Parent Consent Form

Student Name (in Caps):

Semester:
USN:
Branch:
Mobile:
EMail ID:
Name of the Class Teacher:
Parent Name:
Parent E-Mail ID:
Parent Mobile:
Place of stay:
Students who opted Hostel Facility: Yes No
Willing to Stay (Please tick)

We are ready to send our ward to the Yes No

college

We prefer online classes only Yes No

Signature of the student

Signature of the parent (with date)