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Online Gramin Dak

Sevak Engagement
Candidate Application Form
Personal Details

Registration
23569B796664DE
Number

Name SAHWAG MEENA Father/Mother Name CHETRAM MEENA

Mobile *******060 Aadhar Number ********3204

email ID DHEERAJAAYU294********** Date of Birth : 10/08/2004

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

Address Details
Present Address Permanent Address
Door No. 05 Door No. 05
Street karauli Street karauli
City/Village vishanpura charan City/Village vishanpura charan

Panchayat/Mandal/Dist nangal lat Panchayat/Mandal/Dist nangal lat

Pincode 321611 Pincode 321611

Marks/Grades/Points
Board of Sec.
State & Year of Passing Education Rajasthan,
Rajasthan - 2021 Board
10thclass Ajmer (From
01.01.2012 to Till now)

Result Type Marks Board Remarks: -

Subject Marks/Grades/Points
Social Science 87
Third Language-Sanskrit 87
English 87
Science 87
Maths 87
Hindi 87

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.

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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: 17/08/2023 18:06:05

Annexure - Posts applied for West Bengal, Sikkim Division with Preference order:
Preference Post Name
1 Arithang BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
2 Berang BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
3 Beyong BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
4 Chakung BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
5 Chakung BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
6 Chumbong BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
7 Dikchu SO-Daksevak - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
8 Gerathang BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
9 Kaluk BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
10 Khamdong BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
11 Khechuperi BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
12 Khechuperi BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
13 Lachen BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
14 Lingmoo BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
15 Lingtam BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
16 Penlong BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
17 Phudong BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
18 Raymindu BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
19 Samlickmarchak BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
20 Sangkalan BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
Shivalaya Mandir Lingsey BO-GDS BPM - UR - Rs.12000
21
(Bhutia/English/Lepcha/Nepali)
22 Sinchuthang BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)
23 Sombaria BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
24 Takuthang BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
25 Tingmoo BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
26 Tinkitam BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)
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27 Upper Pendam BO-GDS ABPM - UR - Rs.10000 (Bhutia/English/Lepcha/Nepali)

28 Tashiding BO-GDS BPM - UR - Rs.12000 (Bhutia/English/Lepcha/Nepali)

Division selected for document verification is Sikkim Division (West Bengal)

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