKING FORM IS INTRODUCED WHICH SHOULD BE SIGNED BY BOTH STUDENT

AND PARENT ENABLING THE DEPARTMENT TO SEND THE CANDIDATE OUTSIDE THE COLLEGE CAMPUS
FOR THEIR INDUSTRIAL VISIT. THE SAME SHOULD BE SUBMITTED TO THE SEMESTER IN CHARGE
BEFORE 12 MARCH 2014

UNDERTAKING BY STUDENTS

I, Mr./Ms…………………En.No.………………. of B.E (VIII) do hereby undertake and abide by the following terms:
I am attending Industrial Visit in
……………………………………………………........................ (Name of the Institute with Place)
& date of __________Industrial Visit at my own interest and risk. I will in no way disturb the functioning of the
company during their visit.

Signature:
Date:

UNDERTAKING BY PARENTS
I, Dr./Mr./Ms………………………………………………………………. Father/ mother/ Guardian of
Mr. /Ms……………… En.No ____________. Doing his/her B.E (Sem. VIII) do hereby undertake and abide by the
following terms:
My Son/Daughter has informed me that he/she will carry out/ attend Industrial Visit at
…………………………………………………….... (Name of the Institute with Place) on _____[date]. I am permitting
him/her for the same and I will take full responsibility during this period of stay outside the College campus.

Signature:
Date:
Phone Number of the Parent: