Common Recruitment Process For Recruitment of Clerks in Participating Organisations (CRP CLERKS-X)
Common Recruitment Process For Recruitment of Clerks in Participating Organisations (CRP CLERKS-X)
Common Recruitment Process For Recruitment of Clerks in Participating Organisations (CRP CLERKS-X)
DATE OF THE EXAMINATION: 12/12/20 Saturday *REPORTING TIME : 10:30 AM PLEASE AFFIX YOUR
RECENT PASSPORT SIZE
COLOUR PHOTOGRAPH
Madam/Sir,
(same as uploaded in the
online application form)
& SIGN ACROSS (Please
keep 5 copies of the
same for future use)
❌
at the venue, you are requested to declare if you have any of the below listed symptoms by using a ✓ (Yes, I
have) or (No, I do not have).
Cough
Fever
Breathing Problem
Body Ache
I have NOT been in close contact with a person suffering from Covid 19 and am NOT under mandatory
quarantine
I may be subject to legal provision/ action as applicable for hiding any facts on Covid 19 infections related to
me and causing health hazard to others.
I am aware IBPS has taken measures as per advisories of Government of India related to norms of social
distancing and sanitization at the Examination Center.
I'm asked to fill this Self-Declaration, since I do not have “Aarogya Setu” App on my mobile phone.
I'm certifying that I've NOT tested Positive for the Corona virus or identified as a potential carrier of the
COVID-19 virus.
Exam Center
: ______________________________________________________________
Name
Signature of
_______________________________________________________
Candidate
(In case candidate is using Scribe Services and Scribe does not have Aarogya Setu App, Self-Declaration
Form is to be filled by the Scribe also)