Undertaking Form to besubmitted by the students for attending classes in the offline mode

. ghat..
attend
Registration
the classes in the upcoming term
number..LJQ:1:3...of the programme....kCh.. want to
in the offline mode. In this regard declare that:
1. I will strictly adhere to all guidelines issued by Government of Punjab, Government of India and
guidelines. University
2. Iwill get my RTPCR test done as per the requirements of the University from Jalandhar/Phagwara before joining
the University. In case
I will be found
positive for the
COVID-19, I will follow all the guidelines of university
/Government bodies with regards to quarantine and medical treatment.
3. I will wear face mask well
as as any other protective gear and maintain physical social distancing in class
rooms/laboratories/academic area/hostels and in the LPU campus.
4. Iwill use "Aarogya Setu" App on
my mobile phone and remain active on it at all the times.
5. 1shall self monitor
my health every day and in of any flu like
case
symptoms/breathing problems shall inform to
the University immediately about it.

6. Iunderstand that there is possibility of getting infected and in such a case only I shall be responsible for the same.
7. Ishall mandatorily carry my Adhaar card during my stay at the campus
8. I am returning
containment zone.
from the area
Mohall.a.HEHapiti. BanatSha that has not been declared as a

9. 1 understand that there shall be restricted

movements for the students residing in the hostel as per
University/Government guidelines and Ishall abide by the same.
1In case the student or any family member of the student had ever remained affected with COVID-19 then the
student is required to submit the following details:

Relation of the Family member Period of Infection

with the student
Start Date of End Date of Infection
Infection(CcovID 19 ve (CoVID 19 -ve report
report date) date)

11. I hereby declare that I am having following Medical issues for which the stated medications are being administered
to me:

Medical Issues Recommended Medication

Nil
 12. In case of any emergencies the following may be contacted:
Name:.Sma....Khan... Contact No: S800.932683 Relationship
with the student:.SASter...

mportant: Please note that registration at this portal is provisional and

provision for offline classes in a-
particular program shall be extended on the basis of total no. of
registered
students for offline mode in
that program.
N i g l
202
Signature of the Student with Date.....
Name of the Student (In Capital Letters)..KM..NIS1HAT

I hereby
declare and confirm that I have read the
that my ward strictly adheres to the same
complete undertaking form in detail and shall ensure
further all the information given above is accurate and true to
best of my knowledge and belief. I the
understand that I may be liable for
declaration.
disciplinary action for making a false

Thereby undertake that in case my son/daughter gets affected

by COVID-19 during his/her stay at the
University campus in this period, in such a case, I shall be
entirely responsible for the same and in any case I or
any of my legal heir shall not hold the
University as responsible for the same.

Further, in case of any kind of medical

emergency in case any transportation of
shall be my ward is required I
solely responsible for making arrangements for the same.

Signature of the Parents with Date

AUSUI ATta
Name (In Capital Letters) NAUSHAD KHAN SHAHIN KHAN