CONFIDENTIAL EU/COE

NON-RELATIONSHIP DECLARATION AND ACCEPTANCE LETTER

(This letter should be sent soon on receipt of the invitation for the examiner-ship)

To,
Controller of Examination
Era University
Lucknow – 226003

Sir/Madam,
In reference to your letter no. COE/P/2022/510 ………..dated ……………………………regarding
27/05/22 the
Optometric Optics-II & Dispensing Optics
B.SC IN OPTOMETRY
examiner-ship in (course) ……………………………………………………………. (Subject) ……………………………………………….
2022
(Paper) ………………………………….(Part).…………………………examination of the year ……………………….. Question
BOPT 301
paper code…………………..
I declare that:
1) That I am able to understand and read type written and hand-written English script well.
2) That none of my relations (namely father, mother, father-in-law, mother-in-law, husband, wife,
brother, sister, son, daughter, son-in-law, daughter-in-law, as well as their sons and daughters
including the husband and wife of anyone of them) is candidate for the examination for which I
have been appointed examiner and that I have not taken and will not take up private tuition of any
candidate who is due to appear in this examination.
3) In case, at any stage, I come to know that any of my relation (as mentioned above) is appearing in
this examination or any candidate whom I had privately taught is appearing in this examination, I
will immediately withdraw from the examineship.
4) I shall be able to complete the assignment by the due date/prescribed time.
5) During the vacations I shall be available at the residential address given below.
6) I ACCEPT*/DO NOT ACCEPT* the above said examinership.
Yours faithfully,

09/07/2022
Dated : ………………………………… (Signature of Examiner)

Residential Address: Official Address:

MR.ABHIJIT DEBNATH -P.HD(P)
NAME: ABHIJIT DEBNATH, S/O : JADUGOPAL
………………………………………………………………………… Full Name …………………………………………………………
DEBNATH, ADDRESS: WEST PILAK, SANTIR-
………………………………………………………………………… ASSISTANT PROFESSOR / H.O.D
Designation………………………………………………………
BAZAR, SOUTH TRIPURA,AGARTALA,TRIPURA.
………………………………………………………………………… Address…………………………………………………………….
INDIRAGANDHI INSTITUTE OF PARAMEDICAL SCIENCES,
799141 SANJAY GANDHI HOSPITAL CAMPUS,MUNSHIGANJ,AMETHI,
................................. PIN Code ................................ …………………………………………………………………………
UTTAR PRADESH 227412
Phone Number : (City Code) …………………………… ……………………………PIN Code…………………………….
7005207567
Residence Phone Number ………………………………. Phone Number:(City Code)……………………………..
8794988180
Mobile Phone Number …………………………………… Office Phone No…7005207567 …………………………
E- mail Address ………………………………………………..
ABHIJITDEBNATH056@GMAIL.COM Fax Number ……………………………………………………..
*Strike off which is not applicable.