Online Gramin Dak Sevak Engagement Candidate Application Form Personal Details Registration \250S6EAS4DABS7 lumber Father/Mother [PHEKURAM fame SAWAN KUMAR YADAV Name VADAV Mobile eeeeeer 121 Radhas leseeneee] 205 jumber email 1D |SAWANKUMAR19993425********## [Date of Birth : |01/05/1999 Gender: |[Mate Category: [OBC bu: L (Can You ride a |. bicycle (Whether I etter INo ‘Employer NOC|No ‘mploys is available Address Details Present Address Permanent Address [Door No. IKARAILI [Door No. [KARAILI Street |ASANHARA _|Street |ASANHARA (City/Village BASTI City/Village [past [Panchayat/Mandal/Dist |BASTISADAR |PanchayaMandal/Dist_ [BASTI SADAR [Pincode 272001 |Pincode [272001 Marks/Grades/Points [Board of High School State & Year of Passing land Intermediate |Uttar Pradesh - 2012 Board 10" class Education, Uttar [Pradesh, Allahabad iResult Type [Marks ‘Board Remarks: - Subject _[Marks/Grades/Points|‘Mathematics English Social Science! Science Hindi ‘Computer Declarations: 1. Lam able to ride bicycle/scootermotor 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, 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. Lam 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. [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 19. [undertake that I have not been 'removed/dismissed/compulsaory retired’ as Govt. Servent/Gramin Dak Sevak 10.1 hereby undertake to declare that, the details furnished by me (ie. Age/Address/Educational qualifications/Computer_knowledge/EWS/PwD/Casteete.) 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 ete. 11.1 hereby give my consent for verification of my mark sheet of Secondary Level. Examination of Class X standard through API Setu.Date: 15/02/2025 20:47:29 Annexure - Posts applied for Uttar Pradesh, Basti Division with Preference order: Preference, Post Name 1__[Antari Bazar BO-GDS BPM - UR - Rs.12000 (Hindi) 'Arji BO-GDS ABPM - OBC - Rs.10000 (Hindi) [Barhya BO-GDS BPM - OBC - Rs.12000 (Hindi) [Belhara BO-GDS BPM - UR - Rs.12000 (Hindi) 'Bharwatia Bzr BO-GDS BPM - UR - Rs.12000 (Hindi)| 'Bhitpara BO-GDS BPM - OBC - Rs.12000 (Hindi) [Buddhi Khas-GDS BPM - UR - Rs.12000 (Hindi) (Chandrahat BO-GDS BPM - UR - Rs.12000 (Hindi) (Chaparaghat BO-GDS BPM - UR - Rs.12000 (Hindi) 'Dasia BO-GDS BPM - UR - Rs.12000 (Hindi) xe} 20 |a) a|un] s/o] In case of selection,the physical verification of original documents will be carried out at the Division, where the vacancy is notified. Refer to paragraph 9(ii) of the notification, (GDS Online Engagement Schedule I, January-2025 PRINT