3/18/2014

Welcome To India Post

DEPARTMENT OF POSTS, GOVERNMENT OF INDIA

HOME

NOTIFICATION/ADVERTISEMENT

VACANCIES

INSTRUCTIONS

E-PAYMENT POST OFFICES

FAQ

LOGIN

Online Application Form for Postal /Sorting Assistant Direct Recruitment Examination - 2014
Personal Information (

) & Educational Qualification (10+2) ( (10 +2))

Note: * fields are mandatory.

Name of Applicant (As per Matriculation/SSC Certificate): First DEEPIKA

Middle

Last DHANOURIYA

Middle PRASAD

Last DHANOURIYA

(
)

Name of Father (As per Matriculation/SSC Certificate) : First GOPI

(
)

Sex :

FEMALE

(
)

Applicant Category :

OBC

NOT APPLIC ABLE

(
)

Applicant Sub-Category :

(
) PH I

VISUALLY IMPAIRED, PH II HEARING IMPAIRED, PH III ORTHOPEDICALLY HANDICAPPED :

5.1 Ex-Serviceman Enter total length of Service rendered in Armed Force: YEARS
(

Serving Govt. Employee (With at least 3 yrs. of service) :

5.2

MONTHS MONTH

YEAR

DAYSDAY

NO

(
(
3
) )

Date of Birth (As per Matriculation/SSC Certificate) : DAY

MONTH JULY

04

YEAR 1994

( )

Year of Passing in 10+2 Exam:

Percentage of Marks in 10+2 Exam:

2012

)
%

(
)

Name of Recognised Board / University : CBSE BOARD

( /

Whether Studied English in 10+2 Std. ?:YES

10

10 +2

?

11

Whether Studied local Language of the State / U.T. of the Postal

Circle concerned or Hindi as a subject atleast in Matriculation Level :

YES

Nationality Indian :

YES

/
. .

?

12

( )

Mobile No. (Only 10 digits, don't prefix '0') :

13

91 8819075738

(
)

Email ID : saracuteangel100@gmail.com
*

14

(
)

Complete Address for Correspondence (

)

15

Address Line 1 : VILLAGE POST SUNWANI *

( 1 )

Address Line2 BLOCK PAWAI

( 2 )

Address Line 3 : PANNA

( 3 )

City / Town : PANNA

( / )

PIN Code : 488441

( )

State / U.T. :

MADHYA PRADESH

( /
. . )

Postal Circle Applied For (

)

16

Postal Circle : 23-MADHYA PRADESH

( )

Post Applied For (

)

(i).1st
PAPO
* (ii)2nd Preference SARMS
Preference
(iv).4th
(v).5th Preference --SELECT-PACO-RO
Preference
http://www.pasadrexam2014.in/Dop_registration_details.aspx
17

(iii).3rd Preference PASBCO

(vi).6th Preference --SELECT--

1/3

3/18/2014

Preference
(vii).7th
Preference

Welcome To India Post

--SELECT--

Preference of Division / Unit ( /

(i)1st Preference

18

(ii).2nd
Ujjain(2320)
Preference

Hoshangabad(2305)
*

(iv)4th Preference Khandwa(2316)

(iii)3rd Preference Gwalior(2311)

(vi).6th
--SELECT-Preference
(ix).9th
--SELECT-Preference

(v).5th Preference Rewa(2306)

(viii).8th
--SELECT-Preference

(vii).7th Preference --SELECT-(x).10th Preference --SELECT-Examination City (

19

(i).1st Preference Indore

(ii).2nd Preference --SELECT--

(iii).3rd Preference --SELECT--

Declaration ()

i. I have not Registered any other application for this examination. I am given to understand that if I contravene this rule, all my applications registered will be
rejected summarily by the Department.

ii. I have carefully read the provisions / instructions in the Notification / Advertisement displayed & Advertisement of this examination issued by the Postal Circle
concerned to which I applied and I hereby undertake to abide by those instructions.

/ /

iii. I further declare that I have fulfilled all the eligibility criteria regarding age limit, educational qualifications etc. prescribed for registering my application to the
examination.

,
/

iv. I also further declare that I have not been debarred by any recruiting authority / Department / Ministry of Central Govt./ State Govt as on the date of
registration. And have never been convicted by any court of law.

/ / /



.

v. For Govt. Civilian Employee seeking age relaxation for Direct Recruitment

I declare that I am a Govt. Civilan Employee and completed 3 years regular service or regular length of service stipulated in the Notification / Advertisement of the
examination as on the closing date of Registration of online application form and that I have kept informed my immediate superior authority about registration of
my application for this recruitment.

vi. For applicant belonging to SC/ST (Scheduled Caste/ Scheduled Tribe)

I declare that I belong to the caste/tribe which is included in the lists of Scheduled Caste & Scheduled Tribe notified by the Govt. of India as revised from time to
time. I further declare that I am possessing a caste certificate prescribed in the Ministry of Home Affairs OM No 42/41/49-N.G.S dated 28-01-1952, as revised in
Dept of Personnel & Administrative Reforms letter no 36012/6-76-Estt. (S.C.T.), dated 29-10-1977. I am prepared to submit my original Caste certificate issued by
the competent authority in the prescribed format and prepared to submit the same whenever demanded /called for.

.

/

,
29.10.1977 42/41/49-N.G.S 28-01-1952,
29.10.1977

. 36012/6-76 (.. .)
.

vii. For applicant belonging to OBC (Other Backward Classes)

I declare that I belong to the community which is recognized as a backward class by the Govt. of India for the purpose of reservation in services as per orders
contained in Department of Personnel and Training Office Memorandum No. 36012 / 22 / 93-Estt. (S.C.T) dated 8.9.1993 and that my community is included in the
list of OBC notified in the resolution number 12011/68/93-BCC (C ) dated 10.9.93 of Govt. of India Ministry of Social Affairs as amended from time to time. I also
declare that I do not belong to the person / sections (creamy layer) mentioned in column 3 of the schedule of the OM mentioned above and modified vide Govt. Of
India. DOPT OMs mentioned in the Notice. I further declare that I am in possession of an Original certificate issued by a competent authority to the effect that I
belong to OBC in the prescribed format vide Govt of India DOP&T vide OM no 36033/28/94-Estt. (Res.) dated 2.7.1997 and prepared to submit the same whenever
demanded /called for.

..
. .
. // (.. .)

-


10.9.93 12011/68/93-BCC (C )


. /

/

,
.
/ (
)

2.7.1997
. .
. 36033/28/94 (.. .)

viii. For applicant belonging to Ex-Servicemen

I declare that I am an Ex-Servicemen and having Original Discharge Certificate issued by the armed forces of the Indian Union. I declare that I have fulfilled the
eligibility criteria particulary w.r.t. age limit notified in the notification.

.
/

ix. For applicant belonging to Physically Impaired category

I declare that I belong to a Physically Impaired category and issued with a disability certificate issued by competent Medical authority / Board and I am having the
Original disability certificate in the prescribed format vide Govt of India DOP&T OM No 30635/3/2004-Estt.(Res) dated 29.12.2005. And I am prepared to submit
the same whenever demanded /called for.

/





29.12.2005 .
. 36035/3/2004 (.. ., )

x. In the event of not getting the post in the division / unit of my preference I undertake to accept appointment in any other division subject to availability of vacancy
in the division. The concerned Postal Circle reserves the right for allocation subject to availability of vacancies.

I hereby declare that the particulars furnished in this application form are true, complete and correct to the best of my knowledge and belief and original
documents will be submitted when demanded. I also declare that I am a citizen of India. I fully understand that in case of furnishing any False / Incorrect
Information discovered at any later stage, my candidature / appointment will be summarily rejected / terminated without assigning any reasons and appropriate
http://www.pasadrexam2014.in/Dop_registration_details.aspx

2/3

3/18/2014

Welcome To India Post

Information discovered at any later stage, my candidature / appointment will be summarily rejected / terminated without assigning any reasons and appropriate
action would be taken against me.

/
.
/

/


/

Declaration :

20

YES *

( )

Save Data

http://www.pasadrexam2014.in/Dop_registration_details.aspx

Upload Photo/Sign

Preview

Submit

3/3