INDEMNIFICATION UNDERTAKING BY STUDENT

I, ANISHA KUMARI, Age: 24, student of Symbiosis Institute of Business Management, Bengaluru, a
constituent of Symbiosis International (Deemed University), do hereby declare and undertake as follows:

(i) I am pursuing Master of Business Administration with Symbiosis Institute of Business

Management, Bengaluru.
(ii) I have read and understood the Disciplinary Rules, Code of Conduct, Academic Rules,
Examination Rules, Dress Code, and Library Policy of the Institute given on the Symbiosis
Institute of Business Management, Bengaluru / SIU website.
(iii) I understand and agree that I have joined this University for academic pursuits and for holistic
development of my personality. I agree that University and / or Institution and/or its Authorized
Representatives have no control on activities, which are not related to course curriculum and in
which I decide to engage myself voluntarily. It also sometimes happens that during the course of
performing authorized activities, students engage in activities on which there is no direct / indirect
control of the authorities of the University / Institution.
(iv) I understand that as a responsible student of the University, I should not engage myself in
activities which may cause injury to my person or property. In case, any injury is caused to my
person / property due to my involvement / engagement in any manner in any activity, which is not
authorized by the 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 I am the person solely liable to bear its
consequences. I undertake that I shall not hold the University / Institution liable in any manner
whatsoever for the same.
(v) I understand that Symbiosis also promotes sports, because it believes in the principle of
"sound mind in sound body". The participation in regular sports features or tournament is
completely voluntary.
(vi) I am well aware that any sports event has some inherent risks involved in it. I am also aware
while playing some sports, accidents may occur. However, since my participation to regular sports
features of the Institute / University or any specific tournament is completely voluntary, I shall not
make any claim for any amount as compensation or otherwise due to any injury caused to person
or property arising out of my voluntary participation.
(vii) Symbiosis has insured each student to meet medical expenses up-to Rs. 50,000/-in case of
non-accidental emergencies (as per the Mediclaim Insurance Policy) & Rs.1,00,000/- in case of
Rail/Road Traffic accidents. But it may happen that in some cases (exclusion clauses), the
insurance policy may not be honored. Hence the University/Institution may have to incur certain
expenses. I and/or my parents undertake to pay the total amount within 15 days of demand by
the University / Institute.
(viii) I am aware that Symbiosis Centre of Health Care (SCHC) has been established on the
Campus where the students can avail First Aid Facility. I, therefore understand that SCHC is
responsible only for primary medical assistance and any higher degree of medical care or any
medical emergency may be addressed by referral to specialized centers.
(ix) I also understand that in case of a medical problem, certain medical procedures may need to
be performed by hospitals to treat the medical conditions. In such cases, as decided by the
doctor, a consent is required to perform the required medical procedures. Any delay in producing
the consent may prove to be fatal and under any circumstance, the medical treatment should not
be delayed for want of consent from my parents/guardian.

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 (i) I, therefore, in my interest, authorize the Symbiosis International (Deemed University) and /or
the Institution and/or any person designated by the University /Institution, to give consent for me
and on my behalf to perform the medical procedures. I shall stand by this authorization and shall
not hold Symbiosis International (Deemed University) and /or the Institution and/or any person
designated by the University / Institution responsible / liable for giving consent.
(ii) I, hereby authorize SIU/ SCHC/ Symbiosis Society to seek information relating to my treatment
/ hospitalization during my studentship with SIU.
(iii) I have signed this Undertaking and authorized Symbiosis International (Deemed University)
and /or the Institution and/or any person designated by University /Institution to give consent for
medical procedure on my free will and without any influence / pressure from any person.

Hence this Undertaking and Authorization.

Date: 18-May-2023

Place:

Name of the Candidate : ANISHA KUMARI

Signature of the Candidate

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