DECLARATION BY PARENT / GUARDIAN

I,

___________________________________,

parent

guardian

of

Mr./Ms.________________________________ going on the Exchange Programme

during September December 2013 to ______________________________ hereby
affirm that I am in complete knowledge of his/her decision to go on the Exchange
Programme. I grant him/her my consent for the same. I also understand that Mr./ Ms.
________________________________ will be solely responsible for himself / herself
while on the Exchange Programme.

Date: _____________________

Signature: _____________