Affidavit

(To be prepared on Rs:10/- stamp paper)

I, ___________________________________ Son/Daughter of ___________________________

Having NIC # _________________________, resident of _______________________________

______________________________________________________________________________

Hereby declare that:

1. I have opted to return to Sir Syed CASE Institute of Technology.

2. I will strictly adhere to all safety protocols and instructions issued in this regard.
3. I will not HOLD the Institute liable if I contract the virus in spite of the safety protocols.
4. I understand that my failure to observe the above mentioned undertaking would result in
cancellation of the permission to attend the Institute/utilize hostel facilities and that the
decision of the Vice Chancellor, Sir Syed CASE Institute of Technology in this regard
will be final and will not be challenged in any court of law.

Signature of Student: ________________________

Signature of Parents/Guardians: _______________

 Health Declaration

I, ___________________________________ Son/Daughter of ___________________________

Having NIC # _________________________, resident of _______________________________

______________________________________________________________________________

Hereby declare that:

1. I am in good health. Yes No

_______________________________________________________________________
(or, whatever have any health condition)

2. Whether undergone under any Covid testing or

Yes No
treatment during the closure period

Signature of Student: ________________________

Signature of Parents/Guardians: _______________