Voluntary Student Onboarding Consent Form

I _________________________, student, roll number ___________ of the program

_____________________ Batch _____________, hereby declare the following:

a) I understand that the purpose of the campus on-boarding is to facilitate the Academic
Rigour that can enhance the learning experience and deduce the limitations due to the
COVID pandemic. I am responsible to maintain Academic Discipline while adhering to
the guidelines stipulated by the Programs Office.

b) I will adhere to the COVID safety guidelines/protocol stipulated by the Institute and
concerned government authorities without fail including any amendment done from time
to time.
c) I will go through all the tests/precautionary measures such as RT-PCR, COVID
vaccination as per the instructions of the Institute/Government authorities.
d) I will adhere to the instructions given by the concerned medical authorities concerning the
diagnosis, medication, treatment, and hospitalization considering the COVID pandemic
situation that includes the admission/discharge to/from any medical facility at the
discretion of the concerned medical experts.
e) I will adhere to all the disciplinary rules and regulations stipulated by the Institute.
f) I will adhere to the room allocation policy and will be willing to move to any allotted
executive/non-executive hostel room with a single/shared washroom as instructed by the
concerned authorities anytime during my tenure at the Institute for changes if any during
the COVID pandemic circumstances.
g) I will adhere to the stipulated policies with regards to the facilities (such as air-conditioning,
gym, sports, music, etc.,) that can be amended from time to time at the discretion of the
Institute.
h) I am voluntarily making a conscious choice to on-board, and the Institute will not be held
responsible for any unforeseen circumstances as I understand that the risk involved due to
the COVID pandemic.
i) I hereby declare that my health is apt for onboarding and do not have any concerning
medical history/allergy (if any, email student.relations@iimu.ac.in).
j) I take the responsibility to undergo both first and second dose of COVID vaccination as
per the government regulation and incur any cost involved for the same
I hereby declare to adhere to all the terms and conditions mentioned above and any
amendments in the future. I am aware that I am bound to vacate the campus in case of any
violation or as and when instructed by the Disciplinary Committee of the Institute.

Signature (with date):

Name: ________________ | Mobile: _____________ | email: ____________________

Parent/Guardian Consent Form

I _______________________________, parent/guardian is aware that my ward
Mr/Ms.______________________ has opted to onboard during the COVID pandemic situation
and will co-operate and adhere to all the instructions/guidelines/protocol stipulated by the
Institute/concern Government authorities. I shall respect the decision of the management at any
given point of time for the well-being of my ward during the tenure at IIM Udaipur.

Signature (with date):

Name: ________________ | Mobile: _____________ | email: ____________________