Scribd Logo
Upload

Welcome to Scribd!

  • Covid-19 Self Declaration For Appearing in Phyiscial Training Conducted by The Nirc of Icai, Delhi

    Uploaded by

    Nipun Aggarwal
    13 views1 page
    This document contains a self-declaration form for students appearing for physical training related to COVID-19. The form requires students to declare whether they have experienced COVID-19 symptoms, been in contact with COVID-19 positive individuals, been quarantined, received vaccine doses, and reviewed safety instructions. Students must sign and date the form to confirm their health status and acknowledgement of COVID-19 prevention procedures before attending in-person training.

    Original Description:

    Original Title

    Covid-19 Self Declaration for Appearing in Phyiscial Training Conducted by the Nirc of Icai, Delhi (1)-Converted (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains a self-declaration form for students appearing for physical training related to COVID-19. The form requires students to declare whether they have experienced COVID-19 symptoms, been in contact with COVID-19 positive individuals, been quarantined, received vaccine doses, and reviewed safety instructions. Students must sign and date the form to confirm their health status and acknowledgement of COVID-19 prevention procedures before attending in-person training.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    Covid-19 Self Declaration For Appearing in Phyiscial Training Conducted by The Nirc of Icai, Delhi

    Uploaded by

    Nipun Aggarwal
    This document contains a self-declaration form for students appearing for physical training related to COVID-19. The form requires students to declare whether they have experienced COVID-19 symptoms, been in contact with COVID-19 positive individuals, been quarantined, received vaccine doses, and reviewed safety instructions. Students must sign and date the form to confirm their health status and acknowledgement of COVID-19 prevention procedures before attending in-person training.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    COVID-19 SELF DECLARATION FOR APPEARING IN PHYISCIAL TRAINING

    All COURSE CONDUCTED BY THE NIRC OF ICAI, DELHI

    Date: _ _ /_ _ / 2023
    NAME OF THE STUDENT:
    STUDENT REGISTRATION No.:

    SELF DECLARATION (UNDERTAKING) TO BE FILLED IN BY THE STUDENT

    I S/o, D/o, W/o,


    resident of
    _, do hereby declare the following
    (please write YES or NO, wherever it is applicable to you):

    1. I have not been suffering from flu-like symptoms of fever, cough, breathlessness,
    sore throat/ runny nose, body ache in the last 14 days

    2. I have not been in close contact with a confirmed case of the COVID-19

    3. I have not been in close with a person suffering from COVID-19 and am not
    under mandatory quarantine

    4. I had taken Both Doses of vaccine

    5. I had taken SINGLE Dose and previous 3 days RTPCR Covid-19 test report

    I have read the instructions, notices and SOP for COVID-19 prevention related to
    this Training/Classes available on the official website of NIRC (nirc.icai.org) and the
    advisory for candidates regarding COVID-19.

    Student’s Signature

    Date:

    You might also like