Babu Banarasi Das

Institute of Technology and Management

(Formerly known as Babu Banarasi Das National Institute of Technology and Management)
Sector-I,
I, Dr. Akhilesh Das Nagar, Faizabad Road, Lucknow
Lucknow-226028
226028 (U.P.) India

Undertaking by the Student

I hereby undertake and confirm that:

1. I understand the COVID-19 19 pandemic, its risks and SOPs issued by the Government.
Gov
2. I will follow all the instructions issued by the Government,
ernment, University and Institute from
time to time

Signature of Student

Name :
Course:
Branch:
Semester.
Roll Number:

Undertaking by Parent(s)/Guardian(s)
(s)
l, Mr./Ms. ……………………………...…
……………………………...…father/mother/guardian of.................................................
..............................................
course. . ............................. .branch ...
..........................................................semester
semester……………..
Roll number.... ………………………..
……………………….......do hereby undertake and confirm that:
that

1. I agree to send my ward to the Institute.

2. I understand the COVID-19
19 pandemic, its risks and SOPs issued by the Govt. from time
to time.
e. I have given the instructions regarding the same to my ward. 3. I will not blame
anybody in the Institute for any incident of COVID
COVID-19 infection.

Signature of Parent(s)/Guardian(s)
(s)
Name:
Relation
student of
Address with mobile No

B ABU B ANAR ASI DAS EDUC ATIO NAL SOCIE TY

R e g d . O f f i c e : 5 5 , Ba b u B a n a r a s i D a s N a g a r ( P u r a n a Q u i l a ) , L u c k n o w - 2 2 6 0 0 1 ( U . P . ) I N D I A