ena oo. (DATE IN LIEU OF GEN-EWS CERTIFICATE * DECLARATION HY FH CAND! une ottheonndidae) al) “Thou: __ Adtran! (8, “Tilele_Nopex<— Mewos + Madly Bradesh Application Namber of CUBT 2022: 23351 0599 0 5 MobiteNo. 828189952 __Fmait- 2lingeeyt @ gmail.com 1 \indortnnd’ that as per the new guldeline from the Ministry of Personnel, Public ‘Grievances and Pensions, Gol, Fanrequired to submit a GEN-EWS certificate issued on ‘or flor 1 Jonunry 2022, Hinve I have not been ablo to collect the said certificate on time, Linay kindly be allowed to write CURT 2022 provisionally, 1 hereby declare that I will upload a fresh certificate osved on oF after 1 January 2022) at the time of reporting after seat allocation, J understand that inability to uplond the same by the given date and time will lead to the \wllhrawal of the GRN-EWS benefit 1 lso understand that, #f qualified, my category will bye adjusted nocordingly in the Common Rank List. Signature of Fathor/Mother “Ne Name; Meena “Thakur Date: 24/03/9093 Simature of Applicant cdl oo