Letter Of Undertaking-Authorisation Form-Symbiosis International University printable pdf download

LETTER OF UNDERTAKING / AUTHORISATION

I,______________________________________________________, father/ guardian of:

______________________________________student of_________________________,

[a constituent of Symbiosis International University do hereby declare and undertake as

follows:

1. My son / daughter / ward is pursuing _______________ at __________________.

2. I understand and agree that University and / or Institution and/or its Authorized

Representatives have no control on activities, which my son / daughter / ward

decide to engage him / herself voluntarily. He / She should not engage himself /

herself in activities which may cause injury to his / her person or property.

3. In case, any injury is caused to person / property of my son / daughter / ward due to

his / her involvement / engagement in any manner in any activity, which is not

authorized by University and / or Institution or on which University and / or

Institution does not have any direct / indirect control, which may or may not be

during the course of performing authorized activities like participation in sports

events,presentation,study excursion tour, presentation out bound program,etc then

in such case entire responsibility rests upon my son / daughter / ward and I

undertake that I shall not held University and / or Institution responsible for

causation of such injury.

4. I have been given to understand by my son / daughter / ward that Symbiosis also

promotes sports, because it believes in the principle of “sound mind in sound body”.

The participation in regular sports features or tournaments is completely voluntary.

5. I am well aware that any sports event has some inherent risks involved in it. I am also

aware while playing some sports some accidents may be caused. However, since my

son / daughter / ward participation to regular sports features of the Institute /

University or any specific tournament is completely voluntary, I shall not make any

claim any amount as compensation or otherwise due to any injury caused to person

or property arising out of voluntary participation of my son / daughter / ward.

6. I also understand that in case any injury is caused to my son / daughter / ward,

certain medical procedure need to be performed by hospitals or other specialised

health care centres, to address the medical problem. In certain cases, consent is

required to perform the required medical procedures. I also understand that any

delay in producing the consent may prove to be fatal for my child and under any

circumstance, medical treatment should not be delayed for want of my consent.

7. I therefore in interest of my child authorize the Symbiosis International University

and /or the Institution and/or any person designated University and/or Institution, to

give consent for me and on my behalf to perform the medical procedures on my

son/ daughter/ ward.

Letter Of Undertaking-Authorisation Form-Symbiosis International University