AFFIX PASSPORT SIZE PHOTOGRAPH

JEEC 12TH SEPT EXAMINATION

ACCEPTANCE & UNDERTAKING - PROVIDING SERVICES FOR CAPTURING BIOMETRIC FACIAL DATA

I hereby offer my services for the captioned capturing work in the aforesaid examination
to be conducted by JEEC, GOVT OF UP on 12th Sept 2020. I shall abide by the instructions/directions as
given by the authorized agency for undertaking the assigned task with the android mobile phone/device
at the examination centre allotted to me by the authorized agency.

I also give an undertaking to the effect that neither me nor my

husband/wife/son/daughter/brother/sister is appearing as a candidate in the aforesaid examination at
any examination centre.

PARTICULARS

1. Name of applicant __________________________________________________

2. Father’s /Husband’s name __________________________________________________
3. Date of Birth __________________________________________________
4. Qualifications __________________________________________________
5. Address __________________________________________________
__________________________________________________
6. Mobile No. __________________________________________________
7. Valid Id. No.(Attached) __________________________________________________

Dated : _____________ ________________________________________

(Full Signature of applicant)