nd

22 NATIONAL CERTIFICATION EXAMINATION

FOR
ENERGY MANAGERS AND ENERGY AUDITORS-JULY 2022

HALL TICKET

Name of the Candidate ALOK KUMAR

Date of Birth 01/07/1989

Application Number 2202721

Examination Centre AHMEDABAD Candidature Energy Auditor

Name and Address of the Examination Venue

PRAKASH HIGHER SECONDARY SCHOOL, Signature of the Candidate

NR SANDESH PRESS,
NR. MILAN PARK SOCIETY, BODAKDEV,
AHMEDABAD-380054.

EXAMINATION SCHEDULE

DATE EXAMINATION PAPERS TO BE APPEARED BY THE CANDIDATE TIMINGS SEAT NO

30.07.2022 GENERAL ASPECTS OF ENERGY MANAGEMENT & ENERGY AUDIT 09.30 AM - 12.30 PM. AHM-019

30.07.2022 ENERGY EFFICIENCY IN THERMAL UTILITIES 02.00 PM - 05.00 PM. AHM-019

31.07.2022 ENERGY EFFICIENCY IN ELECTRICAL UTILITIES 09.30 AM - 12.30 PM. AHM-019

31.07.2022 ENERGY PERFORMANCE ASSESSMENT FOR EQUIPMENT AND UTILITY SYSTEMS 02.00 PM - 04.00 PM. AHM-019

Instructions to Candidates
1. In the absence of hall ticket, candidate will not be permitted inside the examination hall.
2. Candidate is allowed to use pen, pencil and a non-programmable scientific calculator. Electronic gadgets or any other
books/materials are strictly not allowed.
3. Mobile phones must be switched off inside the examination Hall. If found using the candidate will be debarred.
4. Candidate is permitted to enter the examination hall 15 minutes before the commencement of the examination. No
candidate will be admitted after 30 minutes of commencement of the examination and no candidate will be allowed to
leave the examination hall till 60 minutes after the commencement of the examination.
5. Candidates must refrain from talking to each other during the examination. Any candidate attempting or helping to
obtain unfair assistance or using unfair means is liable to be expelled from the examination hall. The superintendent of
the examination reserves the right to take action in such cases as it may deem fit.
6. Government issued identity proof in original, shall be shown to the exam officials for verification on request.
7. Candidates are required to follow the rules, regulation and guidelines of local authorities, State government and
Government of India related to COVID-19 as issued from time to time.

Controller of Examination
 SELF DECLARATION

I, ALOK
________________________________________
KUMAR son/ daughter of __________________________ resident of
__________________________________________, do hereby declare the following:

1. I have read the Instructions, guidelines and relevant orders of Govt. of India pertaining to COVID - 19 pandemic.
I have read information bulletin, instructions and notices.

2. I have in the last 14 days (please write Yes/No, wherever applicable):

a. The following flu-like symptoms:
Fever (Yes/No)……….. Cough: (Yes/No)……..… Breathlessness (Yes/No)…………
Sore Throat/Runny nose (Yes/No)………… Body Ache (Yes/No)…….. Others - Please specify:
b. Been in close contact with a confirmed case of COVID - 19 (‘Close contact’ means being at less than one -
meter distance for more than 15 minutes) (Yes/No) ………..
c. Not been in close contact with a person suffering from COVID-19 and am NOT under mandatory quarantine
(Yes/No)………..
d. Travelled the following cities/country in the last 14 days prior to arriving at the centre:

1st city 2nd city 3rd city 4th city

Name of cities/ country
Date of arrival in centre city
3. I understand that the health and wellbeing of our community is my first priority; therefore, the centre reserves
the right to take decision based on the health condition of the candidate.
4. I will wear a mask, follow physical distancing, maintain hand hygiene at all times in the examination centre.
5. I will bring my own water bottle, sanitizer and mask for the examination.
6. I have downloaded and installed the Arogya Setu app in my mobile phone.

7. I will adhere to the health protocols as are prescribed by the examination centre.

8. I have been vaccinated against COVID-19. The details are

Dose Date Vaccine Name
1
2
Booster Dose

9. I have read the “Examination instructions and guidelines for the 22nd National Certification Examination” and I
undertake to abide by the same.

Candidate’s Signature

9457588210
Candidate's Photo Candidate’s Mobile No.