8/3/23, 11:02 PM about:blank

Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR2BAF2A7F8A93
Number

Father/Mother
Name REMYA SAJEEV MK SAJEEV
Name
Mobile *******933 Aadhar Number ********3329
email ID REMYASAJEEVM********** Date of Birth : 09/01/2002
Gender : Female Category: OBC
Can You ride a
PH : - Yes
bicycle
Whether
Whether
No Employer NOC is No
Employed :
available

Address Details
Present Address Permanent Address
Door No. MARUNNINAKULATH Door No. MARUNNINAKULATH
Street MADAPLATHURUTH Street MADAPLATHURUTH
City/Village MOOTHAKUNNAM City/Village MOOTHAKUNNAM
Panchayat/Mandal/Dist VADAKKEKKARA Panchayat/Mandal/Dist VADAKKEKKARA
Pincode 683516 Pincode 683516

Marks/Grades/Points
State & Year of Passing Kerala SSLC From
Kerala - 2017 Board
10thclass 2013 onwards

Result Type Grades Board Remarks: -

about:blank 1/3
8/3/23, 11:02 PM about:blank

Information Technology A+
Biology A+
English A+
Hindi A+
Chemistry A+
Social Science A+
Mathematics A+
Physics A+
First Language Paper -II
A+
Malayalam
First Language Paper -I
A+
Malayalam

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.

about:blank 2/3
8/3/23, 11:02 PM about:blank

Date: 03/08/2023 23:02:19

Annexure - Posts applied for Kerala, Alwaye Division with Preference order:
Preference Post Name
1 Moothakunnam SO-GDS ABPM - OBC - Rs.10000 (Malayalam)
2 Neericode BO-GDS ABPM - OBC - Rs.10000 (Malayalam)
3 Puthenvelikkara SO-GDS ABPM - OBC - Rs.10000 (Malayalam)
4 Iringole SO-GDS ABPM - OBC - Rs.10000 (Malayalam)
5 Nadukani BO-GDS ABPM - OBC - Rs.10000 (Malayalam)
6 Peringala BO-GDS ABPM - OBC - Rs.10000 (Malayalam)
7 Okkal SO-GDS ABPM - OBC - Rs.10000 (Malayalam)
8 Ramamangalam SO-GDS ABPM - OBC - Rs.10000 (Malayalam)
9 Kozhipilly BO-GDS ABPM - OBC - Rs.10000 (Malayalam)

Division selected for document verification is Alwaye Division (Kerala)

PRINT

about:blank 3/3