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Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
2503D54548C813
Number

Father/Mother JHARESWAR
Name ANURIMA ROUTH
Name ROUTH
Mobile *******832 Aadhar Number ********6079
email ID ANURIMAROUTH********** Date of Birth : 19/09/2004
Gender : Female Category: ST
Can You ride a
PH : - Yes
bicycle
Whether Whether Employer
No No
Employed : NOC is available

Address Details
Present Address Permanent Address
Door No. n0175 Door No. n0175
Street kultikri rohini road Street kultikri rohini road
City/Village DANGRA City/Village DANGRA
Panchayat/Mandal/Dist JHARGRAM Panchayat/Mandal/Dist JHARGRAM
Pincode 721135 Pincode 721135

Marks/Grades/Points
West Bengal Board
State & Year of Passing of Secondary
West Bengal - 2020 Board
10thclass Education from
2012 onwards

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Result Type Marks Board Remarks: -

Subject Marks/Grades/Points
Second Language English 75
Geography 86
History 91
Mathematics 77
Life Science 93
Physical Science 84
Optional Elective Subject
(Note: Please enter 0 if no
0
additional/compulsory subject
opted)
First Language Bengali 82

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 undertake that I have not been 'removed/dismissed/compulsaory retired' as Govt.
Servent/Gramin Dak Sevak
10. 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
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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.
11. I hereby give my consent for verification of my mark sheet of Secondary Level Examination
of Class X standard through API Setu.

Date: 01/03/2025 19:28:15

Annexure - Posts applied for West Bengal, Midnapore Division with Preference
order:
Preference Post Name
1 Banka BO-GDS BPM - UR - Rs.12000 (Bengali)
2 Dianpur BO-GDS BPM - UR - Rs.12000 (Bengali)
3 Dobati BO-GDS BPM - UR - Rs.12000 (Bengali)
4 Hiradharpur BO-GDS BPM - UR - Rs.12000 (Bengali)
5 Mohoboni BO-GDS BPM - UR - Rs.12000 (Bengali)

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(iii) of the Notification

GDS Online Engagement Schedule I, January-2025

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