To

The Registrar
VIT University
Vellore 632 014

I / We _____________________________________________ understand that my / our ward

Mr. / Ms. ________________________________________Regd. No : _________________
is having CGPA _________ as on date.

I / We assure that our ward will improve his / her academic performance in the coming
semesters and also keep his / her CGPA 5 and above. If my ward performance is not
improving even after Winter 2017- 18, I will agree and abide by the decision taken by VIT
University.

Place :
Date :

Signature of the Proctor Signature of Parent / Guardian

Signature of the Dean

Parent / Guardian details:

Address: ___________________________________

___________________________________

____________________________________

Contact No: ____________________________________