(Information As Furnished by The Candidate) : Hall Ticket
(Information As Furnished by The Candidate) : Hall Ticket
OC
Registration No : 2110313798
Gender
Date of Birth : 18/03/1987 MALE
Local Status
Address : 402, SHAMROCK APARTMENT
TELANGANA
502032
1. It is mandatory to wear a face mask properly at all times while the candidate is in the exam centre, preferably
double mask.
2. Candidates should maintain social distancing while entering/exiting the exam centre and also at all times while
he/she is in the exam centre.
3. Candidates should carry hand-sanitizer of up to 100 ml in transparent bottle, face mask, gloves and drinking water
in transparent bottle for personal use.
4. Candidate should use hand sanitizer before entering examination hall.
5. Candidate should not share personal items like mask, gloves, water bottle etc. with other candidates.
6. Candidates with high temperature or other symptoms of COVID-19 will not be permitted to enter the examination
centre and take examination.
7. Candidate should mandatorily submit self-declaration at the entry point of examination centre failing which
candidate will not be permitted to enter the examination centre.
Self-Declaration
We are concerned about your health and safety. You are requested to declare, in case you experience, any of the
symptoms listed below, by using a ✓ (Yes, I have) or ✖ (No, I do not have).
Fever ⃞ Dry Cough ⃞ Chest pain or pressure ⃞
Sore throat ⃞ Breathing Problem ⃞ Loss of taste or smell ⃞
I’m certifying that I’ve NOT tested Positive for the Coronavirus or identified as a potential carrier of the COVID-
19 virus.
Candidate’s Name : ________________________________________________
Candidate Hall Ticket No. : ________________________________________________
Date of Exam : ________________________________________________
Test Center : ________________________________________________
Signature of Candidate
: ________________________________________________
(with date)