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Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR77191A83D469
Number

Father/Mother SYLVERIUS
Name SATYAPRAKASH XALXO
Name XALXO
Aadhar
Mobile *******796 ********5856
Number
Date of Birth
email ID SATYAPRAKASHXALXO9********** 04/12/2002
:
Gender : Male Category: ST
Can You ride
PH : - Yes
a bicycle
Whether
Whether Employer
No No
Employed : NOC is
available

Address Details
Present Address Permanent Address
Front of Front of
Door No. B.S.N.L office, Door No. B.S.N.L office,
Street chachai road Street chachai road
Patoratola Patoratola
City/Village anuppur City/Village anuppur

Panchayat/Mandal/Dist anuppur Panchayat/Mandal/Dist anuppur

Pincode 484224 Pincode 484224

Marks/Grades/Points
State & Year of Passing Madhya Pradesh - 2018 Board BOARD OF

10thclass SECONDARY
EDUCATION, MP,
BHOPAL (BEST

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OF 5 SUBECTS)
GRAND TOTAL-
500

Result Type Marks Board Remarks: N

Subject Marks/Grades/Points
SOCIAL SCIENCE 56
LANGUAGE SPECIAL
67
(ENGLISH)
MATHEMATICS 66
LANGUAGE
76
GENERAL (HINDI)
LANGUAGE
GENERAL 68
(SANSKRIT)
SCIENCE 68

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

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shall be liable for criminal/legal action for producing any of false

details/documents etc.

Date: 03/02/2023 19:57:00

Annexure - Posts applied for Madhya Pradesh, Shahdol Division with

Preference order:
Preference Post Name
1 Batura B.O-GDS BPM - ST - Rs.12000 (Hindi)
2 Chauri B.O-GDS BPM - UR - Rs.12000 (Hindi)
3 Dulhara B.O-GDS BPM - UR - Rs.12000 (Hindi)
4 Kudeli B.O-GDS BPM - ST - Rs.12000 (Hindi)
5 Malya B.O-GDS BPM - UR - Rs.12000 (Hindi)
6 Obra B.O-GDS ABPM - ST - Rs.10000 (Hindi)
7 Patasi B.O-GDS BPM - ST - Rs.12000 (Hindi)
8 Piparia B.O-GDS BPM - UR - Rs.12000 (Hindi)

Division selected for document verification is Shahdol Division (Madhya

Pradesh)

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