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DECLARATION BY TUE CANDIDATE IN LIEU or onc-NCI.

, CERTIFICATE

Namc of the eandidate: y MDURy)


Address: -193. o INOpuR(N
4V TEMPLE) Po- BILANOPUR
DiST GoRARHPUR--2720ol
Application Number of JEE (Main) - 2022:
2203103146 36

Mobile No:369&2802/ Email:/a8h maluryA9699mallco

I understand that as per the new guideline from the Ministry of Personnel, Public
Grievances and Pensions, Gol, I am required to submit the OBC-NCL certificate
issued on or after 1 January 2022.

Since I have not been able to collect the said certificate on time, I may kindly be
allowed to write JEE (Main) 2022 provisionally. I hereby declare that I will
upload a fresh certificate (issued on or after 1 January 2022) at the time of
reporting after seat allocation.
I understand that inability to upload the same by the given date and time will lead
to the withdrawal of the OBC-NCL benefit. I also understand that, if qualiffed, my
category will be adjusted accordingly in the Common Rank List.

Signature of Father/Mother

S akgthHou Date: 7 / o 3 / 2 02
Name:

Signature of Applicant Date:177o3/2022


(Yarny uwa

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