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Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR52FAF1A832F3
Number

Father/Mother
Name DILEEP KUMAR ANAND KUMAR
Name
Mobile *******032 Aadhar Number ********7527

email ID DK5138314********** Date of Birth : 14/06/2004

Gender : Male Category: SC
Can You ride a
PH : - Yes
bicycle
Whether Whether Employer
No No
Employed : NOC is available

Address Details
Present Address Permanent Address
Door No. 25 Door No. 25
Street NAIKOT Street NAIKOT
City/Village NAIKOT City/Village NAIKOT
Panchayat/Mandal/Dist CHANDAULI Panchayat/Mandal/Dist CHANDAULI
Pincode 232109 Pincode 232109

Marks/Grades/Points
Board of High
School and
State & Year of
Uttar Pradesh - 2020 Board Intermediate
Passing 10thclass
Education,Uttar
Pradesh, Allahabad

Result Type Marks Board Remarks: -

Subject Marks/Grades/Points
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Mathematics 82
English 80
Social Science 61
Science 82
Hindi 81
Drawing / Chitrakala 75

Declarations:
1. I am able to ride bicycle/scooter/motor cycle for performing my duty as a GDS
BPM/ABM/Dak Sevaks.(Annexure III)
2. I declare that I have not done any duplicate registration with another email/mobile
number and I understood that my candidature will be disqualified for all the
purposes if found as duplicate registration.
3. I hereby undertake to declare that I am a computer literate and I will be able to use
smart phone/laptop/handheld device supplied by the Department from the first day
of engagement.
4. I will have other sources of income besides the TRCA and allowances to be paid by
the Government to support livelihood for myself and my family, in the event of my
engagement to the post of Gramin Dak Sevak BPM/ABPM/Dak Sevaks.
(Annexure IV)
5. I am not holding an elective office will be considered for engagement to the post
and does not engaged in any activity with any outside agency, which would be
detrimental to the business or interest of the Post Office
6. I have studied and understood the condition of residence and accommodation as
per the notification clause 12 and here by declare that I will be abiding to meet the
requirements if got the engagement
7. I declare that I will submit the required certificates of 10th Marks Memo,
Photograph, Identity Proof, community(SC/ST/OBC)/disability(PWD
A/B/C/D/E)/EWS in the prescribed format at the time of document verification if
got engagement
8. I undertake that I have studied notification document thoroughly and found myself
eligible for the post of GDS/ABPM/DakSevak
9. I hereby undertake to declare that, the details furnished by me (i.e.
Age/Address/Educational qualifications/Computer
knowledge/EWS/PwD/Casteetc.) on the basis of which I am applying for the posts
of GDSBPM/ABPM/DakSevak are true to the best of my knowledge and belief . I
also undertake that, in case, any detail submitted by me is found to be false at any
stage of engagement process/during engagement, my candidature shall be liable to
be rejected against all the vacancies, applied for, or after my engagement, I shall be
terminated under GDS (Conduct and Engagement) Rules. I also understood that I
shall be liable for criminal/legal action for producing any of false
details/documents etc.

Date: 02/06/2023 10:57:56

Annexure - Posts applied for Uttar Pradesh, Varanasi East Division with
Preference order:

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Preference Post Name

1 JhumaRia-GDS ABPM - SC - Rs.10000 (Hindi)
2 JhumaRia-GDS BPM - SC - Rs.12000 (Hindi)
3 Semariya-GDS ABPM - SC - Rs.10000 (Hindi)
4 Semariya-GDS BPM - SC - Rs.12000 (Hindi)
5 Pandi-GDS BPM - UR - Rs.12000 (Hindi)
6 Pandi-GDS ABPM - UR - Rs.10000 (Hindi)
7 Kolharia-GDS BPM - UR - Rs.12000 (Hindi)
8 Kolharia-GDS ABPM - UR - Rs.10000 (Hindi)
9 Jamsoti-GDS BPM - UR - Rs.12000 (Hindi)
10 Jamsoti-GDS ABPM - UR - Rs.10000 (Hindi)
11 Jamsot-GDS BPM - UR - Rs.12000 (Hindi)
12 Jamsot-GDS ABPM - UR - Rs.10000 (Hindi)
13 Horila-GDS BPM - UR - Rs.12000 (Hindi)
14 Horila-GDS ABPM - UR - Rs.10000 (Hindi)
15 Deori kalan-GDS BPM - UR - Rs.12000 (Hindi)
16 Deori kalan-GDS ABPM - UR - Rs.10000 (Hindi)

Division selected for document verification is Varanasi East Division (Uttar

Pradesh)

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