| Application ID - {{ $application->c_appln_id }} | Exam Centre - {{ $examCentre->c_centre_name ?? 'N/A' }} | Month - {{ $monthNames[$application->d_month_exam] ?? 'N/A' }} |
| 1. | Name of Applicant (in Block Letter) | {{ strtoupper($application->c_name ?? $application->user->name ?? '') }} |
@if($photoUrl && file_exists($photoUrl))
Photo
@endif
|
|
| 2. | Father's Name | {{ $application->othUserDetail->c_father_hus_name ?? 'N/A' }} | ||
| 3. | Address |
{{ $application->othUserDetail->c_present_add ?? '' }},
{{ $application->othUserDetail->c_present_state ?? '' }},
{{ $application->othUserDetail->c_present_district ?? '' }}
PIN: {{ $application->othUserDetail->c_present_pincode ?? '' }} (L) {{ $application->user->mobile ?? '' }} (eMail) {{ $application->user->email ?? '' }} |
||
| 4. | Mark of Identification | {{ $application->othUserDetail->c_id_mark ?? 'N/A' }} | ||
| 5. | Date of Birth (Attach an attested copy of School Leaving Certificate or Matriculation Certificate or Passport) | {{ $application->othUserDetail->d_birth_dt ? \Carbon\Carbon::parse($application->othUserDetail->d_birth_dt)->format('d-m-Y') : 'N/A' }} | ||
| 6. | a | Nationality | {{ $application->othUserDetail->c_nationality ?? 'N/A' }} | |
| b | Passport No. (attach Attested copy of Passport) | {{ $application->c_passport_no ?? 'N/A' }} | ||
| c | Passport Expiry Date | {{ $application->d_passport_expiry_dt ? \Carbon\Carbon::parse($application->d_passport_expiry_dt)->format('d-m-Y') : 'N/A' }} | ||
| 7. | i | Whether copy of 10+2 Certificate (with Physics & Maths) is attached | Yes | |
| ii | Period of Experience in the Mobile Station in MM Service | |||
| Class of certificate | Certificate No | Certificate Issue Date | Certificate Issuing Authority |
| {{ $cert->c_cert_class ?? '' }} | {{ $cert->c_cert_no ?? '' }} | {{ $cert->d_cert_issue_dt ? \Carbon\Carbon::parse($cert->d_cert_issue_dt)->format('d-m-Y') : '' }} | {{ $cert->c_cert_issue_ofc ?? '' }} |
| Class of Examination | @if($application->c_class_exam === 'F') GMDSS FULL @elseif($application->c_class_exam === 'II') GMDSS PART-II @else {{ $application->c_class_exam ?? 'N/A' }} @endif |
| Centre of Examination | {{ $examCentre->c_centre_name ?? 'N/A' }} |
| Month of Examination | {{ $monthNames[$application->d_month_exam] ?? 'N/A' }} {{ $application->d_year_exam ?? '' }} |
| State if applying in any other class of COP Examination | {{ $application->c_any_cop_class === 'Y' ? 'Yes' : 'No' }} |
| Specify Any other class of COP examination | {{ $application->c_other_cop_class ?? 'N/A' }} |
| Training Institute | {{ $application->c_trg_inst ?? 'N/A' }} |
| Training Completion Date | {{ $application->d_trg_comp ? \Carbon\Carbon::parse($application->d_trg_comp)->format('d-m-Y') : 'N/A' }} |
| CDC Number | {{ $application->c_cdc_pp ?? 'N/A' }} |
| Previous License Number | {{ $application->c_previous_lic_no ?? 'N/A' }} |
I hereby solemnly declare and say that foregoing facts are true and correct and nothing is false there in and no material has been concealed therefrom. I also agree that in case any information given by me herein before is found false at a later date, the certificate and licence to operate, if granted, will be cancelled.
I also certify that I shall maintain secrecy of correspondence as required under rules.
The submitted self-certified documents may be verified from the issuing authority, in case any discrepancy is found, application is liable to be rejected and/or any issued certificate will be immediately revoked and suitable penal action will be taken against the candidate.
Signature of the applicant
@if($signUrl && file_exists($signUrl))( {{ strtoupper($application->c_name ?? '') }} )
Date: {{ $application->d_created_dt ? \Carbon\Carbon::parse($application->d_created_dt)->format('d-m-Y') : date('d-m-Y') }}