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NISM is resuming certification examinations (for NISM and IBBI) from 16th June 2020 at limited number of test centers. NISM is looking into the possibility of opening more test centers in coming days. Candidates appearing for the certification examinations must wear mask for their own and other’s safety, during the examinations and also carry Self Declaration form in the following format to the center. Candidates shall not be allowed to enter the test center if self-declaration form is not submitted.

 

Coronavirus Self Declaration Form

 

 

For the health and safety of our community, declaration of illness is required. Be sure that the information you'll give is accurate and complete. 

Name of the Candidate: ______________________________________________

Reg No:_____________________________________________

Examination Date _______________________________________

Examination Time _________________________________________

Examination Centre __________________________________________

    • I have not travelled to any foreign location in the year 2020.
    • I am not being in contact with people being infected, suspected or diagnosed with COVID-19?

 

I declare that I am not experiencing any of the below issues:

  • Fever
  • Cough
  • Shortness of Breath
  • Persistent Pain in the Chest

 

     

I acknowledge that the information I've given is accurate and complete. 

Date _______________________

Signature __________________________

 

 

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