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SELF DECLARATION FORM
(To be submitted during the physical reporting to the campus}
In the interest of your well-being and that of everyone at the venue, you are required to
declare if you have any of the below listed symptoms
Cough Fever
Cold / Running Nose Breathing Problem
| am certifying that | have NOT tested Positive for the Coronavirus or identified as a potential
cartier of the COVID-19 Virus.
| will abide by all the rules and regulations related to Covid-19 protocol.
Student Name
Student ID
Date of Entering
into Campus
Signature of the Parents
Signature of the Student