CONFIDENTIAL EU/COE

NON-RELATIONSHIP DECLARATION AND ACCEPTANCE LETTER

(This letter should be sent soon on receipt of the invitation for the examiner-ship)

To,
Controller of Examination
Era University
Lucknow – 226003

Sir/Madam,
In reference to your letter no. …………………………………..dated ……………………………regarding the
examiner-ship in (course) ……………………………………………………………. (Subject) ……………………………………………….
(Paper) ………………………………….(Part).…………………………examination of the year ……………………….. Question
paper code…………………..
I declare that:
1) That I am able to understand and read type written and hand-written English script well.
2) That none of my relations (namely father, mother, father-in-law, mother-in-law, husband, wife,
brother, sister, son, daughter, son-in-law, daughter-in-law, as well as their sons and daughters
including the husband and wife of anyone of them) is candidate for the examination for which I
have been appointed examiner and that I have not taken and will not take up private tuition of any
candidate who is due to appear in this examination.
3) In case, at any stage, I come to know that any of my relation (as mentioned above) is appearing in
this examination or any candidate whom I had privately taught is appearing in this examination, I
will immediately withdraw from the examineship.
4) I shall be able to complete the assignment by the due date/prescribed time.
5) During the vacations I shall be available at the residential address given below.
6) I ACCEPT*/DO NOT ACCEPT* the above said examinership.
Yours faithfully,

Dated : ………………………………… (Signature of Examiner)

Residential Address: Official Address:

………………………………………………………………………… Full Name …………………………………………………………

…………………………………………………………………………
…………………………………………………………………………
…………………………… PIN Code …………………………..
Phone Number : (City Code) ……………………………
Residence Phone Number ……………………………….
Mobile Phone Number ……………………………………
E- mail Address ………………………………………………..
*Strike off which is not applicable.
Designation………………………………………………………
Address…………………………………………………………….
…………………………………………………………………………
……………………………PIN Code…………………………….
Phone Number:(City Code)……………………………..
Office Phone No………………………………………………
Fax Number ……………………………………………………..