Scribd Logo
Upload

Welcome to Scribd!

  • 81 views

    Self Declaration For HSSC Exam

    Uploaded by

    Vikash Vashistha
    This document is a self-declaration form for candidates to complete in lieu of the COVID-19 pandemic. In it, the candidate declares that [1] they have read all instructions and guidelines regarding COVID-19 from the government and exam website, [2] they have not experienced any COVID-19 symptoms in the last 14 days or been in close contact with any confirmed COVID-19 cases, and [3] they have not travelled to any cities with COVID-19 outbreaks in the last 14 days. The form requires the candidate's signature to confirm these declarations and notes that the exam center reserves the right to deny entry if any health risks are present.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Self Declaration For HSSC Exam

    Uploaded by

    Vikash Vashistha
    81 views1 page
    This document is a self-declaration form for candidates to complete in lieu of the COVID-19 pandemic. In it, the candidate declares that [1] they have read all instructions and guidelines regarding COVID-19 from the government and exam website, [2] they have not experienced any COVID-19 symptoms in the last 14 days or been in close contact with any confirmed COVID-19 cases, and [3] they have not travelled to any cities with COVID-19 outbreaks in the last 14 days. The form requires the candidate's signature to confirm these declarations and notes that the exam center reserves the right to deny entry if any health risks are present.

    Original Title

    Self Declaration for HSSC Exam

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a self-declaration form for candidates to complete in lieu of the COVID-19 pandemic. In it, the candidate declares that [1] they have read all instructions and guidelines regarding COVID-19 from the government and exam website, [2] they have not experienced any COVID-19 symptoms in the last 14 days or been in close contact with any confirmed COVID-19 cases, and [3] they have not travelled to any cities with COVID-19 outbreaks in the last 14 days. The form requires the candidate's signature to confirm these declarations and notes that the exam center reserves the right to deny entry if any health risks are present.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    81 views1 page

    Self Declaration For HSSC Exam

    Uploaded by

    Vikash Vashistha
    This document is a self-declaration form for candidates to complete in lieu of the COVID-19 pandemic. In it, the candidate declares that [1] they have read all instructions and guidelines regarding COVID-19 from the government and exam website, [2] they have not experienced any COVID-19 symptoms in the last 14 days or been in close contact with any confirmed COVID-19 cases, and [3] they have not travelled to any cities with COVID-19 outbreaks in the last 14 days. The form requires the candidate's signature to confirm these declarations and notes that the exam center reserves the right to deny entry if any health risks are present.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    Self-Declaration by Candidate in lieu of COVID-19 Pandemic

    I, . . . . . . . .. . . . . .. . . .. . . . . . . . . . . . .. . . .. . . . . . . .. . , resident of . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . .
    . . . . . . . . . . . .. . . . . . . .. . .. . . . . .. . . .. . . . . . .. . . . . . . . . . .. . . . . . . . .. , do hereby, declare the
    following:

    1. That, I have read the Instructions, Guidelines and relevant orders of the Govt. of India
    pertaining to Covid-19 pandemic. I have read complete Advertisement and Guidelines,
    Instructions and Notices etc. related to this examination available on the Website, i.e.
    www.hssc.gov.in
    2. I have in the last 14 days(please tick, wherever it is applicable to you, otherwise leave blank):

    a. the following flu-like symptoms:

    Fever: □ Sore throat/runny Nose: □ Cough: □ Body ache: □ Breathlessness: □ Other Please
    Specify: _______________________________ □

    b. Been in close contact with a confirmed case of the COVID-19. ('Close contact’ means
    being at less than one meter for more than 15 minutes.)
    c. Not been in close contact with a person suffering from COVID-19 and am NOT under
    mandatory quarantine.
    d. Travelled the following cities/ country in the last 14 days prior to arriving at the Centre.

    City/ Country 1st City 2nd City 3rd City 4th City
    Name of Cityies/ Country
    Date of Arrival in Exam Centre City

    The health and wellbeing of our community is our first priority; therefore, the centre reserves the
    right to deny entry to its premises. Signature of the Candidate

    Signature of the Candidate

    You might also like