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Letter of Undertaking For Swimming Pool

I, Mr. /Ms.………………………………………................, Register No…………………….


Programme……………………………, School. …………………………, Club Name (if
applicable)………………………….. Student of Vellore Institute of Technology, Chennai,
permanent resident of ……..…………......................................................................................

..……………..............................................................................................................................

Mobile No……………………….… Email ID ….……………………………………………………

Purpose:…………………………………..………………….do hereby undertake the following :

i) I have taken two doses of vaccine for protect against Covid -19.
ii) I will follow SOP all the time.
iii) I am volunteer to participate in above said game/ sport on my own risk and I will
not claim anything form institution.
iv) I, hereby, promise to abide by the rules and regulations, concerning discipline to
follow the Code of conduct.
v) I will not cause or involve in any sort of violence or disturbance even outside the
Institute campus.
vi) The institute is not liable for any risks may be caused by my acts during training
session.
vii) I accept the institute reserves all the rights to initiate any disciplinary action, if
during the course of the visit is found as individual or groups knowingly or
unknowingly to disobey or indulge in any activities that will/may bring disrepute to
the Institution.
viii) I also admit that I do not have health issues like fits, any heart disease or skin
disease.
ix) I will submit the medical fitness certificate properly received form the Medical
Doctor.

Date: Signature of Student

Declaration by Parent/ Guardian


I ………………………………………………………………………… (Father /Mother) hereby
fully endorse the above undertaking/declaration given by my ward. And I will endeavour to
induce my ward to do his/her best to observe the above stated undertaking in words and
spirit. I also understand that if he/she fails to comply with these terms; will be liable to
suitable action as per Institute rules and laws.

Place: ……………………………………………

Date: ……………………………………………. Signature of Parent/Guardian

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