KLN COLLEGE OF ENGINEERING, Pottapalayam – 630611
PROFORMA
(For Students Coming to the College by Vehicles)
Name : Roll No. :
Class / Branch : Year :
Address : Phone No. :
Vehicle Name & Registration Number :
Is it in your Name: : Yes / No
If No, Name of Owner :
Relationship with you :
Name of the regular Pillion rider(s)
& Roll Number(s) :
Signature.
Declaration
I hereby promise that while coming to the college by my vehicle, I will not be of any hindrance to any vehicle or person either in the college or enroute to and from the college. If I do so, I agree that I will not be permitted to park my vehicle inside the college and severe disciplinary action may be taken against me.
Signature
(Student)
K.L.N. COLLEGE OF ENGINEERING, POTTAPALAYAM – 630 611.
PROFORMA
Name of Student / Staff owning
the Vehicle :
Vehicle Make and Regn. Number :
RC Book Copy (enclosed) :
Insurance Copy (enclosed) :
Driving License Copy (enclosed) :
Date : Signature
K.L.N. COLLEGE OF ENGINEERING, POTTAPALAYAM – 630 611.
UNDERTAKING
1. I Will use the Two wheeler for my own purpose to come to college and will have not more than one Pillion Rider.
2. Both myself If and pillion rider will wear the helmet for safety.
3. I will not race the vehicle while coming and returning from college.
4. If any untoward incident / accident happens, I will be fully responsible and will not claim any assistance / compensation from the college.
5. I will not use Air / Electric horns inside the college campus unnecessarily with high pitch.
6. I will not use the Two wheeler to road around the campus and park only in the assigned Two wheeler parking shed.
7. I will only drive my Two wheeler and will not let any of my friend or others to drive the vehicle while coming to college and returning to home.
8. I will not use cell phones or talk to friends while driving.
9. I will not drive my vehicle in parallel line with other friends.
10. I will not use my vehicle to stop the college bus on any occasion or other vehicles on the road.
Student Name :
I.D. / Roll. No / Dept :
I hereby abide by all the above rules and regulations. If I fail to obey the above rules, I understand that I will not be permitted to come inside the college campus.
Signature