2:25 PM

5,

Document

Declaration
LOKENDRA GOYAL
Slo/ WIol Dlo UDAY SINGH GOYAL hereby declare that the
ssse...........
information provided above is true to
the best of my knowledge & bellef.
If selected for training, I hereby undertake:

Basic information

To attend and participate in all the sesslons/classes of the aforesald tralning program diligentiy
b. To maintain discipline and followthe Instructions of the tralner, while undergolng
the said training program;
To successfully complete the training program;
and

Iunderstand that lwill be deemned ineligible for assessment and certification unless, Ifulfill the above criteria and meet the
assessment standards.

Signature of the candidate

The following documents are attached:

2
Copies of Photograph

Photo ldentity Proof

Document as proof of identity (Aadhar card/Voter ID/Driving Licence or any other ID/card issued by Govt. of
India)

Document as proof of domicile (Ration Card or any other)

BPL Card or Certification by Panchayat Authorityl Job card (MNREGA) RSBY Card/ Antyodaya Anna Yojana
Ration Card/ SHG certificate/PIP list approved by Gram Sabha

Proof of SC/STIOBC/Minority/PWD, if applicable. (PWD-self declaration can be accepted)

Proof of Educational Qualificaton (Copy of educational certificates, self-attested)

Slgnature of Applicatt