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भारत सरकार / Government of India म एवं रोजगार मंालय / Ministry of Labour & Employment खान सुरा महािनदेशालय / Directorate General of Mines Safety

This document is an admit card for a candidate named Shekh Abdullah for the Second Class Certificate of Competency (Unrestricted) Examination, 2020 under the Coal Mines Regulations to be held on February 22, 2021 from 10:00 AM to 12:00 PM. It provides the candidate's personal details like name, father's name, date of birth, and roll number. It specifies the examination center details and informs that the candidate must report at the center by 8:20 AM, with gate closure at 9:20 AM. The admit card also contains a self-declaration form regarding COVID-19 for the candidate to fill.

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75 views2 pages

भारत सरकार / Government of India म एवं रोजगार मंालय / Ministry of Labour & Employment खान सुरा महािनदेशालय / Directorate General of Mines Safety

This document is an admit card for a candidate named Shekh Abdullah for the Second Class Certificate of Competency (Unrestricted) Examination, 2020 under the Coal Mines Regulations to be held on February 22, 2021 from 10:00 AM to 12:00 PM. It provides the candidate's personal details like name, father's name, date of birth, and roll number. It specifies the examination center details and informs that the candidate must report at the center by 8:20 AM, with gate closure at 9:20 AM. The admit card also contains a self-declaration form regarding COVID-19 for the candidate to fill.

Uploaded by

Saba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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भारत सरकार / Government of India

म एवं रोजगार मंालय / Ministry of Labour & Employment


खान सुरा महािनदे शालय / Directorate General of Mines Safety

Dhanbad, Dated 10-Feb-2021


No.Exam/SCU5P00141

The Mines Act 1952


Second Class Certificate of Competency (Un Restricted) Examination, 2020
Under the Coal Mines Regulations

ADMIT CARD

Candidate Id: 2002669

SECOND CLASS MANAGER (UN-RESTRICTED) CERTIFICATE


Name of Examination:
OF COMPETENCY EXAMINATION UNDER THE CMR
INTERMEDIATE OR EQUIVALENT WITH OVERMAN OR SIRDAR
Scheme: (UNRESTRICTED ) CERTIFICATE AND GAS TESTING
CERTIFICATE-05 PAPERS (L,W,V, M,S)
PERTH DIGITAL ZONE, GAGAN HOMES, IRONGYM,
Center: KUSUMVIHAR PHASE- 2, PO- KAYALA BHAWAN , NULL,
DHANBAD-826005

Name of Candidate: SHEKH ABDULLAH

Date Of Birth: 17-Oct-1973

Father’s Name: MD LUQMAN

Is hereby Provisionally Authorized to appear at the Computer Based Test in the subjects indicated below on the dates
and time specified:

Reporting Gate Closure


Sr.No Roll No. Subject(s) Date Exam Time Bar-Code
Time Time

10:00 AM to
1 DHA2371076 SCU-S 22-Feb-2021 08:20 AM 09:20 AM
12:00 PM

Secretary
Board of Examination &
Director of Mines Safety (Exam)

Note:
1. Candidate is required to report at the examination centre at the reporting time.
2. Mobile Phone or any other electronic devices are not allowed in the examination centre. Disciplinary action including
cancellation of candidature and debarment for three years shall be taken on infringement of above.
3. There is no arrangement for safe keeping of mobile phones at the examination centre.

Note: This is System generated, Signature is not required


COVID-19 SELF-DECLARATION FOR APPEARING IN COMPETENCY CERTIFICATE
EXAMINATION CONDUCTED BY THE BOARD OF MINING EXAMINATIONS

NAME OF THE CANDIDATE: ____________________________________________________________________________

FATHER'S / HUSBAND'S NAME: ________________________________________________________________________

SELF-DECLARATION (UNDERTAKING) TO BE FILLED IN BY THE CANDIDATE

I __________________________________________________________________________________________________ Father's / Husband's

Name _______________________________________________________________________________________________________ resident of

_________________________________________________________________________________________, do hereby declare the following

(please tick, wherever it is applicable to you, otherwise leave blank):

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

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

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

All candidates shall abide by the SOP for prevention of COVID - 19 pandemic during the conduct of the Examination
as notified in the DGMS website. In case of non-compliance the candidate shall not be allowed to continue in the
examination. Candidates must bring their Admit Card, Government Photo ID card, Self-declaration, face mask & hand
gloves with them. The self-declaration shall state that they have not tested COVID positive and they don’t have any
symptom.

I have read the instructions, notices and SOP for COVID-19 prevention related to this examination available on the official
website of DGMS (www.dgms.gov.in) and the advisory for candidates regrading COVID-19.

____________________________

Candidate Signature

Date:

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