PWD RECRUITMENT EXAM 2023

Exam Day Proformas

 CONTENTS

Contents

Proforma A- Details of Examination Functionaries Deployed at the Test CentreError! Bookmark not defined.
Proforma B- No Relation Declaration Form .................................................................................................... 3
Proforma C- Exception Form ............................................................................................................................... 4
Proforma D- Details of Change in Candidate Computer Nodes ................................................................ 5
Proforma E- Details of Delayed Candidates during Examination ............................................................. 6
Proforma F- Candidates Leaving the Examination due to Medical Emergency ................................... 7
Proforma G- Biometric Capture Issue of Candidate .................................................................................... 8
Proforma H- Reporting cases of alleged use of unfair means/disciplinary conduct……………....11

Proforma I- CCTV Footage Form ...................................................................................................................... 10

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 Proforma A- Details of Examination Functionaries Deployed at the Test Centre
Exam Centre Code

Exam Centre Name Exam City

Name of the Examination

Date of the Examination Shift(I/II/III)

S. No. Name Designation Email Address Contact No. Govt.ID Type Govt. ID No. Lab Name Signature
(Role) (Only for
Invigilators)

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 Proforma B- No Relation Declaration Form
PWD Recruitment Centre Code Centre Name Date of Exam Shift (I/II/III)
Exam 2023

DECLARATION FORM
Each person, whose name and signature are given below hereby certify that they DO NOT have any of
Parents/ Spouse / Sibling/Child/ In-Laws /Blood relative/Relatives by marriage or Household Member
appearing as candidate in said exam at any of Test Center directly or indirectly, who have financial or
any other interest whether contracted or not.

S. No. Name Designation/Role LAB No Signature

Countersigned by the VCO_________________________________________

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 Proforma C- Exception Form
Roll No.: - Name of the Candidate: - ________________

Exam Date: -______________________ Name of the Centre Name: _______________

I am appearing in Online Computer Based Test and following discrepancy has been noticed: -

➢ Candidate name on Admit card mismatch with name on ID proof.

➢ Mismatch in the Photograph / Signature printed on E-Admit Card.

➢ Mismatch in Date of birth.

➢ Candidate has illness.

➢ Any Other exception

(Please tick appropriate):

I declare that I am the genuine & authentic candidate appearing for the Post of _________. Kindly allow me.

I understand that if any information/document produced by me is/are found to be tempered/false at any stage of this recruitment process, my

candidature shall be rejected by the Recruitment Board,

Describe the Exception (if any): -__________________________________________________

____________________________ _______________________

Signature of Candidate Signature of VCO

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 Proforma D- Details of Change in Candidate Computer Nodes

Name of the Examination:

Date of the Examination:
Exam Centre Name:
Exam Centre Code:

The following candidates were shifted from their allotted seats to other seats at the beginning/during the examination. Reason and necessary permissions are recorded
below. It is further certified that there was no time loss observed in allocated examination time due to this shifting arrangement.

Sr.
Initially allotted Newly allotted Reason for
No. Shift Roll No. Name of the seat No./Lab seat No./Lab Time when new seat
Shifting Signature of the Invigilator
Candidate Name Name was allotted

______________________________
Signature of VCO

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 Proforma E- Details of Delayed Candidates during Examination
Name of the Examination
Date of the Examination
Exam Centre Code
Exam Centre Name

The following candidates are delayed beyond 15 minutes. Reasons are recorded below:

Sr. Delayed Time (in

Shift Reason for Delay
No. Roll No. of the Candidate Name of the Candidate mins)

______________________________
Signature of VCO

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 Proforma F- Candidates Leaving the Examination due to Medical Emergency

Name of the Examination

Date of the Examination
Exam Centre Code
Exam Centre Name

I am leaving the Examination Centre before the scheduled time of its closure, due to a medical emergency.

I understand that my Examination is treated as closed and my responses are frozen. .Further, I know that I will be given no further opportunity to continue/resume
this examination.

Sl.No. Roll No. Name of the Time out Candidate’s Remarks*

Candidate Signature

*Please specify the candidate's case and the reason

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 Proforma G- Biometric Capture Issue of Candidate

PWD Recruitment Centre Code Centre Name Date of Exam Shift (I/II/III)
Exam 2023

Name of the candidate:

Roll No.:

Date of Birth:

Reason for discrepancy (if any):

Candidate Signature:

Left hand thumb Impression of the candidate Right hand thumb Impression of the candidate.

_____________________________________

Signature of the VCO

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 PROFORMA-H FOR REPORTING CASES OF ALLEGED USE OF UNFAIRMEANS/DISORDERLY CONDUCT AT THE EXAMINATIONS

1 Name of Examination

2 Date of Examination

3 Name of the Candidate

4 Centre Name with Code No:

5 Roll Number

6 Shift No

7 Actual time and place with Lab No: / Seat No: when the incident occurred

8 Unauthorized material seized from the candidate (please give full details and
description of the material which should be duly signed by the candidate, the
invigilator and countersigned by the In-Charge. The seal and signature may
kindly be so affixed that they do not conceal the materials).
9 Circumstances under which the candidate was detected in possession of the
Unauthorized material.
(The Invigilator may kindly state how the suspicion arose, the exact place from
where the material was recovered, viz. in The possession of the candidate, or on
or inside or under the answer book or question paper in examination room or in
the lavatory where the candidate had gone and when detected, whether the
candidate was using the same or not).
10 State whether the candidate when asked to give any statement, gave the same
or refused to make any statement.
(If yes, the statement may kindly be signed by the Invigilator and the In-Charge Yes / No
and sent along with the proforma. If the candidate has refused to give any
statement, this may kindly be mentioned in this column clearly.

Signature of the Invigilator Counter signature by the VCO

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 Proforma I- CCTV Footage Form
PWD Recruitment Centre Code Centre Name Date of Exam Shift (I/II/III)
Exam 2023

I _____________________________________ Employee Id ______________certify that CCTV surveillance recording has been copied in storage
device while covering all below mentioned points (Please tick appropriate):

Note: Backup of all surveillance data must be retained at venue level until instruction of deletion is received from Project Manager on email

➢ Entry Gate

➢ Exit Gate

➢ Frisking Point

➢ Pathways

➢ Server Room

➢ Meeting Room and Observer Room

➢ Front and Back Area of Exam Venue

➢ All rooms/labs used during the exam

➢ 120 minutes prior to beginning of 1st Shift

➢ 120 minutes after completion of last shift

➢ Date and Time Stamp for all CCTV footages has been checked and found correct

➢ Nomenclature of folder and file followed as per guideline

__________________________ __________________________

Signature of CCTV SPOC Signature of VCO

Mobile No: Mobile No:

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