Self Declaration cum Permission Form

(Consent
Consent Form: 2021-2022)

I ____________________________ S/O ___________________________ resident of ____________________________

______________

father / mother /guardian of Student ______

_________________________________
____________________ studying in class ___________________

session _________________ give my consent to send my ward to attend classes. I further do hereby solemnly and

declare as under:

1. My ward _________________________
________________ is studying in iQuest in ____________ Class.

2. I am satisfied with the Institute arrangements and willing to send my ward for classes in the Institute campus.

3. I am aware of all the guidelines issued by state Government / health department regarding COVID-19

4. I and my ward
ard will follow the guidelines issued by State Govt/ Health department.

5. I and my ward will take utmost care regarding COVID-19 and will be responsible for any circumstances regarding

the same.

6. I confirm that there is no COVID-19

19 positive case in our family /neighborhood village.

7. I am sending my ward to iQuest on my own responsibility

8. My ward as per instructions of the Institute would carry his own water bottle, a pocket sanitizer, wear mask and

maintain social distancing

ng mandatorily.

9. I, as a parent , do hereby give my consent to my ward to attend classes in Institute premises.

Date :

Place :