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Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR2A8AA6A8F7DE
Number

BIJAYA
Father/Mother
Name BISWARANJAN BISWAL KUMAR
Name
BISWAL
Aadhar
Mobile *******782 ********5957
Number
Date of Birth
email ID BISWALBISWARANJAN89********** 15/12/2002
:
Gender : Male Category: OBC
Can You ride
PH : - Yes
a bicycle
Whether
Whether Employer
No No
Employed : NOC is
available

Address Details
Present Address Permanent Address
Door No. PLOT NO-531 Door No. PLOT NO-531
Street SHAMPUR Street SHAMPUR
City/Village BHUBANESWAR City/Village BHUBANESWAR
Panchayat/Mandal/Dist KHORDHA Panchayat/Mandal/Dist KHORDHA
Pincode 751003 Pincode 751003

Marks/Grades/Points
Board of
State & Year of Passing Secondary
Odisha - 2018 Board
10thclass Education 2009
Onwards, Odisha

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Result Type Marks Board Remarks: N

Subject Marks/Grades/Points
Mathematics 73
Social Science 48
Science 60
First Language - Oriya 70
Second Language -
68
English
Third Language -
73
Sanskrit

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: 27/05/2023 19:03:59

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Annexure - Posts applied for Odisha, Kalahandi Division with Preference order:
Preference Post Name
1 Chikalchuan-GDS ABPM - OBC - Rs.10000 (Oriya)
2 Dandpadar-GDS BPM - OBC - Rs.12000 (Oriya)
3 Jarka-GDS BPM - OBC - Rs.12000 (Oriya)
4 Jhenjakapita-GDS ABPM - OBC - Rs.10000 (Oriya)
5 Kankermanji-GDS BPM - OBC - Rs.12000 (Oriya)
6 Khadupani-GDS BPM - OBC - Rs.12000 (Oriya)
7 Lahadi-GDS ABPM - OBC - Rs.10000 (Oriya)
8 Marguma-GDS ABPM - OBC - Rs.10000 (Oriya)
9 Melghara-GDS BPM - OBC - Rs.12000 (Oriya)
10 Pindapadar-GDS BPM - OBC - Rs.12000 (Oriya)
11 Punjam-GDS ABPM - OBC - Rs.10000 (Oriya)
12 Sansosapadar-GDS ABPM - OBC - Rs.10000 (Oriya)
13 Taramundi-GDS ABPM - OBC - Rs.10000 (Oriya)

Division selected for document verification is Bhubaneswar Division (Odisha)

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