Declaration by the Parents

To : The Principal of Lyceum International School Kurunegala,

I hereby declare that, to the best of my knowledge, my

Son/Daughter …………………………………………………(Name of the
Student) of………………………….. (class of the student)

-has not associated anyone confirmed or suspected to have

Covid-19 during the last 14 days.

-has not been quarantined due to the risk of Covid-19.

-is not showing any signs of fever, cough, breathing difficulty, runny
nose, or sore throat.

I understand that providing false information and /or failing to

disclose any information regarding the above will result in legal
action as per the guidelines provided by the government.

Names of the parents

….…………………………… ……………………………..

….…………………………… ………………………………
Signature Signature