SSN College of Engineering, Kalavakkam

Department of Computer Science & Engineering

Educational Tour
Undertaking from Parents

To
The Principal
SSN College of Engineering

Dear Sir,

I, the undersigned Mr. / Mrs. _________________________ have

read the tour itinerary and I permit my son / daughter / ward to be part
of the Educational Tour.

While appreciating your precautions for the safety and welfare of

my son / daughter / ward on the tour, I undertake not to hold you / the
institution and your associated tour operator responsible for any
unforeseen circumstances beyond your control whatsoever. I shall
undertake full responsibility of my son / daughter / ward in case of any
consequences due to misconduct, disobedience, damaging property etc.
on part of my son / daughter / ward during the Tour period.

Thank You

Parent’s Signature

Name of both the parents:

Father___________________________________
Mother___________________________________
Address:
________________________________________
________________________________________
________________________________________
Telephone No. ____________________________
Parent’s Mobile No. ________________________
Student’s Mobile No. _______________________
Student name:_____________________________
Year : ____ Sem _____Reg No. ______________

Enrollment form - Overleaf

 ENROLLMENT FORM

I, Ms. / Mr. ________________________________________________

Parent / Guardian of Mr./ Ms. _________________________________

of Year: ______ Sem: _______ Reg No: ________________________

Address:__________________________________________________

_________________________________________________________

Phone : (mobile) ________________________

(office) ____________________ (residential) _______________

Emergency contact No: ______________________________________

Date of Birth: _____________ Age : ________ Gender : ____________

Blood Group : ______________

Medical Record / Allergy (If any) :

_________________________________________________________

_________________________________________________________

Parent’s Signature

Parent’s Name: