1/29/24, 4:41 PM EMPLOYMENT BANK
Your ANNEXURE-III has been successfully submitted on 29 Jan,2024 at 16:44:45
ANNEXURE-III
SELF-DECLARATION
(To be submitted every six months)
ENROLLMENT NO : EB2013816442902
I BIKASH HAZRA Son/Daughter/Wife of SAMAR HAZRA
A recipient of Unemployment Assistance under YUVASREE is unemployed till date and I am utilizing the Unemployment
Assistance to undertake training for increasing my employability.
Note : All the fields below are mandatory and must be filled in properly
Name/Nature of Name and address Date of initiation and
Remarks
training of training institute duration of training
Start Date: 03 Jul,
Uluberia Youth Computer Traning Centre, 2023
Education /
Station Road(South), Uluberia, Howrah, Pin Course Continue
Training End Date: 29 Jan,
code- 711316
2024
I hereby declare that all the information furnished above is true to the best of my knowledge and belief.
I shall be liable for penal action as per law in case this declaration is proved to be false subsequently.
Date: 29 Jan, 2024
District: HOWRAH
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