Health declaration by students returning to GIK Institute

I, _______________________, s/d/o Mr. __________________, holding

CNIC______________, currently a student of the Ghulam Ishaq Khan Institute of Engineering
Sciences and Technology (hereafter GIK Institute) bearing registration number__________,
wishes to return to the Institute to continue my studies. I do hereby solemnly affirm and state
as under:
1. I fully understand the current COVID-19 situation prevailing in the country and the SOP
guidelines of the Govt. of Pakistan and pledge to abide by all SOPs as outlined by the govt.
and any additional guidelines as is placed, or may be placed/issued in future, by the
Institute such as social distancing, wearing masks, proper sanitization, lockdown/curfew
timing and other precautionary measures etc. adopted by the Institute.
2. That I am in good health and not suffering from COVID-19 or any known diseases or
illnesses that would make me more susceptible to catch or be adversely affected by COVID-
19 virus, such as diabetes, heart conditions or asthma etc. In case of any COVID-19
symptoms, I will inform the Institute immediately.
3. That I fully understand and acknowledge that the GIK Institute shall not, in any way, form or
manner including financially, be responsible for health issues or hospitalization required as
a result of COVID-19 or any related illness during my stay at the GIK Institute.
4. That I, at my own accord and volition, wish to return to the Institute to continue my studies.

Verified at Topi, District Swabi on this 19 th/20th day of September, 2020, that I fully understand
and acknowledge the contents of this undertaking as true and correct to the best of my
knowledge, information and belief and nothing has been concealed therefrom.
 
(Deponent)

Name: ________________________
S/D/o: ________________________
Faculty/Dept.:_________________
Address: ______________________
______________________________
CNIC: _________________________

Date and Signature:

Parent/Guardian’s name: ____________

Signature: ________________________
CNIC No.:_________________________