DECLARATION FORM 

CPMT 2015  

CANDIDATE'S NAME :

FATHER'S NAME:

MOTHER'S NAME:

 

Give fingerprint impression of your right index finger in the given boxes without re-inking your finger. Ink your finger on the stamp pad once then apply it on the first box without smudging the impression, then apply the same finger on the second box without taking the ink again, repeat the same on the third box without re-inking your finger, as given in the example below.

lHkh vH;FkhZ dks vius nk¡;sa gkFk dh rtZuh (Index Finger) ds fu'kku dks fuèkkZfjr LFkku ij vfuok;Z :Ik ls yxkuk gksxkA

dsoy ,d ckj LVSaEi bad maxyh ij yxk;sa vkSj igys [kkus ij fu'kku yxk;sa] nqckjk LVSEi L;kgh maxyh ij yxk;s fcuk mlh rjg nwljs ,oa rhljs [kkus esa Hkh fu'kku nsaA

1 First Impression

2 Second Impression 

¼nqckjk LVSEi L;kgh maxyh ij yxk;s fcuk½

3 Third Impression 

¼nqckjk LVSEi L;kgh maxyh ij yxk;s fcuk½

 

For sample handwriting. Write the following sentence in your usual handwriting. 

The quick brown fox jumped over the lazy dog.   

 

candidate's signature ( in English, within box only) 

  Father's/  Guardian's signature( in English, within box only)

   

                           

   

Attested by principal/gazetted officer with seal

PASTE YOUR 

PHOTOGRAPH