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DAV PUBLIC SCHOOL, CHANDRASEKHARPUR, BHUBANESWAR-21.

PARENTS CONSENT FORM

I Mr/Mrs ___________________________ (father/mother) of Master/Miss

_________________________ of Std.X/XII bearing School number

__________/Class Roll Number _______ do hereby declare that I am

fully/partially/not at all satisfied with the provisions made by the school for

reopening of the school w.e.f. 02.08.2021.

I whole heartedly giving my consent to send my child for attending the


classes physically w.e.f. 02.08.2021.

UNDERTAKING

I do hereby undertake that I will ensure not to send my child if he/she is

suffers from cold/cough/fever or any other symptoms of COVID or other viral

infections. I/we will enforce wearing of mask as well as using of pocket hand

sanitizer by our child.

Full Signature of Parents with date

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